Employment Application

Skip to content

Home
Products
Supplier Info
About
Customers
Careers
Announcements
Contact

Contact Us

Application for Employment - California Facility
We are an "at-will," equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, age, sex, religion, disability, medical condition, national origin, marital status, or any other unlawful basis.

All questions pertaining to any of these categories are collected solely for the purposes of EEO & AAP Reporting.
Personal Information
Name (Last, First, Middle)*
Home Phone*
Other Phone
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Date of Birth*
MM slash DD slash YYYY
Gender
Male
Female
Veteran
Yes
No
Have you ever been employed or attended school under another name? If yes, please provide other name(s):
Yes
No
Other Names
If hired, can you provide evidence of your identity and eligibility to work in this country?
Yes
No
If hired, would you have a reliable means of transportation to and from work?
Yes
No
Position Information
Position Desired*
Date Available to Begin Work*
MM slash DD slash YYYY
Salary Desired*
Employment Desired*
- Full-Time
- Part-Time
- Special Project (Seasonal work or other)
Part/Special Project Time Availability
Have you ever applied to this organization before? If yes, when?
Yes
No
Prior Application
Can your perform the essential functions of the position for which you are applying with or without reasonable accommodation?
Yes
No
Would you be available to work overtime if necessary?
Yes
No
Education
Name of School City and State Dates Level Completed Degree/Certification
High School
Name of School City and State Dates Level Completed Degree/Certification
College
Name of School City and State Dates Level Completed Degree/Diploma/Certification
College
Name of School City and State Dates Level Completed Degree/Diploma/Certification
Vocational Training
Name of School City and State Dates Level Completed Degree/Diploma/Certification
Describe below how your educational experiences relate to the position for which you are applying at US Tower.*
Skills
Please check any boxes corresponding to skills you possess
Typing WPM
- Typing WPM
WPM
10 key by:
- 10 key by:
- Touch
- Sight
Computer
- Computer Skills
Name the specific software/equipment used
Bilingual
- Bilingual
What languages?
Other
- Other
Skills
Switchboard
- Switchboard
Name the specific software/equipment used
Word Processing
- Word Processing
Name the specific software/equipment used
Spreadsheet
- Spreadsheet
Name the specific software/equipment used
Do you have any other experience, training, qualifications, accomplishments or skills which you feel make you especially suited for the position? If so, please explain.
Former Employers
List below your employment history for the past 10 years, or your last three employers or period of unemployment, (whichever is greater) starting with the recent position.
Former Employers Info
Name and Address of Employer Telephone Number Dates of Employment (From/To) Job Title Salary History Name of Immediate Supervisor Describe your Job Duties Reason for Leaving
Have you ever been terminated from employment for a reason other than a layoff?
Yes
No
May we contact your current employer?
Yes
No
References
Please list three professional references (exclude relatives) who have knowledge of your work performance.
List
Name Phone Number Occupation Number of Years Acquainted
READ BEFORE SUBMITTING.

I certify that all information submitted on this application is true and complete. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any falsification, omission, or misrepresentation of material facts may constitute grounds for rejection of this application or immediate dismissal from employment, if hired, regardless of the time elapsed before discovery of the omission or misstatement.

I authorize US Tower Corporation, and its representatives, to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment. I further authorize my former employers to disclose to US Tower Corporation any and all records and information regarding my work, and release the company, my former employers and all other persons or entities from any and all liability for issuing, receiving or using such information.

I agree that if employed, I will abide by US Tower Corporation's policies and procedures. Upon termination, I authorize the release of reference information regarding my work while employed at US Tower Corporation and release all employees, agents and representatives form any and all claims I may have as a result of such disclosure.

I understand that nothing contained in this application or conveyed during any interview, which may be granted, is intended to create a contract of employment. I understand that employment at US Tower Corporation is at-will, for no definite period and may be terminated at any time, with or without prior notice, with or without cause, at the option of either myself or the company. Agreements contrary to this policy may only be made in writing, signed by me and two of the company's directors.

I understand that offers of employment may be contingent on the applicant's ability to pass a job-related examination and/or a skills and agility test. Applications are only accepted for a current available positions. Applications will be considered current for a period of 60 days.

I accept the employer's right to enter into an Alternative Dispute Resolution Procedure to resolve employment disputes.

Name and Address of Employer	Telephone Number	Dates of Employment (From/To)	Job Title	Salary History	Name of Immediate Supervisor	Describe your Job Duties	Reason for Leaving

Name	Phone Number	Occupation	Number of Years Acquainted

Contact Us

Application for Employment - California Facility

Personal Information

Position Information

Education

Skills

Former Employers

References