Career Application – Fibre Converters

Step 1 of 6

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PERSONAL INFORMATION

Name*

First Middle Last

Email*

Cell Phone*

Home Phone

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are you eligible to work in the U.S?*

Yes

Are you at least 18 years old?*

Yes

Position you are applying for?*

Shift:*

1st Shift

2nd Shift

3rd Shift

Any

Date you can start?*

Have you ever worked for this company before?*

Yes

If yes, when?

Do you have relatives/friends who work(ed) for the company?*

Yes

If yes, who?

EDUCATION HISTORY

High School / GED

Name and Location of School.

Course of Study?

Degree?

College / University

Name and Location of School.

Course of Study?

Degree?

Vocational / Trade School

Name and Location of School.

Course of Study?

Degree?

Have you completed any courses or training directly related to the position you are applying for today?

MILITARY SERVICE

Have you served in the military?*

Yes

Branch:

Dates:

Rank at Discharge:

Type of Discharge:

EMPLOYMENT HISTORY

Are you currently employed?*

Yes

Job 1

EMPLOYMENT HISTORY

Job Title

Immediate supervisor and title

From

Continued

Employer Name

Phone

Address

Summarize the nature of work performed and job responsibilities

Reason for leaving

Job 2

EMPLOYMENT HISTORY

Job Title

Immediate supervisor and title

From

Continued

Employer Name

Phone

Address

Summarize the nature of work performed and job responsibilities

Reason for leaving

Job 3

EMPLOYMENT HISTORY

Job Title

Immediate supervisor and title

From

Continued

Employer Name

Phone

Address

Summarize the nature of work performed and job responsibilities

Reason for leaving

REFERENCES

Provide names of 3 references (not related to you) that you have know for at least 3 years. Use the + sign to add more.

Name

Address

Phone

Company

Years Known

Attach Resume

If you have a resume, please attach it here.

Max. file size: 256 MB.

Fibre Converters is an equal opportunity employer. Fibre Converters does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability, military status, or unfavorable discharge from military service. I understand that failure to reveal any prior employer or giving false or misleading information by me on any part of this Employment Application can result in disqualification for employment consideration or, if hired, will be grounds for termination from the company. I understand that if I am hired, my employment will be at-will and may be terminated at any time for any reason or no reason without prior notice. I further understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Fibre Converters to hire me.

I attest that the statements made herein are accurate and I agree to the statement above

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JOBS

Employment Application 2.0

PERSONAL INFORMATION

EDUCATION HISTORY

MILITARY SERVICE

EMPLOYMENT HISTORY

Job 1

Job 2

Job 3