Were you previously employed by us?
If yes, please list the office where you worked and the reason for separation.
Are you authorized to work for any employer in the US?
Do you speak any other languages fluently?
If "Yes" which ones?
Have you ever been convicted of a crime?
Answer "Yes" if during the last fifteen (15) years (or since you were 18 years of age, whichever period is shorter), you were convicted of a misdemeanor
or a felony, other than minor traffic violations, or convicted in a military court-martial. A conviction will not necessarily disqualify any applicant.
If "Yes" please explain
Do you have transportation to and from work?
Will you work overtime if required?
Do you hold any special licenses or certifications?
Applicant should read carefully before signing. Applicant will not be considered unless this Statement is signed.
I hereby certify that the information contained in this application (including that which appears on any resume I have attached), as well as
that which was discussed during the course of interviews is true, correct and complete to the best of my knowledge. I understand that false
information or omissions on the application, resume and/or during the interview process may disqualify me from further consideration for
employment or be grounds for immediate termination.
I understand that the company provides reasonable accommodations to applicants and employees with disabilities, and I understand that I
am expected to contact my recruiter or other Human Resources representative to specify any accommodations I may need during the
I understand and agree that my employment is not for a fixed period of time and is terminable at-will by either the company or me. While
other terms and conditions of the employment relationship may change from time to time, the at-will relationship cannot be changed unless
approved in writing by an officer of the company.
If hired, I authorize the company to deduct from my wages any amounts which may be due it as a result of overpayment of wages, loss or
destruction of its property or any other amounts which I may lawfully owe or for which I have received full consideration.
The company is hereby authorized to make any investigation of my personal history and financial and credit record through any investigation
or credit agencies or bureaus of your choice.
This application is current for only sixty (60) days. At the conclusion of this time, if I have not heard from NETC, LLC. And Commonwealth
Financial Systems, Inc. and still wish to be considered for employment, it will be necessary for me to fill out a new application.