Apply Online

    Securewire Technologies

    We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status,without regard to racecolor, religion, creed, sex, marital status, national origin, age, physical or mental disability

    Last Name

    First Name

    Middle Initial / Name

    Address

    City

    State

    Zip

    Phone number

    Date of application

    1.GENERAL INFORMATION:

    Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation?

    YesNo

    Have you been convicted of any felonies other than minor traffic violations during the past seven years?
    (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.)

    YesNo

    If you answered yes to the previous question, please explain



    2.EDUCATION & TRAINING:

    Last grade completed

    # of years of college completed

    Masters

    Doctorate

    Name & Address of School

    Last High School Attended

    Address

    Major course studied

    Graduated or degree

    Average grade

    College or University

    Yes

    Other School (Technical, Vocational, Graduate, etc.)

    Yes

    Yes

    List any scholarships, academic honors, awards or special achievements:



    3.SKILLS:

    Please list any skills you have that are appropriate for the position you are applying for:



    If required, will you work:

    Rotating Shifts

    YesNo

    Saturdays

    YesNo

    Overtime

    YesNo

    Sundays

    YesNo

    Position applying for, be specific:

    Salary Requirements:

    $

    per hourper month

    State fully why you believe you are qualified for this position



    INTERESTS / ACCOMPLISHMENTS: You may wish to list significant experience, interests & accomplishments gained while working as a volunteer or as a hobbyist that may be useful in the position(s) you are seeking. Names or organizations designating religion, race, etc. need not be mentioned.

    Date you can start



    EMPLOYMENT HISTORY:

    Starting with your PRESENT or MOST RECENT EMPLOYER list in consecutive order ALL EMPLOYMENT for at least the past FOUR employers. If currently employed, may we contact your employer?     YesNo

    PRESENT OR MOST RECENT EMPLOYER

    FULL NAME OF COMPANY

    (AREA CODE)

    TELEPHONE

    SALARY

    Begin
    End

    EMPLOYED

    FROM     TO
    MO/YR      MO/YR

    STREET ADDRESS

    CITY

    STATE

    ZIP


    NAME & TITLE OF SUPERVISOR

    TITLE OF YOUR POSITION

    LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED & PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:



    REASON FOR LEAVING:



    FULL NAME OF COMPANY

    (AREA CODE)

    TELEPHONE

    SALARY

    Begin
    End

    EMPLOYED

    FROM     TO
    MO/YR      MO/YR

    STREET ADDRESS

    CITY

    STATE

    ZIP


    NAME & TITLE OF SUPERVISOR

    TITLE OF YOUR POSITION

    LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED & PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:



    REASON FOR LEAVING:



    FULL NAME OF COMPANY

    (AREA CODE)

    TELEPHONE

    SALARY

    Begin
    End

    EMPLOYED

    FROM     TO
    MO/YR      MO/YR

    STREET ADDRESS

    CITY

    STATE

    ZIP


    NAME & TITLE OF SUPERVISOR

    TITLE OF YOUR POSITION

    LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED & PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:



    REASON FOR LEAVING:



    FULL NAME OF COMPANY

    (AREA CODE)

    TELEPHONE

    SALARY

    Begin
    End

    EMPLOYED

    FROM     TO
    MO/YR      MO/YR

    STREET ADDRESS

    CITY

    STATE

    ZIP


    NAME & TITLE OF SUPERVISOR

    TITLE OF YOUR POSITION

    LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED & PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:



    REASON FOR LEAVING:



    READ CAREFULLY: I certify that the information contained in this application is correct to the best of my knowledge and understand that any missatement or mission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerningmy previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

    Signature

    Date

    [cf7-simple-turnstile]