1099 Application [Spectrum/Cox]

1099 Cable Installer Application

Cox Communications
Date*

MonthDayYear
DateHourMinutesAM/PM Option
Area applying:*
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
City, State, Zip (where you currently live)*

CityState

Zip
The Cable Industry has a very strict background check. Please select any of the following that may show up on your criminal history check?*

MisdemeanorFelonyOpen Case/Pending ChargeDUICase DismissedWreckless DrivingSpeeding TicketAutomobile Accident/WreckNone of these applyOther
If any of the above apply please provide more info:
Need dates and the name of any charges
How did you hear about us?*
Yearly financial expectations:*
$35K to $85K average depending on skillset
Are you financially stable enough to afford to keep gas in your truck week over week?*

YesNo
Are you open to traveling out of the market when needed?*

YesNoOther
REQUIREMENTS FOR THE POSITION:
- Truck/Van/SUV with a ladder rack that can support a 28' ladder
- General Liability Insurance
- Workers Comp/Accidental Occupational Insurance
- Smart Phone
  - (Samsung Galaxy -S10e or S20fe (Spectrum only))
- Viavi One Expert meter
- VeEx 310 meter
- Cable Prep Tools - RG6 & RG11 coax tools, Phone tools, & Fiber tools
- 28' Ladder with V-ring and hooks
- OSHA safety PPE materials
***Tool assistance is available for qualified candidates.

***Truck lease option available (must be 21 or older to qualify)
Do you have your own Truck, Van, or SUV for this position?*

YESNO
If you selected YES above, please list the Color, Year, Make, and Model of your vehicle
Must be able to support a 28' ladder
Tools & Assets you own*

28' Ladder (w/hooks & v-ring)Meter: Viavi or VeeXSmart PhoneCoax Prep Tools (RG6 & RG11)Tone & Probe KitHammer Drill18" Drill Bits (Wood and Masonary)Safety belt & lanyardSafety VestHard HartOrange Safety Cones (2 required on truck)ShovelGlow RodsFish TapeBoots w/1"heelKhaki pantsPhone Prep ToolsFiber Prep ToolsTruck, MSO Decals/MagnetsSheetrock SawCable CaddyOther
Additional Notes for Assets/Tools
Do you have cable installation experience?*

YesNo
Please list any experience and/or skills that you feel would qualify you for this position*
**If you have cable installation experience please list the dates and companies worked with.
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Expected Start Date*
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1099 Cable Installer Application