Apply for General Application - Americom Technology, LLC

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Apply for General Application

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:	General Application
ID:	2429
Department:	Operations
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
Resume:	Supported formats: Word, PDF, RTF, Text, and HTML.

	- or Upload from:


Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

General Application

Americom Technology, a Crestone Services Group company, is an equal opportunity employer and will consider all applicants equally without regard to race, sex, age, color, religion, national origin, veteran status, disability, or any other status protected by applicable law, including the Americans with Disabilities Act (ADA). All applications will receive fair consideration. Please answer all questions completely and accurately. Incomplete applications will not be processed or considered for employment.

* Today's Date:

* Are you a U.S. citizen, or otherwise authorized to work in the U.S. without restriction?

	Yes
	No

* Desired Employment::

	- Full Time
	- Part Time
	- Temporary/Seasonal

* Days or hours unable to work::

* Desired Position::

* Date You Can Start:

* Salary Desired::

* If this position requires operating a vehicle, are you licensed to do so? Yes or No - If yes, what class of license?:

* Have you ever been denied a license, permit, or privilege to operate a motor vehicle?:

	Yes
	No

* Has any license, permit, or privilege ever been suspended or revoked? Yes or No - If yes, please explain::

* Are you currently employed?
Company's name
Phone number::

* May we contact your current employer?:

	Yes
	No

* Have you ever applied to Americom Technology, a Crestone Services Group company, before?
Yes or No
Where?
When?:

* Have you ever worked for Americom Technology, a Crestone Services Group company, before?
Yes or No
Where?
When?:

* What was your reason for leaving Americom Technology, a Crestone Services Group company?:

* What was the name of your last supervisor at Americom Technology, a Crestone Services Group company?:

* School name
Degree,
Field of study
Location
Did you graduate?
Graduation year?:

* Employer Name 1
Phone
Address
City, State, ZIP
Starting Date
Ending Date
Ending Salary
Supervisor Name
May we contact your supervisor? Yes or No
Reason for Leaving
Brief Description of Responsibilities
DOT / Motor Carrier Questions
While employed here, were you subject to Motor Carrier Safety Regulations? Yes or No
Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR Part 40? Yes or No:

Employer Name 2
Phone
Address
City, State, ZIP
Starting Date
Ending Date
Ending Salary
Supervisor Name
May we contact your supervisor? Yes or No
Reason for Leaving
Brief Description of Responsibilities:
DOT / Motor Carrier Questions
While employed here, were you subject to Motor Carrier Safety Regulations? Yes or No
Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR Part 40? Yes or No:

Employer Name 3
Phone
Address
City, State, ZIP
Starting Date
Ending Date
Ending Salary
Supervisor Name
May we contact your supervisor? Yes or No
Reason for Leaving
Brief Description of Responsibilities
DOT / Motor Carrier Questions
While employed here, were you subject to Motor Carrier Safety Regulations? Yes or No
Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR Part 40? Yes or No:

Employer Name 4
Phone
Address
City, State, ZIP
Starting Date
Ending Date
Ending Salary
Supervisor Name
May we contact your supervisor? Yes or No
Reason for Leaving
Brief Description of Responsibilities
DOT / Motor Carrier Questions
While employed here, were you subject to Motor Carrier Safety Regulations? Yes or No
Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR Part 40? Yes or No:

Certification 1
Issuer/Manufacturer
Type/Description Level
Certification #
Expiration Date

Certification 2
Issuer/Manufacturer
Type/Description Level
Certification #
Expiration Date

Certification 3
Issuer/Manufacturer
Type/Description Level
Certification #
Expiration Date

Certification 4
Issuer/Manufacturer
Type/Description Level
Certification #
Expiration Date:

* Reference 1
Please list three references who are not related to you or former employers.
Name
Address
Phone
Occupation
Reference 2
Please list three references who are not related to you or former employers.
Name
Address
Phone
Occupation
Reference 3
Please list three references who are not related to you or former employers.
Name
Address
Phone
Occupation:

Military
Service Branch
Date Entered
Date Separated
Final Rank:

Additional Skills
Please tell us about any skills that would apply to this position (equipment experience, etc.)::

* Criminal History
Have you been convicted of a felony within the last five years? Yes or No
If yes, please explain::

Affidavit
I certify that my answers to the foregoing questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading, or otherwise incorrect statement made on this application form or during any interviews may be grounds for my immediate discharge.
I hereby authorize Americom Technology, a Crestone Services Group company, to contact any company or individual it deems appropriate to investigate my employment history, character and qualifications and I give my full and complete consent to their revealing any and all information they wish as a result of this investigation. I hereby waive any right to bring any cause of action against these individuals for defamation, invasion of privacy or any other reason because of their statements.
I agree that, if I am employed, I will abide by all the rules and regulations of Americom Technology, a Crestone Services Group company.
I understand that the taking of a drug and alcohol test, when given pursuant to company policy is a condition of continued employment. A refusal to take such tests when asked will be grounds for my immediate termination. I further understand that nobody in the Company is authorized to enter into any written or verbal contracts with me for any definite period of time without the express written consent of the President of the Company. I also understand that my employment is "at-will" and may be terminated by me or by the Company at any time for any reason or for no reason at all, with or without prior notice.

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