PLEASE READ BEFORE YOU BEGIN:

We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, martial or veteran status, sexual orientation, or any other legally protected status.

  ~ An Equal Opportunity Employer ~

STATEMENT OF NON-DESCRIMINATION AND EQUAL EMPLOYMENT (PDF)

You will be given the opportunity to attach your resume, references and cover letter with this form at the end of the application process.

  APPLICATION FORM:

Please review the application before you begin entering information. Once submitted, you will NOT have an opportunity to change the information and you will not be able to save the information and return to complete it at a later time.

POSITION(S) APPLIED FOR:
DATE OF APPLICATION:3/15/2010
HOW DID YOU LEARN ABOUT US?
ADVERTISEMENT
FRIEND
WALK-IN
EMPLOYMENT AGENCY
RELATIVE
WEBSITE
FACEBOOK
OTHER:
LAST NAME:
FIRST NAME:
MIDDLE NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NUMBER(S)
E-MAIL ADDRESS
IF YOU ARE UNDER 18 YEARS OF AGE, CAN YOU PROVIDE REQUIRED PROOF OF YOUR ELIGIBILITY TO WORK?
HAVE YOU EVER FILED AN APPLICATION WITH US BEFORE?
IF YES, GIVE DATE:
HAVE YOU EVER BEEN EMPLOYED WITH US BEFORE?
IF YES, GIVE DATE:
TO THE BEST OF YOUR KNOWLEDGE ARE YOU RELATED TO ANY OF THE BOARD OF DIRECTORS OR EMPLOYEES OF CONSOLIDATED TELCOM?
IF YES, PLEASE STATE WHO YOU ARE RELATED TO AND THE RELATIONSHIP
ARE YOU CURRENTLY EMPLOYED?
MAY WE CONTACT YOUR PRESENT EMPLOYER?
ARE YOU AVAILABLE TO WORK:
FULL TIME PART TIME SHIFT WORK TEMPORARY
CAN YOU TRAVEL IF A JOB REQUIRED IT?
ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS COUNTRY BECAUSE OF VISA OR IMMIGRATION STAUTS. PROOF OF CITIZENSHIP OR IMMIGRATION STATUS WILL BE REQUIRED UPON EMPLOYMENT.
HAVE YOU BEEN CONVICTED OF A FELONY WITHIN THE LAST 7 YEARS? CONVICTION WILL NOT NECESSARILY DISQUAILIFY AN APPLICATION FROM EMPLOYMENT.
IF YES, PLEASE EXPLAIN:
  EDUCATION
ELEMENTARY SCHOOL
Name & Address of School
Course of Study
Years Completed
Diploma/Degree
HIGH SCHOOL
Name & Address of School
Course of Study
Years Completed
Diploma/Degree
UNDERGRADUATE COLLEGE
Name & Address of School
Course of Study
Years Completed
Diploma/Degree
GRADUATE PROFESSIONAL
Name & Address of School
Course of Study
Years Completed
Diploma/Degree
OTHER (SPECIFY)
Name & Address of School
Course of Study
Years Completed
Diploma/Degree
  FOREIGN LANGUAGES

INDICATE ANY FOREIGN LANGUAGES YOU CAN SPEAK, READ AND/OR WRITE

SPEAK
FLUENT
GOOD
FAIR
READ
FLUENT
GOOD
FAIR
WRITE
FLUENT
GOOD
FAIR
  TRAINING DESCRIBE ANY SPECIALIZED TRAINING, APPRENTICESHIP, SKILLS AND EXTRA-CURRICULAR ACTIVITIES:
DESCRIBE ANY JOB RELATED TRAINING RECEIVED IN THE UNITED STATES MILITARY:
  EMPLOYMENT HISTORY
1.EMPLOYER
ADDRESS
PHONE NUMBER(S)
JOB TITLE
SUPERVISOR
REASON FOR LEAVING
DATES EMPLOYEDFROM: TO:
HOURLY RATE/SALARYSTARTING: FINAL:
WORK PERFORMED
2.EMPLOYER
ADDRESS
PHONE NUMBER(S)
JOB TITLE
SUPERVISOR
REASON FOR LEAVING
DATES EMPLOYEDFROM: TO:
HOURLY RATE/SALARYSTARTING: FINAL:
WORK PERFORMED
3.EMPLOYER
ADDRESS
PHONE NUMBER(S)
JOB TITLE
SUPERVISOR
REASON FOR LEAVING
DATES EMPLOYEDFROM: TO:
HOURLY RATE/SALARYSTARTING: FINAL:
WORK PERFORMED
4.EMPLOYER
ADDRESS
PHONE NUMBER(S)
JOB TITLE
SUPERVISOR
REASON FOR LEAVING
DATES EMPLOYEDFROM: TO:
HOURLY RATE/SALARYSTARTING: FINAL:
WORK PERFORMED
LIST ANY PROFESSIONAL, TRADE, BUSINESS OR CIVIC ACTIVITIES AND OFFICES HELD
(YOU MAY EXCLUDE MEMBERSHIP WHICH WOULD REVEAL GENDER, RACE, RELIGION, NATIONAL ORIGIN, AGE,
ANCESTRY, DISABILITY OR OTHER PROTECTED STATUS)
  ADDITIONAL INFORMATION

OTHER QUALIFICATIONS
SUMMARIZE SPECIAL JOB-RELATED SKILLS AND QUALIFICATIONS ACQUIRED FROM EMPLOYMENT OR OTHER EXPERIENCE.

SPECIALIZED SKILLS:

10-KEYFAXOTHER:OTHER:
PCLOTUS 1-2-3OTHER:OTHER:
CALCULATOREXCELOTHER:OTHER:
TYPEWRITERWORD PERFECTOTHER:OTHER:
PBX SYSTEMWORDOTHER:OTHER:
STATE ANY ADDITIONAL INFORMATION YOU FEEL MAY BE HELPFUL TO US IN CONSIDERING YOUR APPLICATION:
NOTE TO APPLICANTS:
DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
ARE YOU CAPABLE OF PERFORMING IN A REASONABLE MANNER, WITH OR WITHOUT A REASONABLE ACCOMMODATION, THE ACTIVITIES INVOLVED IN THE JOB OR OCCUPATION FOR WHICH YOU HAVE APPLIED?
  REFERENCES:
1.NAME:
PHONE:
ADDRESS:
2.NAME:
PHONE:
ADDRESS:
3.NAME:
PHONE:
ADDRESS:
  REVIEW AND ATTACHMENT SUBMISSION

ATTACH ANY ADDITIONAL FILES NECESSARY
(I.E. RESUME', REFERENCES OR COVER LETTER - Microsoft Word or PDF Preferred but not necessary, please do not have spaces or symbols such as apostrophes in the file name, this will cause an error on the page and prevent the application from being submitted properly):

FILE 1
FILE 2
FILE 3

 

  DISCLOSURE:
BY SUBMITTING THE FORGOING ELECTRONIC APPLICATION:

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

I have read and understand the application disclaimer above.
Please type your name again and enter today's date for verification that you have read and understand the application disclaimer
Name:
Date:

  EQUAL OPPORTUNITY DATA COLLECTION FORM DATE: 3/15/2010

The following information is requested by the Federal Government for certain types of loans in order to monitor compliance with equal opportunity. You are not required to furnish this information but are encouraged to do so. The law requires that we neither discriminate on the basis of this information nor on whether you choose to furnish it. If you choose not to furnish it Federal regulations require us to note race/ethnicity on the basis of visual observation or surname. If you do not wish to furnish the information please check the box below.

I do not wish to furnish this information.
TYPE OF APPLICATION:
Services Employment Application
GENDER:
Male Female
ETHNICITY:
Hispanic or Latino Not Hispanic or Latino
RACE:
American Indian/Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
  SUBMITTING THE APPLICATION

Please review all information above prior to submitting the application.

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