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Your Personal Information

Position(s) Applied For

Date of Application

Your Name

First Middle Last

Your Email Address

Enter Email Confirm Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Social Security Number

Your Phone

Alternate Number

How Did You Hear About Us?

Are you legally eligible to work in the United States?

(Proof of eligibility will be required upon offer of employment)

YES

NO

Are you over the age of 18 years?

(If you have any questions about the functions of the job, please ask the interviewer before answering this question.)

YES

NO

Can you, with or without reasonable accommodation, perform the essential functions of this job?

(If you have any questions about the functions of the job, please ask the interviewer before answering this question.)

YES

NO

Do you have a valid driver’s license?

YES

NO

Have you been convicted of any moving violations in the past five years?

If yes, please explain:

What salary or rate of pay do you expect to receive if employed?

Per Year

Type of employment desired:

Full-time

Part-time

Seasonal

Temporary

On what date would you be available to work?

EDUCATION

High School

Name and Location of School

Course of Study or Major

# of Years Completed

Diploma/ Degree

College

Name and Location of School

Course of Study or Major

# of Years Completed

Diploma/ Degree

Vocational

Name and Location of School

Course of Study or Major

# of Years Completed

Diploma/ Degree

Graduate

Name and Location of School

Course of Study or Major

# of Years Completed

Diploma/ Degree

Please list any academic honors, scholarships, offices held, etc.

(Do not list any which reflect your race, color, religion, gender, national origin, age, disabilities or veteran status.)

Describe any specialized training, apprenticeships, licenses or skills.

Have you received any job-related training in the United States Military?

YES

NO

Please give dates and explanation:

Please provide any other information that you feel will help us in considering your application for employment.

REFERENCES

(Please list three persons, who are not related to you or previous supervisors, who can provide professional references.)

Name

Title

Phone Number

Relationship/Occupation

Years Known

Name

Title

Phone Number

Relationship/Occupation

Years Known

Name

Title

Phone Number

Relationship/Occupation

Years Known

Employment History

Begin with current or most recent employer. Do not exclude any employment. Include any applicable temporary employment. Previous salaries or wages will not be used to determine compensation at FastTrack Communications. Use the plus (+) icon at the end of any row to add another row if you need more space to detail your employment history.

Your Previous Employers

Please list your previous employers, the dates you worked and the position you held

Employer

Dates

Position

Phone

Name and Title of Supervisor

Describe your duties:

Reason for leaving and explanation

Employer

Dates

Position

Phone

Name and Title of Supervisor

Describe your duties:

Reason for leaving and explanation

Employer

Dates

Position

Phone

Name and Title of Supervisor

Describe your duties:

Reason for leaving and explanation

What did you like most about your position?

What were the things you liked least about the position?

*PLEASE READ CAREFULLY BEFORE SIGNING*(Required)

That all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.
I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by FastTrack Communications, Inc. (hereinafter referred to as "FastTrack ") that such employment with FastTrack is at will, for no specified duration and may be terminated by either FastTrack or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of FastTrack or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of FastTrack except the General Manager has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the General Manager of FastTrack. In consideration for employment with FastTrack, if employed, I agree to conform to the rules, regulations, policies and procedures of FastTrack at all times and understand that such obedience is a condition of employment. I understand that due to the nature of FastTrack business, attendance and punctuality are considered essential requirements of every job at FastTrack and that poor attendance or tardiness will result in disciplinary action.
I understand that if offered a position with FastTrack, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.
I herby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to FastTrack and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.
I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.
BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

I agree to the privacy policy.

Signature

Signature pen Use your mouse to electronically sign below:

Date

Name and number of person completing this form if other than applicant:

FASTTRACK COMMUNICATIONS IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION WITHOUT REGARD TO RACE,
COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, DISABILITY, VETERAN STATUS OR ANY OTHER STATUS PROTECTED BY LAW.

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Employment Application Form

Your Personal Information

EDUCATION

Employment History