Greater Philadelphia Tech Comp Application

Position Desired

Full Time
Part Time

PERSONAL DATA

Full Name

First Middle Last

Current Address

Street Address City State ZIP Code

How long have you lived there?

(Years/Months)

Phone Number

Email Address

Are you 18 years of age or older?

Yes
No

When?

Have you ever pled guilty or "no contest" to a crime or been convicted of a crime?

Yes
No

Please provide details:

Do you have any criminal charges pending?

Yes
No

Please provide details:

NOTE: Answering “Yes” to these questions will not constitute an automatic bar to employment. Only those crimes which are substantially related to the position you are seeking will be considered. However, FAILURE TO FULLY DISCLOSE A CRIMINAL RECORD WILL DISQUALIFY YOU FROM EMPLOYMENT.

RESUME

Upload your resume

Accepted file types: pdf, doc, docx, Max. file size: 49 MB.

RECORD OF PREVIOUS EMPLOYMENT

Please list the names of your present or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including military service and any period of unemployment. If self-employed, give firm name and supply business references.

Present or Last Employer

Address

Street Address City State ZIP Code

Phone Number

Employed From:

(mo/yr)

To:

(mo/yr)

Pay Start

($/hour)

Final

($/hour)

Position

Supervisor Name

Reason for Leaving

Previous Employer

Address

Street Address City State ZIP Code

Phone Number

Employed From:

(mo/yr)

To:

(mo/yr)

Pay Start

($/hour)

Final

($/hour)

Position

Supervisor Name

Reason for Leaving

Have you ever been terminated or asked to resign from any job?

Yes
No

Please identify the employer and explain the circumstance.

May we contact your current employer?

Yes
No

Please explain.

PREVIOUS EXPERIENCE

TECHNICIAN APPLICANTS: Please list all current ASE certifications as well as any other special technical qualifications or licenses:

EDUCATION

HIGH SCHOOLS

Home School Name

Years Completed

9
10
11
12

Diploma Received?

Yes
No

Describe Course of Study or Major

Describe Specialized Training, Experience, Skills, and Extra-Curricular Activities

Career & Technical Training School Name

Diploma/Degree Received?

Yes
No

Please specify.

Describe Course of Study or Major

Describe Specialized Training, Experience, Skills, and Extra-Curricular Activities

OTHER

School Name

Diploma/Degree Received?

Yes
No

Please specify.

Describe Course of Study or Major

Describe Specialized Training, Experience, Skills, and Extra-Curricular Activities

PERSONAL REFERENCES

Please list persons who know you well – not previous employers or relatives.

Name

First Last

Relationship/Occupation

Address

Street Address City State ZIP Code

Phone Number

Number of Years Known

Name

First Last

Relationship/Occupation

Address

Street Address City State ZIP Code

Phone Number

Number of Years Known

Name

First Last

Relationship/Occupation

Address

Street Address City State ZIP Code

Phone Number

Number of Years Known

DRIVING INFORMATION

Do you have a driver's license?

Yes
No

State

Has your driver's license ever been suspended or revoked?

Yes
No

Please explain the circumstances.

I certify that all of the information that I have provided on this application and in any interview is true, complete and accurate. I understand that if the Company later discovers that I failed to fully disclose my entire criminal record on this application, I will be subject to immediate termination.*

I agree

Date

Tech Comp Application for Employment

PERSONAL DATA

RESUME

RECORD OF PREVIOUS EMPLOYMENT

PREVIOUS EXPERIENCE

EDUCATION

PERSONAL REFERENCES

DRIVING INFORMATION