ABC Phones has a SMOKE FREE WORK ENVIRONMENT



Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.

        PERSONAL INFORMATION:

       Date to Start Work:

        Full Time  Part Time  Temporary       Referral Source:

        First Name:    Last Name:

        Street Address:

                Address 2:

        Phone:

        City:     State: --Select a State--VIRGIN ISLANDSPUERTO RICOWYOMINGWISCONSINWEST VIRGINIAWASHINGTONVIRGINIA VERMONTUTAHTEXASTENNESSEESOUTH DAKOTASOUTH CAROLINARHODE ISLANDPENNSYLVANIAPALAUOREGONOKLAHOMAOHIONORTH DAKOTANORTH CAROLINANEW YORKNEW MEXICONEW JERSEYNEW HAMPSHIRENEVADANEBRASKAMONTANAMISSOURIMISSISSIPPIMINNESOTAMICHIGANMASSACHUSETTSMARYLANDMAINELOUISIANAKENTUCKYKANSASIOWAINDIANAILLINOISIDAHOHAWAIIGUAM GEORGIAFLORIDADISTRICT OF COLUMBIADELAWARECONNECTICUTCOLORADO CALIFORNIA ARKANSASARIZONA ALASKAALABAMA     Zip:  

        Email:

         

        Have you ever been convicted of or charged with a felony or misdemeanor:

        (Please note that WE WILL DO A BACKGROUND CHECK)

        Yes   No  

        If yes, please explain details in full, including dates, details of offense(s) charged, jurisdiction and         disposition of case:

        EMPLOYMENT DESIRED:

        Position Applying For:

        Desired Rate of Pay:

        Are you employed now?  YES   NO

        EDUCATION:

        School/College Attended:    # Years:

        Year Grad:      Degree:

        School/College Attended:    # Years:

        Year Grad:      Degree:

        School/College Attended:    # Years:

        Year Grad:      Degree:

        EMPLOYMENT/WORK EXPERIENCE:

        Start with your present or most recent position. Include military service assignments and volunteer         activities. Exclude organization names that indicate race, color, religion, sex or national origin.

        Employer:

        Job Title:           Supervisor:

        City:     State:--Select a State--VIRGIN ISLANDSPUERTO RICOWYOMINGWISCONSINWEST VIRGINIAWASHINGTONVIRGINIA VERMONTUTAHTEXASTENNESSEESOUTH DAKOTASOUTH CAROLINARHODE ISLANDPENNSYLVANIAPALAUOREGONOKLAHOMAOHIONORTH DAKOTANORTH CAROLINANEW YORKNEW MEXICONEW JERSEYNEW HAMPSHIRENEVADANEBRASKAMONTANAMISSOURIMISSISSIPPIMINNESOTAMICHIGANMASSACHUSETTSMARYLANDMAINELOUISIANAKENTUCKYKANSASIOWAINDIANAILLINOISIDAHOHAWAIIGUAM GEORGIAFLORIDADISTRICT OF COLUMBIADELAWARECONNECTICUTCOLORADO CALIFORNIA ARKANSASARIZONA ALASKAALABAMA     Zip:  

        Describe Duties/Responsibilities/Accomplishments:         

        Reason for Leaving:

        Rate of Pay:

        Dates of Employment (Month/Year): From: To:

        ---------------------------------------------------------------------------------------------------------------------

       Employer:

       Job Title:           Supervisor:

       City:     State: --Select a State--VIRGIN ISLANDSPUERTO RICOWYOMINGWISCONSINWEST VIRGINIAWASHINGTONVIRGINIA VERMONTUTAHTEXASTENNESSEESOUTH DAKOTASOUTH CAROLINARHODE ISLANDPENNSYLVANIAPALAUOREGONOKLAHOMAOHIONORTH DAKOTANORTH CAROLINANEW YORKNEW MEXICONEW JERSEYNEW HAMPSHIRENEVADANEBRASKAMONTANAMISSOURIMISSISSIPPIMINNESOTAMICHIGANMASSACHUSETTSMARYLANDMAINELOUISIANAKENTUCKYKANSASIOWAINDIANAILLINOISIDAHOHAWAIIGUAM GEORGIAFLORIDADISTRICT OF COLUMBIADELAWARECONNECTICUTCOLORADO CALIFORNIA ARKANSASARIZONA ALASKAALABAMA     Zip:  

       Describe Duties/Responsibilities/Accomplishments:        

       Reason for Leaving:

       Rate of Pay:

        Dates of Employment (Month/Year): From: To:

        ---------------------------------------------------------------------------------------------------------------------

        Employer:

        Job Title:         Supervisor:

        City:     State: --Select a State--VIRGIN ISLANDSPUERTO RICOWYOMINGWISCONSINWEST VIRGINIAWASHINGTONVIRGINIA VERMONTUTAHTEXASTENNESSEESOUTH DAKOTASOUTH CAROLINARHODE ISLANDPENNSYLVANIAPALAUOREGONOKLAHOMAOHIONORTH DAKOTANORTH CAROLINANEW YORKNEW MEXICONEW JERSEYNEW HAMPSHIRENEVADANEBRASKAMONTANAMISSOURIMISSISSIPPIMINNESOTAMICHIGANMASSACHUSETTSMARYLANDMAINELOUISIANAKENTUCKYKANSASIOWAINDIANAILLINOISIDAHOHAWAIIGUAM GEORGIAFLORIDADISTRICT OF COLUMBIADELAWARECONNECTICUTCOLORADO CALIFORNIA ARKANSASARIZONA ALASKAALABAMA     Zip:

        Describe Duties/Responsibilities/Accomplishments:         

       Reason for Leaving:

       Rate of Pay:

       Dates of Employment (Month/Year): From: To:

        ---------------------------------------------------------------------------------------------------------------------

        BUSINESS REFERENCES:

         Please provide individual and company names, position, addresses and phone numbers for 2          business references.

        Name:

        Company:

        Position:

        City:     State: --Select a State--VIRGIN ISLANDSPUERTO RICOWYOMINGWISCONSINWEST VIRGINIAWASHINGTONVIRGINIA VERMONTUTAHTEXASTENNESSEESOUTH DAKOTASOUTH CAROLINARHODE ISLANDPENNSYLVANIAPALAUOREGONOKLAHOMAOHIONORTH DAKOTANORTH CAROLINANEW YORKNEW MEXICONEW JERSEYNEW HAMPSHIRENEVADANEBRASKAMONTANAMISSOURIMISSISSIPPIMINNESOTAMICHIGANMASSACHUSETTSMARYLANDMAINELOUISIANAKENTUCKYKANSASIOWAINDIANAILLINOISIDAHOHAWAIIGUAM GEORGIAFLORIDADISTRICT OF COLUMBIADELAWARECONNECTICUTCOLORADO CALIFORNIA ARKANSASARIZONA ALASKAALABAMA     Zip:

        Phone:

        ---------------------------------------------------------------------------------------------------------------------

        Name:

        Company:

        Position:

        City:     State: --Select a State--VIRGIN ISLANDSPUERTO RICOWYOMINGWISCONSINWEST VIRGINIAWASHINGTONVIRGINIA VERMONTUTAHTEXASTENNESSEESOUTH DAKOTASOUTH CAROLINARHODE ISLANDPENNSYLVANIAPALAUOREGONOKLAHOMAOHIONORTH DAKOTANORTH CAROLINANEW YORKNEW MEXICONEW JERSEYNEW HAMPSHIRENEVADANEBRASKAMONTANAMISSOURIMISSISSIPPIMINNESOTAMICHIGANMASSACHUSETTSMARYLANDMAINELOUISIANAKENTUCKYKANSASIOWAINDIANAILLINOISIDAHOHAWAIIGUAM GEORGIAFLORIDADISTRICT OF COLUMBIADELAWARECONNECTICUTCOLORADO CALIFORNIA ARKANSASARIZONA ALASKAALABAMA     Zip:

        Phone:

        --------------------------------------------------------------------------------------------------------------------

        PERSONAL REFERENCES:

        Please provide names, addresses, phone numbers, relationship and how long known for 3 personal         references.

        Name:

        Relationship:

        How long known:

        City:     State: --Select a State--VIRGIN ISLANDSPUERTO RICOWYOMINGWISCONSINWEST VIRGINIAWASHINGTONVIRGINIA VERMONTUTAHTEXASTENNESSEESOUTH DAKOTASOUTH CAROLINARHODE ISLANDPENNSYLVANIAPALAUOREGONOKLAHOMAOHIONORTH DAKOTANORTH CAROLINANEW YORKNEW MEXICONEW JERSEYNEW HAMPSHIRENEVADANEBRASKAMONTANAMISSOURIMISSISSIPPIMINNESOTAMICHIGANMASSACHUSETTSMARYLANDMAINELOUISIANAKENTUCKYKANSASIOWAINDIANAILLINOISIDAHOHAWAIIGUAM GEORGIAFLORIDADISTRICT OF COLUMBIADELAWARECONNECTICUTCOLORADO CALIFORNIA ARKANSASARIZONA ALASKAALABAMA     Zip:

        Phone:

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        Name:

        Relationship:

        How long:

        City:     State: --Select a State--VIRGIN ISLANDSPUERTO RICOWYOMINGWISCONSINWEST VIRGINIAWASHINGTONVIRGINIA VERMONTUTAHTEXASTENNESSEESOUTH DAKOTASOUTH CAROLINARHODE ISLANDPENNSYLVANIAPALAUOREGONOKLAHOMAOHIONORTH DAKOTANORTH CAROLINANEW YORKNEW MEXICONEW JERSEYNEW HAMPSHIRENEVADANEBRASKAMONTANAMISSOURIMISSISSIPPIMINNESOTAMICHIGANMASSACHUSETTSMARYLANDMAINELOUISIANAKENTUCKYKANSASIOWAINDIANAILLINOISIDAHOHAWAIIGUAM GEORGIAFLORIDADISTRICT OF COLUMBIADELAWARECONNECTICUTCOLORADO CALIFORNIA ARKANSASARIZONA ALASKAALABAMA     Zip:

        Phone:

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       Name:

       Relationship:

       How long:

       City:     State: --Select a State--VIRGIN ISLANDSPUERTO RICOWYOMINGWISCONSINWEST VIRGINIAWASHINGTONVIRGINIA VERMONTUTAHTEXASTENNESSEESOUTH DAKOTASOUTH CAROLINARHODE ISLANDPENNSYLVANIAPALAUOREGONOKLAHOMAOHIONORTH DAKOTANORTH CAROLINANEW YORKNEW MEXICONEW JERSEYNEW HAMPSHIRENEVADANEBRASKAMONTANAMISSOURIMISSISSIPPIMINNESOTAMICHIGANMASSACHUSETTSMARYLANDMAINELOUISIANAKENTUCKYKANSASIOWAINDIANAILLINOISIDAHOHAWAIIGUAM GEORGIAFLORIDADISTRICT OF COLUMBIADELAWARECONNECTICUTCOLORADO CALIFORNIA ARKANSASARIZONA ALASKAALABAMA     Zip:

       Phone:

       SPECIAL SKILLS:

       Describe any special skills or qualifications for this work:

I CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize ABC Phones of NC, Inc. , to investigate any statement contained in this application, and to obtain a credit report on me (and my company if this application is for reselling by a company) as necessary to determine my qualifications. I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions or interview may result in immediate termination. I understand also, that I am required to abide by all rules, regulations and policies of ABC Phones of NC, Inc..

I AGREE:      I DO NOT AGREE:

Name:

Date: