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Application for Employment
Norbeck Technologies is currently accepting creative and hard working applicants to fill a number of available positions.
To ensure proper consideration, please fill in the information below as completely and accurately as possible.
Personal Information
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Postal Code
*
Phone
*
Email Address
*
Position Applying For
*
Administrative/Clerical
Computer Support
Construction Engineer
Construction Manger
Electrical/Low Voltage
Facilities Support
Network Administrators
Network Engineers
Program Assistant
Project Manager or Site Lead
Supervisor or Manager
Systems Administrators
Warehouse Support
Web Design/Developers
Are you a Veteran?
*
Yes
No
Are you a citizen of the United States
*
Yes
No
Are you legally authorized to work in the United States?
*
Yes
No
Have you ever been arrested?
*
Yes
No
Have you ever pled "guilty" or no contest" to or been convicted of a crime?
*
Yes
No
Do you use drugs?
*
Yes
No
Have you ever worked for this company
*
Yes
No
Do you belive you will have problems obtaining a security clearance?
*
Yes
No
Have you ever been declined a security clearance?
*
Yes
No
Have you ever filed for bankruptcy?
*
Yes
No
If yes, please explain.
Authorization to do Background Check (this is required for pre-employment)
Social Security Number
*
Drivers License Number
*
Name on License
*
State where Drivers License was issued
*
Date of Birth
*
Please sign to authorize investigation
*
Availability
Days Available
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Employment History
Employer 1
Address
Phone
From (MM/YYYY)
To (MM/YYYY)
Position
Salary
Supervisor/Manager
Reason for Leaving
Employer 2
Address
Phone
From (MM/YYYY)
To (MM/YYYY)
Position
Salary
Supervisor/Manager
Reason for Leaving
Employer 3
Address
Phone
From (MM/YYYY)
To (MM/YYYY)
Position
Salary
Supervisor/Manager
Reason for Leaving
EDUCATION
High School
*
Address
*
From:
*
To
*
Did you graduate?
*
Yes
No
Degree
*
College
*
Address
*
From
*
To
*
Did you graduate?
*
Yes
No
Degree
*
References
Name
Title
Company
*
Address
*
Phone
Email Address
Reference 2
Name
Title
Company
*
Address
*
Phone
Email Address
Reference 3
Name
Title
Company
*
Address
*
Phone
Email Address
Additional Skills
Typing Speed (words per minute)
List any additional skills that you would like to mention.
Please submit a copy of your resume.
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