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Name: |
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Street Address: |
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City: |
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State: |
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Zip:
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Phone:
(i.e.
515-555-5555) |
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E-Mail
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| Position
applied for?
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When
can you start?
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|
, 2008 |
Number of hours you're willing
to work per week |
Willing
to work overtime as required?
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Why
do you want to work for CSI?
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Is
there anything else you want to tell us about yourself
that may help us measure your qualifications for
this post ion/job (special training, interests,
or skills)? |
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| If
hired, can your provide proof that you are eligible
to work in the United States?
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Education
History:
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Did you graduate
High School?
If yes, which High School
(i.e. School Name, City, State) |
Did you attend trade school or college
If yes, How many years
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| College/Trade School
(i.e. School Name, City, State) |
Work
History: |
| Company
1:
|
Address:
|
| Phone:
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| Job
Title:
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Duties:
|
Reason
For Leaving:
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| Supervisor:
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| Salary/wage:
|
| Dates
Worked:
To:
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| May
We Contact Your Employer?
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Company
2:
|
Address:
|
| Phone:
|
| Job
Title:
|
Duties:
|
Reason
For Leaving:
|
| Supervisor:
|
| Salary/wage:
|
| Dates
Worked:
To:
|
Company
3:
|
Address:
|
| Phone:
|
| Job
Title:
|
Duties:
|
Reason
For Leaving:
|
| Supervisor:
|
| Salary/wage:
|
| Dates
Worked:
To:
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| |
By submitting the above
information by electronic transmission, I hereby
certify that the facts set forth in this Pre-Employment
Information Sheet are true and complete to the best
of my knowledge. I understand that if I am employed,
false statements may result in dismissal. I authorize
CSI to make an investigation of any of the facts
set forth in this application.
By submitting the
above information by electronic transmission,
I hereby understand that employment at CSI is
"at will," which means that either I or CSI can
terminate the employment relationship at any time,
with or without prior notice, and for any reason
not prohibited by statute. All employment is continued
on that basis. I agree to abide by all terms of
employment including any alterations authorized
by my employer.
By submitting the
above information by electronic transmission,
I hereby understand that this application is good
for only sixty (60) days from today's date. If
I still desire a position with CSI after this
application expires, it will be my responsibility
to fill out a new application and file it with
CSI. Otherwise, CSI will not consider me for employment
after this application expires.
Date:
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