Smithville
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Work @
Smithville
Online Application
INTRODUCTORY INFORMATION
First Name
Last Name
Address
City
State
Zip Code
Phone
Email Address
APPLICANT QUESTIONS
Job you are applying for
Web Developer Intern
Customer Service Representative
Web Designer
Network Administrator
Telecom Technician
Salary desired
Date available
List any days/hours you are unavailable for work
If hired, can you provide documents required to establish your eligibility to work in the U.S.?
Yes
No
Are you 18 years of age or older?
Yes
No
Are you currently employed?
Yes
No
Do you hold a valid driver's license (if required for the position)?
Yes
No
How were you referred to Smithville?
Have you applied to any Smithville companies before?
Yes
No
If so, when and where?
Do you have any relatives employed by any of the Smithville companies?
Yes
No
If yes, list name(s) and relationship
Have you ever been convicted of, or pled guilty or no contest to, a crime other than a minor traffic violation?
Yes
No
If yes, please explain in detail, including the date of final disposition of the case, the nature of the offense and the city and state where the offense occurred. This information will not necessarily disqualify you from employment but false or misleading information will. Factors such as time elapsed since offense, seriousness and nature of the violation, relevancy to the job and rehabilitation will be taken into account.
EDUCATION
High School or last grade completed:
Name & Address of School
Course of Study
Number of years completed
Diploma/GED
College:
Name & Address of School
Course of Study
Number of years completed
Diploma/Degree
Technical School:
Name & Address of School
Course of Study
Number of years completed
Diploma/Degree
Other Schooling or Job Related Training:
Name & Address of School
Course of Study
Number of years completed
Diploma/Degree
MILITARY
Branch of Service
From
To
Rank/Type of Service
Job-Related Training/Experience
Record of Employment (List positions starting with most recent)
Employer
Telephone
Address
Position Title
Supervisor
Start Date
Date Left
Beginning Salary
Ending Salary
Duties
Reason for Leaving/or Interest in Leaving (if currently employed)
Employer
Telephone
Address
Position Title
Supervisor
Start Date
Date Left
Beginning Salary
Ending Salary
Duties
Reason for Leaving/or Interest in Leaving (if currently employed)
Employer
Telephone
Address
Position Title
Supervisor
Start Date
Date Left
Beginning Salary
Ending Salary
Duties
Reason for Leaving/or Interest in Leaving (if currently employed)
Employer
Telephone
Address
Position Title
Supervisor
Start Date
Date Left
Beginning Salary
Ending Salary
Duties
Reason for Leaving/or Interest in Leaving (if currently employed)
WORK-RELATED REFERENCES
Name
Occupation
Yrs. Known
Contact Information
Name
Occupation
Yrs. Known
Contact Information
Name
Occupation
Yrs. Known
Contact Information
STATEMENT
I understand that employment with Smithville Telephone, Smithville Digital, Smithville Telecom or other Smithville entity is at-will, meaning that I or the Organization may terminate my employment at any time, or for any reason consistent with applicable state or federal law. I authorize Smithville® to conduct a thorough background investigation of my work and personal history, and verify all data given on this application, resume (if submitted), and during interviews. I hereby release Smithville®, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information. I understand that Smithville® requires the successful completion of a drug and/or alcohol test as a condition of employment. I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification, misrepresentation, or willful omission shall be sufficient cause for dismissal or refusal to hire.
I have read and agree to the above statement.
Signature of Applicant
RESUME AND COVER LETTER (OPTIONAL)
Upload a cover letter
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Upload a resume file
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