Quality Control Technician

Job Application

First Name*

Last Name*

Email*

Phone

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Please tell us what makes you unique.

Please list any Special Skills you have.
(150 Characters)

Are you 18 years old or older?

Yes No

 

Are you legally authorized to work in the United States?

Yes No

Will you now or in the future require sponsorship for employment visa status? (i.e. H 1-B or TN Visa status)

No Yes

Possible Start Date

Desired Annual Salary

Are you currently employed?

Yes No

If yes, may we inquire of your present employer?

Yes No

Have you ever worked for Progressive Systems, Inc.?

No Yes

If yes, when and where?

Do you have any relatives employed by this company?

No Yes

If yes, who and when?

What type of employment are you seeking with this company?

Please list your most current employer's name, city, and state and your position held.

What dates were you employed at your most recent employer?

What was your reason for leaving your most recent employer?

Please list any other past employer's name, city, and state and your positions held.

What dates were you employed at your past employer?

What was your reason for leaving your past employer?

Describe your work responsibilities at your present (or most recent) job

Please list the name and location of the high school you attended.

Did you graduate from high school?

Yes No

Please list the name and location of the college or trade school attended and the subject(s) studied. If none, please mark N/A.

Did you graduate from the above noted college or trade school?

Yes No

What special skills or knowledge do you have that will aid you in qualifying for this position?

Do you have a Bachelor's degree?

No Yes

Please list the name and phone number of 3 professional references, not related to you, whom you have known for at least one year.*

Authorization and waiver

I authorize and request my former employers, references, educational institutions, and any credit agencies or reporting services that have information about me to give the company any information and opinions about me in their possession and which may lawfully be disclosed. I hereby waive written notice of such release of information and opinions, and I release such former employers, references, educational institutions, and credit agencies or reporting services from any liability or claim relating to such release of information and opinions. I also authorize and request federal, state, and local governmental agencies to release to the company any information requested concerning any criminal convictions on my record. A photocopy of this signed authorization and waiver will be valid as an original.*

I have read and understand this authorization and waiver*

I have read and understand this authorization and waiver

Notice

When you sign your application for employment with the company, you agree that:

• The Company may obtain a consumer credit report about you in connection with your application for employment.
• If you become an employee of the company, the company may from time to time obtain a consumer credit report about you.

If your application is denied on the basis of information contained in a consumer credit report, or if an adverse action is taken against you regarding your employment based on information contained in a consumer credit report, a copy of the report and a description of your rights under the Fair Credit Reporting Act will be provided to you.

This notice is provided under the Fair Credit Reporting Act.*

I have read and understand this notice *

Yes No

Terms and Conditions

I hereby certify that, to the best of my knowledge, the information furnished in this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and , if I am employed, my employment may be terminated at any time.

In consideration of my employement, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has nay authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the forgoing.

By answering YES, I am creating an electronic signature as binding as my handwritten signature.*

I have read and consent to the terms and conditions.*

No Yes

Optional

The following questions are entirely optional.
To comply with government Equal Employment Opportunity / Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated.

Gender

Race/Ethnicity

Veteran/Disability status

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