Contact Information | Technology Your Way

PERSONAL INFORMATION

Name*

Date of Birth

Email*

Current Address

Street Address City State / Province / Region ZIP / Postal Code

Have you ever been convicted of a Felony*

Yes
No

Telephone

Desire starting Pay

What Certifications in Cisco do you have

EDUCATION

Highest high school grade completed

Did you graduate from high school?

High School

Name

Location

Number of Year(s) Completed

1
2
3
4

Graduate

Yes
No

College

Name

Location

Number of Year(s) Completed

1
2
3
4

Graduate

Yes
No

Other

Name

Location

Number of Year(s) Completed

1
2
3
4

Graduate

Yes
No

By my signature below, I certify that the facts set forth in this employment application are true and complete to the best of my knowledge. I understand that any falsification, omission, misrepresentation, or concealment of information on this application may be sufficient grounds for disqualification from further consideration for hire or immediate discharge. I authorize Technology Your Way to verify the information contained in this employment application and to investigate my personal or educational history as outlined in the Authorization to Release information. I understand that any offer of employment made to me is conditional until I have provided proof that I may legally work in the United States. I understand that the company will check my background, and that whether I am considered for a job depends on the results of that check. I understand that if I am hired by Technology Your Way my employment will be for an indefinite period and will be “at will”, which means that either Technology Your Way or I may terminate the employment relationship at any time and any or no reason.

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