Employment Employment Computer Team, Inc. is always on the lookout for new talent to expand our client base and services to our clients. Your Information First name Last name Current email Current Phone Number I am over 18 years of age I am over 21 years of age City & State: ---AlabamaAlaskaAriozonaArkansasCaliforniaColoradoConnecticutDelawareFlordiaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginaWashingtonWest VirginaWisconsinWyoming Current Employment What position are you applying for? -Select a Position-Computer TechnicanSupport SpecialistAdministrative AssitiantAccounting Software Are you currently employed? ---YesNo If so, where? May we contact them? ---YesNo Background Information Have you ever been convicted of a crime other than a routine traffic violation? -Select an Option-YesNo 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-FelonyMisdemeanor If yes, give dates and circumstances Education High School High School Name Did you Graduate? -Select an Option-YesNo Diploma/Degree Year of Graduation College College School Name Did you Graduate? -Select an Option-YesNo Diploma/Degree Year of Graduation Other School Name Did you graduate? -Select an Option-YesNo Diploma/Degree Years 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 tot he postion for which you are applying. Employment History Employer Name Job Title Dates Employed Employer Address Supervisor Name Duties & Responsibilities Reason for leaving Starting Salary Ending Salary 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. 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. 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 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. 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. 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!