Job Application: Technician Helper

Title: Technician Helper

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

Name *
Last Name *
Email Address *

Background

I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States * Yes
No
I have never been convicted of, or entered a plea of guilt, no contest, or had a withheld judgment to a felony? * Yes
No
If answered Yes, Please Explain

Contact Details

Address
City
Zip code
Cell phone *
Home Telephone

Education

High School and year Graduated
Trade School and year Graduated
College and year Graduated

Driving information

Do you have valid drivers license * Yes
No
Drivers License Number
Issued in what State?
Have you had any moving violations during the past three years? * Yes
No
How Many? Explain
Have you had any accidents during the past three years? * Yes
No
How Many? Explain

Previous Employment – Company 1 (Most recent first)

Company 1 Name
City & State
Job Title
Start Date
End Date
Hours worked per Week
$ per hour or Salary
Reason for Leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Previous Employment – Company 2

Company 2 Name
City & State
Hours worked per Week
Job Title
Start Date
End Date
$ per hour or Salary
Reason for Leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Previous Employment – Company 3

Company 3 Name
City & State
Job Title
Start Date
End Date
Hours worked per Week
$ per hour or Salary
Reason for Leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Availability for Night Technician Postion

Days I can work All days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
I understand this is a night position * Yes – I can work during the hours or 8pm – 9-am
No – I have some conflicts

Available to Start

When can you start?

Authorization for Background Check

I authorize Hood Boss to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying. I understand that Hood Boss will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the companys choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further. (Type your Name for authorizing Hood Boss to perform you background check) *