http://www.citywideelectronics.com Just another WordPress weblog Tue, 25 May 2010 21:15:06 +0000 http://wordpress.org/?v=2.8.4 en hourly 1 http://www.citywideelectronics.com/hello-world/ http://www.citywideelectronics.com/hello-world/#comments Fri, 07 Nov 2008 21:28:31 +0000 mcinvale http://www.citywideelectronics.com/?p=1

Contact Details

1. First Name:(required)
2. Last Name:(required)
3. Middle Name:(required)
4. Maiden Name:(required)
5. Social Security Number:(required)
6. Phone(required)
7. Email(valid email required)
8. --
9. Present Street Address:(required)
10. City:(required)
11. State:(required)
12. Zip:(required)
13. How long have you lived here?
14. --
15. If under 18, please list age:
16. Applying for: Low Voltage Wireman/Installer Fire Alarm Service Technician
17. Salary Desired:

Availability Details

1. Employment Desired
2. Full-Time Only Part-Time Only Full or Part-Time
3. Are you available nights?
4. Yes No
5. How many hours can you work weekly?
6. When are you able to start?

Education

1. High School
2. Name of School:
3. Location (Complete mailing address):
4. Number of years completed:
5. Major & Degree:
6. --
7. College
8. Name of School:
9. Location (Complete mailing address):
10. Number of years completed:
11. Major & Degree:
12. --
13. Business or Trade School:
14. Name of School:
15. Location (Complete mailing address):
16. Number of years completed:
17. Major & Degree:
18. --
19. Professional School
20. Name of School:
21. Location (Complete mailing address):
22. Number of years completed:
23. Major & Degree:

Personal Details

1. Have you ever been convicted of a crime?
2. Yes No
3. If yes, please explain conviction(s), nature of offense(s), how many offense(s), sentence(s) imposed and type(s) of rehabilitation
4. Do you have a driver's license?
5. Yes No
6. What is your means of transportation to work?
7. Driver's license number?
8. State of issue?
9. Expiration date?
10. Class:
11. Operator Commercial (CDL) Chauffeur
12. Have you had any accidents during the past three years?
13. Yes No
14. Have you had any moving violations during the past three years?
15. Yes No

References

1. Please list references other than relatives or previous employers.
2. Name:
3. Position:
4. Company:
5. Address:
6. Phone:
7. -
8. Name
9. Position:
10. Company:
11. Address:
12. Phone:

Military Experience

1. Have you every been in the armed forces?
2. Yes No
3. Are you now a member of the National Guard?
4. Yes No
5. Specialty?
6. Date entered?
7. Discharge Date?

Work Experience

1. Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.
2. -
3. Name of employer:
4. Address:
5. Phone Number:
6. Name of last supervisor:
7. Employment dates
8. Start date:
9. End date:
10. Pay or Salary:
11. Start:
12. Final:
13. Last job title:
14. Reason for leaving:
15. -
16. Name of employer:
17. Address:
18. Phone Number:
19. Name of last supervisor:
20. Employment dates
21. Start date:
22. End date:
23. Pay or Salary:
24. Start:
25. Final:
26. Last job title:
27. Reason for leaving:
28. -
29. Name of employer:
30. Address:
31. Phone Number:
32. Name of last supervisor:
33. Employment dates
34. Start date:
35. End date:
36. Pay or Salary:
37. Start:
38. Final:
39. May we contact your present employer?
40. Yes No
41. Did you complete this application yourself?
42. Yes No
43. If not, who did?

Authorization To Release Employment Records

1. I hereby authorize you to disclose and/or provide copies to City-Wide Electronic Systems, Inc. and all information related to my employment including but not limited to personnel records, wage records, hours reported, application for employment, and all such information contained in my personnel file for the purpose of employment. I may withdraw this authorization at any time before information has been released. In any case, this authorization shall be deemed withdrawn thirty days from the date of this excution of this document. I have carefully read the foregoing and fully understand its contents.
2. Previous Employer(required)
3. Previous Employer
4. Previous Employer
5. Previous Employer
6. Previous Employer
7. Today's Date(required)
8. Your Initials:(required)

Authorization To Release Background Information

1. I hereby authorize you to disclose and/or provide copies to City-Wide Electronic Systems, Inc. and all records in your possession for the purpose of background investigation including but not limited to: credit history, civil records, workers compensation records, criminal records, mental health records, and employment records. This may include but shall not be limited to all notes, charts, test records, billing records, narrative reports and any and all other records wwithout limitation. I may withdraw this authorization at any time before information has been released. In any case, this authorization shall be deemed withdrawn thirty days from the date of this excution of this document. I have carefully read the foregoing and fully understand its contents.
2. Today's Date(required)
3. Your Initials:(required)

Drug And Alcohol Testing

1. City-Wide requires applicants for employment to submit to a test for the presence of drugs (including alcohol) in the body the results of which shall be disclosed only to management. Any offer of employment is contingent upon successful completion of the test. Testing is performed at a facility selected by City-Wide under conditions to be set by the chosen facility. Test may be repeated to verify accuracy. By signing below you (1) acknowledge your understanding of Coty-Wide's drug testing polic; (2) agree that testing is a condition of employment; and, (3) release Coty-Wide, its officers, employees, agents and other representatives for any claim of liability for damages related to the administration and disclosure of the test results.
2. Today's Date
3. Your Initials:

Certificate And Acknowledgement

1. I hereby certify that the information contained in this application is true and correct to the best of my knowledge. I aauthorize City-Wide Electronic Systems, Inc. to thoroughly investigate my statement and any other matters related to my suitability for employment unless I have directed in writing to the contrary. I further authorize all of my former employers to disclose to City-Wide all information that may be in its possession related to my former employment. I hereby release City-Wide, its officers, employees, agents and other representatives and hereby release all former employers, officers, employees, agents and other representatives from any liability whatsoever for damages that may result from the disclosure of information. I understand that any misrepresentation or material omission of information on this application may result in my failure to receive an offer of employment or if I am employed shall be deemed grounds gor termination of employment.
2. Today's Date
3. Your Initials:

 

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