Etica

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EMPLOYMENT APPLICATION

As an employer, we appreciate your taking the time to fill out this application. It is important that all questions be answered completely and accurately.Indicate “NA” if question is not applicable. We are an Equal Opportunity Employer, and we comply with applicable federal, state and local laws which prohibit discrimination against qualifiedapplicants and employees.

Name________________________________________________________

_______________________________________

Last First Middle Social Security Number

PresentAddress
Street City State Zip

Home Phone ______________ Fax Number: _____________ Email ______________ Business Phone ____________

Notify in case of emergency: Name___________________________ Relationship _______________________________

Address _____________________________________ Home Phone _________________ Work Phone _______________

Position or TypePosition for Which Applying _____________________________Starting Salary Expected _________

Available to Report _________ Type of employment desired: Full-time _____ Part-time _____Temporary

Has INTEC Engineering ever employed you? ( Yes ( No

Have you ever applied to this company before? ( Yes ( No

When? ________________ Which Department?

Is there any additionalinformation we need about your name to verify your employment/education record? ( Yes ( No

Are you legally authorized to work in the United States? ( Yes ( No

Name of individual or firmwho referred you to this company

EMPLOYMENT HISTORY (List below last four employers or last ten years of employment, starting with last one first.)

|From |To || |Hourly or |
|Mo/Yr |Mo/Yr |Name and Address of Employers |Employment Data...