Employment Application for Computer Team, Bettendorf

*  Indicates Required Field

Your Information

* Full Name --- Sr Jr III IV V VI
(Please indicate FULL legal name - ie: John L Smith Sr)

* Current Phone Number    
* Current E-Mail Address    

* Current Address
 Apt/Unit:
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Zip Code:         

I am over 18 years of age
I am over 21 years of age

Current Employment

* What position are you applying for? -Select a Position- Computer Technican Support Specialist Administrative Assitant Accounting Software

* Are you currently employed? --- Yes No

If so, where?

May we contact them? --- Yes No

Background Information

* Have you ever been convicted of a crime other than a routine traffic violation?
-Select an Option- Yes No

Conviction will not necessarily disqualify applicant from employment. Applicants in the state of Illinois are not obligated to disclose sealed or expunged records of conviction.
If yes, please choose one of the following:
-Select an Option- Felony Misdemeanor

If yes, give dates and circumstances

Education

* High School Name

* Did you Graduate?
-Select an Option- Yes No
* Diploma / Degree

* Year of Graduation

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College School Name

Did you Graduate?
-Select an Option- Yes No
Diploma / Degree

Year of Graduation

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Other School Name

Did you Graduate?
-Select an Option- Yes No
Diploma / Degree

Year of Graduation

Special Skills & Qualifications

List equipment, machinery, special skills and qualifications acquired from your past employment experience.

List applicable professional or technical licenses or certifications relative to the position for which you are applying.

Employment History

Employer Name

Job Title

Dates Employed

Employer Address

Supervisor Name

Duties & Responsibilities

Reason for leaving

Telephone #1

Telephone #2

Starting Salary

Ending Salary

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Employer Name

Job Title

Dates Employed

Employer Address

Supervisor Name

Duties & Responsibilities

Reason for leaving

Telephone #1

Telephone #2

Starting Salary

Ending Salary

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Employer Name

Job Title

Dates Employed

Employer Address

Supervisor Name

Duties & Responsibilities

Reason for leaving

Telephone #1

Telephone #2

Starting Salary

Ending Salary

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Human Verification

* Please enter the code displayed below.

Application agreement for Computer Team, Bettendorf

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

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This application for employment shall be considered active for a period of time not to exceed six months. 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.

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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.

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I understand that some positions with Computer Team Inc. or a Temp to Hire Firm require a pre-employment physical, drug test, and comprehensive criminal background screening. If required, you will be informed prior to employment. I also understand that some positions require the examination of driving records prior to employment.

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In the event of employment, I understand that I must complete the Employment Eligibility Verification Form I-9 by the end of the first day of employment and present required documentation establishing identity and employment eligibility by the end of the third day of employment.

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I understand that if hired by Computer Team Inc. or a Temp to Hire Firm my employment is at will and may be severed by either party at any time with or without cause. I understand that neither this document nor an offer of employment from Computer Team Inc. or a Temp to Hire Firm constitute an employment contract unless a specific document to that affect is executed by the employer and employee in writing.

*  I agree that the information provided above is TRUE & agree to the terms listed above!