Superior Alarms Application for Employment

Please fill out all fields with current informations. Multiple positions can be applied for with each submitted application, so specify all positions that you would like to be considered for in the "Position(s) Applied For" field, seperated with commas (eg, Receptionist, Sales, Tech).

POSITION INFORMATION
Position(s) Applied For
Date of Application
Referral Source
Name of Source (if applicable)


PERSONAL INFORMATION
Name (first, last)
Social Security Number (eg. 123-45-6789)
Address 1
Address 2
Home Telephone Number
Mobile/Pager/Other Number
E-mail Address
Best time to contact you
May we contact you at work?
If yes, work number and best time to call
If you are under 18 and it is required, can you furnish a work permit?
If no, please explain
Have you submitted an application here before?
If yes, please list dates
Are you legally eligible for employment in this country?
Date Available For Work
Type of Employment Desired
Willing to Relocate
Willing to Travel
Are you able to meet the attendance requirements of the position
Will you work overtime if required
If no, please explain
Have you ever been bonded
Have you been convicted of a crime in the last seven (7) years?
If yes, please explain (NOTE: CONVICTION WILL NOT NECESSARILY BE A BAR TO EXPLOYMENT. EACH INSTANCE AND EXPLANATION WILL BE CONSIDRED IN RELATION TO THE POSITION FOR WHICH YOU ARE APPLYING)
Driver's License Number if driving is an essential job function		State


EMPLOYMENT HISTORY
Current or Most Recent Position
Employer
Address 1
Address 2
Job Title
Immediate Supervisor and Title
Reason For Leaving
May we contact for referance
Dates Employed		From To
Starting Hourly Rate / Salary		per
Ending Hourly Rate / Salary		per
Duties and Responsibilties (Note: Please be specific, and list any skills relevant to the position applying for or any other positions you would like to be considered for)

Next Most Recent Position
Employer
Address 1
Address 2
Job Title
Immediate Supervisor and Title
Reason For Leaving
May we contact for referance
Dates Employed		From To
Starting Hourly Rate / Salary		per
Ending Hourly Rate / Salary		per
Duties and Responsibilties (Note: Please be specific, and list any skills relevant to the position applying for or any other positions you would like to be considered for)

Next Most Recent Position
Employer
Address 1
Address 2
Job Title
Immediate Supervisor and Title
Reason For Leaving
May we contact for referance
Dates Employed		From To
Starting Hourly Rate / Salary		per
Ending Hourly Rate / Salary		per
Duties and Responsibilties (Note: Please be specific, and list any skills relevant to the position applying for or any other positions you would like to be considered for)
Comments (Note: Be sure to include any explanations for gaps of employment)
Skills and Qualifications (Note: Summarize any special training skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying)


EDUCATIONAL BACKGROUND
University/College Attended
School
Number of years completed
Degree / Diploma
GPA / Class Rank
Major
Minor

High School Attended
School
Number of years completed
Degree / Diploma
GPA / Class Rank
Major
Minor

Other Schools Attended
School
Number of years completed
Degree / Diploma
GPA / Class Rank
Major
Minor

REFERENCES
1st Reference
Name (first, last)
Telephone Number
Years Known

2nd Reference
Name (first, last)
Telephone Number
Years Known

3rd Reference
Name (first, last)
Telephone Number
Years Known


ADDITIONAL INFORMATION
List professional, trade, business, or civic associations and any offices held.
Organization
Office Held

Organization
Office Held

Organization
Office Held

List any special accomplishments, publications, awards, etc that you would like us to know about.
List any additional information you would like us to consider.

Please review the information you have provided and make sure everything is correct. Once you are done, press the submit button once and your application will be forwarded to the Human Resources department for consideration.