EMPLOYMENT APPLICATION

Mahalo for considering joining our team here at Pacific ComTech.
We sincerely appreciate your time and look forward to reviewing your application.

Contact information

Please enter phone number
Please enter email address
Do you have the legal right to be employed in the United States?
Are you over the age of 18?

Company Experience

Have you worked for this company before?
Please use correct format MM/DD/YYYY

General Information

Availability
  • Sun
  • Mon
  • Tue
  • Wed
  • Thu
  • Fri
  • Sat
Availability
Availability

Educational Background

Type/Name of School, City & State Course/Major/Degree Did you Graduate?

List all Present and Past Employment

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Company

Are you currently employed?
If yes, may we contact your current employer at this time?
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Professional References

List three (3) persons for references, other than family members,
who have knowledge of your safety habits.

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Person for reference

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Special Skills

Describe any other specialized training or skills related to the position (s) for which you are applying, and/or state any other information you feel may be helpful to the Company in considering your application for employment, i.e., language skills, business machines, computer software.

Applicant must read and sign

I certify that I have read and understood all of this employment application. It is agreed and understood that theemployer or his agents may investigate my background to ascertain any all information of concern to my employment history, whether same is of record or not, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job, it may beconditioned on the results of a physical examination and drug test.

I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purposeof seeking employment with the employer and for noother reason.I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purposeof seeking employment with the employer and for noother reason.

I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.

I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.

If hired, I agree to abide by all the rules and policies of the employer.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

Thank you for your Application!

Mahalo again for taking the time to complete the application. We have received your completed
application and will contact you directly if we would like to move forward with an interview.