Simple Job Application Form

Name

First NameLast Name

Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email Address

Phone Number

Area CodePhone Number

Are you a U.S. citizen, or do you have a VISA permitting you to work in the US?

Are you over 18 years old?

Do you have or can you obtain a valid WA driver's license?

Driver's License Number

MACECOM is mindful of its obligation to employ qualified persons and its entitlement under law to consider an applicant's conviction record as it relates to job performance. A conviction record will not disqualify you for employment unless such record would reasonably affect your fitness for the job for which you have applied. Have you been convicted of a felony as an adult, or have you been convicted of a misdemeanor within the past three (3) years. (If "YES," please explain below)

Are you applying for a lateral or entry level position? (To be considered as a lateral you must have prior experience call-taking or dispatching in a 911 environment)

Do you have a HS diploma, GED, or equivalency diploma? (Upload Transcripts/Diploma at end of questions)

Do you have higher education? (Upload Transcripts/Diploma at end of questions)

Have you ever applied here before?If yes, specify when:

Give the names and relationships of any relatives you have working at MACECOM:

Employment History 1 - start with your current or most recent employer. Include Employer, Address, Telephone Number, Job Title, Supervisor, Salary, Duties Performed, and Reason for Leaving

Employment History 2 - start with your current or most recent employer. Include Employer, Address, Telephone Number, Job Title, Supervisor, Salary, Duties Performed, and Reason for Leaving

Employment History 3 - start with your current or most recent employer. Include Employer, Address, Telephone Number, Job Title, Supervisor, Salary, Duties Performed, and Reason for Leaving

Employment History 4 - start with your current or most recent employer. Include Employer, Address, Telephone Number, Job Title, Supervisor, Salary, Duties Performed, and Reason for Leaving

Have you been known by a different name by any of the employers or educational institutions listed on this application? If yes, list the name and which employer or institution would know you by that name.

Have you served in the US Armed forces and planning to apply for Veteran's preference in accordance with RCW 41.04.010? If yes, please upload your DD214 or NGB Form 22 at end of questions.

I hereby certify that the information provided by me in this application for employment is true, correct, and complete to the best of my knowledge. I understand that any misstatement, failure to answer fully or omission of fact in this application my result in my not being considered in the selection process or may result in my dismissal after hire. I have read the Job Opening and I can perform the essential functions of the job for which I am applying, with or without reasonable accommodation. I understand that acceptance of an offer of employment does not create a contractual obligation upon MACECOM to continue to employ me in the future. For determination of my potential employment eligibility, I hereby authorize release of educational, police, criminal and employment information pertinent to the position for which I am applying. I further authorize MACECOM to rely upon and use, as it sees fit, any of the information received.

MACECOM is a smoke and drug free workplace. You may be required to complete a drug test prior to employment.

MACECOM is not a Social Security covered employer. MACECOM participates in the Medicare portion of Social Security only.

If hired, you will be required to complete a probationary period of at least 12 months.

Upload Resume/Transcripts/Diploma/Armed Forces Form

Upload a File

MACECOM Job Application