• Application for Employment

    To be considered for employment, you must accurately complete all requests for information. If you need an accommodation to complete this application, please request assistance.
  • Date of Application*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • REFERRAL SOURCE (Please check all that apply)*
  • Have you ever filed an application with us before?*
  • If yes, give date
     - -
    2 digit month, 2 digit day, 4 digit year
  • What type of employment are you interested in?*
  • Are you willing to work overtime?*
  • Are you willing to travel out of town?*
  • On what date would you be available to start work?*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are you legally eligible to work in the U.S.?*

  • If you are hired, you will be required to furnish documentation within 3 working days showing your are authorized to work in the U.S. 

  • Have you been convicted of any crime?*

  • Conviction will not necessarily disqualify an applicant from employment and will only be considered in relation to specific job requirements.

  • Education

  • Degree or Diploma*
  • Degree or Diploma
  • Do you want to list another Secondary Education?*
  • Degree or Diploma
  • Do you want to list another Secondary Education?
  • Degree or Diploma

  • Skills

  • References

    Please list any business or education related references you would like us to consider.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Required Information

  • Employment

    Start with your present or most recent employment. If you need additional space, please continue on a separate sheet of paper. Please complete this section even if you are submitting a resume. If you are currently employed, may we contact your employer?  Yes  No
  • If you are currently employed, may we contact your employer?*
  • Start Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Ending Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Start Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Ending Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Start Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Ending Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • Resume

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  • Certification

  • (Read Carefully Before Signing)

    I here by authorize Panora Fiber to conduct an investigation concerning all statements made in my application and to conduct any other investigation the Company deems appropriate, including a review of my driving history (if job related), and criminal conviction history. I request any duly constituted law enforcement agencies or judicial officers and all other entities to furnish the Company with all information requested for its investigation of my background and qualifications. I hereby release the Company and all individuals and entities from any and all liability arising from disclosure of the information obtained during such an investigation.

    I understand that my previous and present employer may be asked for information relative to my employment record with them, unless otherwise requested. I hereby release from all liability or damage those individuals or corporations who provide information relating to my prior employment or character, and I authorize Panora Fiber to make any investigation it may deem advisable with no liability arising therefrom. I agree that any false statements made by me or my failure to answer any applicable questions on this application completely, regardless of when discovered, will be sufficient cause for my release from employment.

    Additionally, I understand that nothing contained in the employment application or in the granting of an interview is intended to create an employment contract for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding unless made in writing. IF ANY EMPLOYMENT RELATIONSHIP IS ESTABLISHED, I UNDERSTAND THAT I HAVE THE RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME. I FURTHER UNDERSTAND THAT I WOULD BE AN EMPLOYEE AT WILL AND THAT PANORA FIBER CAN TERMINATE MY EMPLOYMENT AT ANY TIME WITH OR WITHOUT NOTICE AND WITH OR WITHOUT CAUSE.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: