Shuterra Employment Application Form

Job Application Form
Basic Information
Full Legal Name*

First NameLast Name
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Are you legally authorized to work in the US?*

YesNo
Will you now or in the future require visa sponsorship?*

YesNo
Position Details
Position Applying For*
Desired Start Date*

MonthDayYear
Date
Availability*

Full-TimePart-Time
Willingness to Travel or Work Overnight*

YesNo
Describe Work Histry*
May we contact former employer?*

YesNo
Education
Highest Level Completed*
Licenses & Certifications
Do you have a valid driver's license?*

YesNo
Driver's License Number*
Driver's License State*
List any licenses or certifications held
Tell us why Shuterra should choose you for this position.
Disclosures & Authorizations
Authorization and Consent*

I authorize verification of all information providedI consent to a background check including a Motor Vehicle Record (MVR) checkI acknowledge at-will employment status in OklahomaI agree to provide an electronic signature and date
Electronic Signature*
Should be Empty:

Job Application Form