Customer Support   (812) 876-2211

Company Information

Quick facts

  • Founded in 1922
  • Family owned and operated
  • Over 30,000 access lines
  • Located in Ellettsville, IN

Application for Employment

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, handicap or national origin.

Personal Information

Present Address

Permanent Address

Are you 18 years of age or older?

Are you legally authorized to work in the United States?

Do you hold a valid driver's license (if required for the position)?

Have you ever been convicted¹ of a crime other than a minor traffic violation?

(A yes answer does not automatically disqualify you from employment, but will be reviewed)

¹ Examples of convictions, but not all convictions, are driving under the influence, driving with a suspended license, reckless driving, leaving the scene of an accident and vehicular homicide.

A criminal history check, as well as a driving record check (if the position requires driving), is conducted on each new employee.

If the answer to the above question is 'Yes', please list the offense(s) or charge(s) and the city, state and date of the charge.

Employment Desired

Are you currently employed?

If so, may we inquire with your present employer?

Have you ever applied to any Smithville® companies before?

Education

Grammar School

Did you graduate?

High School

Did you graduate?

College

Did you graduate?

Trade, Business or Correspondence School

Did you graduate?

General

² Excludes organizations, the name or character of which, indicates the race, sex, color or national origin of its members.

Former Employers

List below your last four employers, starting with the most recent one first.

References

List below three persons not related to you, whom you have known for at least one year.

Legal & Authorization

"UNDER MARYLAND LAW AN EMPLOYER MAY NOT REQUIRE OR DEMAND ANY APPLICANT FOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT OR ANY EMPLOYEE TO SUBMIT TO OR TAKE A POLYGRAPH, LIE DETECTOR OR SIMILAR TEST OR EXAMINATION AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT, ANY EMPLOYER WHO VIOLATES THIS PROVISION IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT TO EXCEED $100."

"It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability."

If you are to be hired by the company, you will be required to attest to your identity and employment eligibility, and to present documents confirming your Identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.

AUTHORIZATION

I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company.

I understand that any employment is conditioned on a background check. I authorize the Company to thoroughly investigate all statements contained in my application or resume and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the Company, without giving me prior notice of such disclosure. In addition, I release the Company, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand and agree that nothing contained In this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or the Company. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the Company unless made In writing.

If I am offered employment I agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the Company and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to the Company the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by the Company's Drug and Alcohol Policy.

I understand that filling out this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies and procedures. The Company retains the right to revise its policies or procedures, in whole or in part, at any time.