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    Employment Application

    Please complete the entire application.

    * = Required Information

    Employer Information

    Employer: Technology Construction, Inc.
    Address: 5430 Side Road
    City/State/ZIP: Prescott, Arizona 86301

    It is the policy of Technology Construction, Inc. to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

    Applicant Information

    * Applicant Full Name:


    * Home Address:


    * City/State/ZIP:


    * Number of years at this address:




    * Mobile phone:



    * Your email

    Emergency Contact






    Job Details

    * Job Position Applied For:



    * Willing to submit to a drug screen?





    * Have you applied to our company previously?







    Applicant Employment History

    List your current or most recent employment first. Only one job is required. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, please attach resume with work experience.

    * Most Recent Employment

    * Employer Name:


    * Supervisor Name:


    * Address:


    * City/State/ZIP:


    * Job Duties:


    * Reasons for Leaving:


    * Dates Of Employment:

    to

    Employment 2









    to

    Employment 3









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    Applicants Education and Training












    References


    List any two non-relatives who would be willing to provide a reference for you.

    * Reference 1







    Reference 2









    Additional Information


    Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer.

    Certification


    I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.
     
    I authorize Technology Construction, Inc. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.
    * I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.