Application for Employment

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.

Communications 1 Network, Inc. considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

Positions Applied For*

Date of Application*

FriendWalk-InRelativeOther

Name*

First NameMiddle InitialLast Name

Address*

SSN

Home Telephone Number*

Format: (000) 000-0000.

Cell Phone Number*

Format: (000) 000-0000.

Work Telephone Number*

Format: (000) 000-0000.

Email*

YesNo

Best time to contact you

YesNo

If yes, state name, relationship and location

YesNo

Date Available for Work*

Full TimePart TimeTemporary

Please indicate Mornings Afternoon Evenings

Date Available for Work

YesNo

High SchoolUndergraduate CollegeGraduate/ProfessionalOther

Name and Address of School*

Course of Study*

Years Completed*

Diploma/Degree*

Name and Address of School*

Course of Study*

Years Completed*

Diploma/Degree*

Name and Address of School*

Course of Study*

Years Completed*

Diploma/Degree*

Please specify

Start with your present or last job; include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status. Work Performed EmployerDates Employed To From Address

Employer*

Address*

Telephone Number*

Format: (000) 000-0000.

Starting/Present Job Title*

Supervisor*

Reason for Leaving*

Dates Employed*

From and To

Hourly Rate/Salary*

Starting and Final

YesNo

Work Performed*

YesNo

Employer*

Address*

Telephone Number*

Format: (000) 000-0000.

Starting/Present Job Title*

Supervisor*

Reason for Leaving*

Dates Employed*

From and To

Hourly Rate/Salary*

Starting and Final

YesNo

Work Performed*

YesNo

Employer*

Address*

Telephone Number*

Format: (000) 000-0000.

Starting/Present Job Title*

Supervisor*

Reason for Leaving*

Dates Employed*

From and To

Hourly Rate/Salary*

Starting and Final

YesNo

Work Performed*

Comments: Include explanation of any gaps in employment

Describe any specialized training apprenticeship skills and extracurricular activities

Describe any job-related training received in the United States military

List professional trade business or civic activities and offices held You may exclude membership which would reveal gender race religion national origin age ancestry disability or other protected status

Other Qualifications Summarize special job-related skills and qualifications acquired from employment or other experience

Operating Systems

Computer Software

Equipment

Other (list)

State any additional information you feel may be helpful to us in considering your application

Reference #1 - Name*

Reference #1 - Phone Number*

Format: (000) 000-0000.

Reference #1 - Occupation*

Reference #2 - Name*

Reference #2 - Phone Number*

Format: (000) 000-0000.

Reference #2 - Occupation*

Reference #3 - Name*

Reference #3 - Phone Number*

Format: (000) 000-0000.

Reference #3 - Occupation*

Name*

Address*

Telephone Number*

Format: (000) 000-0000.

Cover Letter

Resume

I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Communications 1 Network, Inc. is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Communications 1 Network, Inc

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Signature of Applicant*

Date*

Application for Employment

Education

High School Education

Undergraduate College Education

Graduate/Professional Education

Work Experience

Job #1

Job #2

Job #3

Specialized Skills

Personal/Professional References

In Case Of Emergency, Notify:

Uploads

Applicant's Statement