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"Are We in your Business?"

All information contained in this form and sent to CSI is considered confidential and will not be past onto any
other party.


Please fill out the form below completely to apply for a position here at CSI.
You can also send a resume by email to info@csidesmoines.com
or send it to:
8825 NE 78TH AVE
BONDURANT IA 50035


Personal Information:
Name:    
Street Address:
City:
State:   Zip:  
Phone:
(i.e. 515-555-5555)
E-Mail

Position applied for?   When can you start? 
, 2008

Number of hours you're willing to work per week  

Willing to work overtime as required? 

Why do you want to work for CSI?
 
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)?   
   
 
If hired, can your provide proof that you are eligible to work in the United States?
       
 

Education History:
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
College/Trade School (i.e. School Name, City, State)

Work History:

Company 1:
Address:
Phone:
Job Title:
Duties:
Reason For Leaving:
Supervisor:
Salary/wage:
Dates Worked: To:

May We Contact Your Employer?

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:

 

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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