PERSONAL INFORMATION
Address:
(City)
(State)
Choose a State
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Texas
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(Zip)
Phone:
(Evening)
(Cell)
(Fax)
E-mail Address:
Preferred Method of Contact:
Other
Daytime Phone
Evening Phone
E-mail
Fax
Cell Phone
Other:
Position Applying For:
Are you willing to work nontraditional hours?(nights,
weekends, holidays, on-call, etc.)
Date available for employment:
Are you at least 18 years of age?
EDUCATION
Are you a high school graduate?
If not a graduate do you have a GED?
High School Name:
Location:
College/University Name and Location
Major Course of Study
Completed
Type of Degree
1)
2)
3)
If more educational space is needed, please send an
email to Webmaster@zylo-net.com
with more information.
GENERAL INFORMATION
What is the salary that you are seeking per year?
Have you been employed with Zylo-Net or any of its
affiliates before?
Are you related to anyone currently employed with
Zylo-Net?
Are you able to work legally in the US?
How did you learn of this employment opportunity?
In accordance with the
Immigration Reform and Control Act of 1986, proof of authorization
to be employed in the United States will be required of all prospective
employees. Failure to establish such proof will prohibit or discontinue
employment.
Have you ever been convicted of or plead
guilty or nolo to a felony or misdemeanor, other than a minor traffic
violation?
If yes:
Where?
For What?
*conviction of a crime
will not necessarily disqualify you from employment.
DRIVING HISTORY
MILITARY SERVICE
From:
Serial or Service Number:
EMPLOYMENT HISTORY
Describe your work history
beginning with your current or most recent job. Include military
and/or volunteer experience. Failure to give complete information
regarding each job held may result in your disqualification. Complete
addresses with zip codes and phone numbers for all employers are
necessary. A resume may be forwarded only as additional information
and will not be accepted in lieu of completing this section.
May we contact your current employer?
Current/Most Recent Employment
Company/Organization/Firm:
Date Employed From:
Address:
Starting Salary:
Reason For Leaving:
Describe Specific Job Duties:
Next Recent Employment
Company/Organization/Firm:
Date Employed From:
Address:
Starting Salary:
Reason For Leaving:
Describe Specific Job Duties:
Next Recent Employment
Company/Organization/Firm:
Date Employed From:
Address:
Starting Salary:
Reason For Leaving:
Describe Specific Job Duties:
Next Recent Employment
Company/Organization/Firm:
Date Employed From:
Address:
Starting Salary:
Reason For Leaving:
Describe Specific Job Duties:
SKILLS AND TRAINING
Please check all that apply regardless
of the position applying for. Not being able to select specific
features on the following list does not disqualify you for any
position.
Computer skills:
If you are able to communicate in other
languages other than English, please list them here:
What special skills, qualification or certifications
have you gained from former employers or other experiences which
relate to the type of work for which you are applying?
APPLICANTS STATEMENT
I certify that the information given
in this application is true and complete to the best of my knowledge.
I understand that this application is not a contract of employment.
I further understand that should employment be offered, my employment
and compensation may be terminated with or without cause at any
time by either Zylo-Net or myself. I understand that submission
of this application in no way assures me a position and that no
Zylo-Net representative has the authority to enter into any employment
agreement with me contrary to the foregoing.
I understand that failure to submit a complete application may
disqualify me from consideration for a position.
I understand that any untrue statement in this application may
result in my dismissal at any time during my employment with Zylo-Net.
I understand that the release forms for high school and college
transcripts and information concerning my previous employment
and any information my former employers may have pertinent to
this application and the employment procedures of Zylo-Net may
be requested.
I understand resumes, letters of reference, etc., submitted with
the application become the property of Zylo-Net and cannot be
returned. The information I have provided on the application is
subject to public disclosure under the Georgia Open Records Act.
I understand that disclosure of my Social Security Number on
this application for employment is voluntary, that this information
is solicited pursuant to the employer's policies, and that it
is intended to be used for the purposes of identification and
tracking by the employer transactions.
By submitting this application, I hereby acknowledge that I understand
and agree to all provisions outlined herein.
Zylo-Net does not discriminate on the basis of race, color,
national origin, sex, religion, age, or disability in employment
or the provision of services.
Thank you for taking the time to fill out this lengthy application.
We will try to contact every applicant, please be sure that
you have filled in your email address and phone number.
Any
information that is relevant to this application but space was
not provided for, please call for email or fax information. Once the form is completed you can choose to print to pdf and then email it to the address provided when you call.
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Zylo-Net, Inc | Woodstock | Georgia | 678.264.8003
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