Position Applied For Department How did you learn of this position? Please specify: Social Security Number Street Address City/State/Zip Code Home Phone Message Phone E-mail Address Are you 18 or older?
Availability Are you legally eligible for employment in this country? (Proof of citizenship or immigration status will be required upon employment.)
If you were offered a position, how soon would you be able to begin work? Have you ever served in the armed forces? (If yes, your service should be treated as employment and should be included below.)
Under your name or another name, have you ever been convicted (or pleaded guilty or no contest) of a felony or misdemeanor which resulted in prison and/or jail and for which you were released or paroled? (Do not identify convictions for which the criminal record has been expunged or sealed by the court; or, misdemeanor conviction for which any probation has been completed and the case dismissed by the court. Please note that no applicant will be denied employment solely on the ground that they have been charged, committed, or convicted of a criminal offense or, solely on an affirmative answer. The nature, date, surrounding circumstances, and relevance of the offense to the position applied will be considered.
If yes, please explain:
Education Do you have a high school diploma or GED certificate?
Last school grade completed High school name and location Schools attended after high school or special training received:
Skills Computers PC Mac Other Equipment Software (list program names and years of experience) Specialized training Typing Speed (wpm) Special qualifications, licenses, languages Experience List below your employment or work history beginning with your present or most recent job, including military service and pertinent volunteer service. Emphasize your specific tasks and supervisory, technical, or other responsibilities. Give special attention to experience relating to the job for which you are applying. Incomplete descriptions may result in lower ratings. May we contact your present employer?
Summary of other pertinent work experience:
Submit Application Any Additional Comments? If you would like to include a cover letter and/or resume, you may include those here. We recommend you prepare these offline as text only, and then copy and paste the text in the boxes below. All formatting such as bullets and tables will be lost once you submit this application. * Before submitting, please consider filling out the form below. It's entirely optional, but will help us ensure equal opportunity.
Equal Employment Opportunity Challenger Process Systems is attempting to monitor recruitment and selection programs in order to assure equal opportunity. We would appreciate your cooperation in providing the following information. Your cooperation is voluntary. This information is for statistical use only, and will be kept confidential and separate from your application for employment.