Online Employment Application

Step 1 of 4 - Basic Information

Employment History

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.

Employer 1 Information

Dates employed:

Employer name:

Your job title:

Phone #

Your immediate supervisor and their job title:

Address

Street Address Address Line 2 City State ZIP Code

Summarize the nature of work performed and job responsibilities:

Reason for leaving:

Would you like to add another employer?

Yes

Employer 2 Information

Dates employed:

Employer name:

Your job title:

Phone #

Your immediate supervisor and their job title:

Address

Street Address Address Line 2 City State ZIP Code

Summarize the nature of work performed and job responsibilities:

Reason for leaving:

Would you like to add another employer?

Yes

Employer 3 Information

Dates employed:

Employer name:

Your job title:

Phone #

Your immediate supervisor and their job title:

Address

Street Address Address Line 2 City State ZIP Code

Summarize the nature of work performed and job responsibilities:

Reason for leaving:

Would you like to add another employer?

Yes

Employer 4 Information

Dates employed:

Employer name:

Your job title:

Phone #

Your immediate supervisor and their job title:

Address

Street Address Address Line 2 City State ZIP Code

Summarize the nature of work performed and job responsibilities:

Reason for leaving:

References

Give the names of three persons not related to you, whom you have known at least three (3) years.

Reference 1

Name

Phone / Address / Email

Company

Number of years acquainted:

Reference 2

Name

Phone / Address / Email

Company

Number of years acquainted:

Reference 3

Name

Phone / Address / Email

Company

Number of years acquainted:

Please Read and Acknowledge Before Submitting Application

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Taylor Telecom to hire me. If I am hired, I understand that either Taylor Telecom or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Taylor Telecom has the authority to make any assurance to the contrary.

I attest with my name below that I have given to Taylor Telecom true and complete information on this application. No requested information has been concealed. I authorize Taylor Telecom to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Name(Required)

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Date

THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE ABOVE.

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