Onboarding Part 1 - TELICS Contact Sheet
Today's Date
*
/
Month
/
Day
Year
Date
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email Address
*
Social Security Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Race
*
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Hispanic or Latino
Other
Referred By
Position Desired
Date you can start
*
/
Month
/
Day
Year
Date
Size of TELICS golf shirt
(S-XXL)
Are you employed now?
Yes
No
If so, may we contact your current employer?
Yes
No
Ever applied to this company before?
Yes
No
If yes, where?
If yes, when?
Education History
High School
High School - Name and Location
High School - Did you graduate?
Yes
No
High School - Subjects Studied
Education History
College
College - Name and Location
College - Did you graduate?
Yes
No
College - Subjects Studied
Education History
Trade, Business, or Correspondence School
Trade - Name and Location
Trade - Did you graduate?
Yes
No
Trade - Subjects Studied
General Information
Special skills
Special Training
Subject of Special study/Research work
US Military or Naval Service and Rank
Former Employers
(LIST BELOW LAST 2-3 EMPLOYERS, STARTING WITH MOST RECENT FIRST)
Employer 1
From Date (E1)
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Month
-
Day
Year
Date
To Date (E1)
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Month
-
Day
Year
Date
Name and Address of Employer (E1)
Position (E1)
Reason for leaving (E1)
Employer 2
From Date (E2)
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Month
-
Day
Year
Date
To Date (E2)
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Month
-
Day
Year
Date
Name and Address of Employer (E2)
Position (E2)
Reason for leaving (E2)
Employer 3
From Date (E3)
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Month
-
Day
Year
Date
To Date (E3)
-
Month
-
Day
Year
Date
Name and Address of Employer (E3)
Position (E3)
Reason for leaving (E3)
In Case of Emergency
Emergency Name
*
First Name
Last Name
Emergency Relation?
*
Emergency Number 1
*
Please enter a valid phone number.
Emergency Number 2
Please enter a valid phone number.
Physician Information
Name of Physician
Physician Phone
Please enter a valid phone number.
Optional Information
Please list any Hobbies or Interests. Spouse or Kids names, or other information you would like to share.
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