Employment Application

*PERSONAL INFORMATION*
Employment Application ----------------------------------------------------------------------------------- Precision Contracting Services, Inc. 15834 Guild Court Jupiter, Florida 33478 561-743-9737 fax 561-743-0775 ----------------------------------------------------------------------------------- AN EQUAL OPPORTUNITY EMPLOYER It is the policy of Precision Contracting Services, Inc. to provide employment opportunities without regard to race, color, religion, sex, national origin, age, handicap, or veteran status. FALSIFICATION OF ANY INFORMATION ON APPLICATION COULD ELIMINATE CONSIDERATION FOR EMPLOYMENT AND/OR BE GROUNDS FOR IMMEDIATE TERMINATION. -----------------------------------------------------------------------------------
* required fields
Referred by	Job Position you are applying for

* Telephone # Residence
Cell No.
* E-Mail
* First Name	M.I.		* Last Name
Do you have reliable transportation?	Do you possess a valid driver's license?

Please list any CDL Class, Endorsements, or Restrictions

Present Address:
* Street and No.	* City
* State	* Zip Code

Permanent Address:
Street and No.	City
State	Zip Code

In case of emergency, whom should we notify?
* Name
Address
City	State			Zip Code
* Telephone	* Relationship

*EMPLOYMENT DESIRED*
Date you will be available for work?
Salary Desired? $
Are you currently employed?
If so, may we contact your employer?
If you have applied to this company before, please indicate when and position.
Do you have any relatives employed by this company?
If so, please list names
If you have worked for this company before, please indicate when and position held.
* Do you seek full or part time employment?
List other names or aliases you have used
* If employed, can you provide proof of legal right to work in the United States.
If no, please explain.
* Have you ever been convicted of a felony or are you on bail pending trial for a felony?
If yes, please explain in full with description of the case.
* Do you have or anticipate any obligations which could conflict with a standard work schedule or performance of assigned duties.
If yes, describe.

* Would you be willing to travel?

*JOB RELATED SKILLS*
Indicate experience in years and months for each area.
Fusion Splicing	FO Terminations
CADD	FO Testing-OTDR/LS-PM
Bucket Truck	Tugger

List any other skills you think may be of value to PCS:

*EMPLOYMENT HISTORY*
List your present or last position.
* Company Name	Address
* Phone	Name/Title of Supervisor
* Job Title	* Ending Pay
* Dates of Employment (Month/Year) from * to
* Type of work performed
* Reason for Leaving


List your previous position.
Company Name	Address
Phone	Name/Title of Supervisor
Job Title	Ending Pay
Dates of Employment (Month/Year) from to
Type of work performed
Reason for Leaving


List your previous position.
Company Name	Address
Phone	Name/Title of Supervisor
Job Title	Ending Pay
Dates of Employment (Month/Year) from to
Type of work performed
Reason for Leaving


Please explain any gap in Employment History above
Please explain any work related accomplishments you are especially proud of
Hobbies, recreation, Special Interests:

*PROFESSIONAL REFERENCES*
Please list three professional references you have known for at least one year:

* 1. Name
* Address		* Telephone
* Relationship		* Years Known

2. Name
Address		Telephone
Relationship		Years Known

3. Name
Address		Telephone
Relationship		Years Known

*EDUCATION HISTORY*
Languages Spoken:

Last High School Attended:
* Name * City * State * Grade Completed

Junior College Attended:
Name City State Year Completed
Major			Minor

College or University Attended:
Name City State Year Completed
Major			Minor

Graduate School Attentded:
Name City State Year Completed
Major			Minor

Trade School Attended:
Name City State Year Completed
Major			Minor
Adult Education or Special Training:

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