Hightower Application for Employment

APPLICATION FOR EMPLOYMENT

"*" indicates required fields

Hightower Communications is An Equal Opportunity Employer

Please read before filling out this application:

Hightower Communications does not discriminate in hiring or employment on the basis of race, color, sex, religion, genetic information, disability, national origin, citizenship, military status, or on the basis of age with respect to persons 18 years or older. No question on the application is intended to secure information to be used for such discrimination. Proof of identity and work authorization will be required upon employment in accordance with federal regulations. Hightower Communications intends to check and hold you responsible for the accuracy of the statements you make on this application. This application will receive consideration for thirty (30) days. If you have not heard from us within thirty days and wish to receive further consideration for employment, it will be necessary for you to request in writing that the company reactivate your application for another thirty days.

Location Applied At*

Select the location that you have applied to

Please answer all questions. Resumes are not accepted in lieu of completion of this application.

Note: This application was designed to use with several types of job positions. Some questions may not be completely applicable to the job/position you are seeking; however, we ask that you answer all questions.

Personal Data

Your Name*

First Middle Initial Last

Present Address*

Street Address Address Line 2 City State ZIP Code

Your Telephone Number*

Email*

Citizenship*

Only U.S. citizens or aliens who have a legal right to work in the U.S. are eligible for employment. Can you, upon employment, submit documentation verifying your legal right to work in the U.S. and your identity?

Yes

Conviction*

Have you ever pled guilty or been convicted of a crime other than a minor traffic violation? Do not include sealed and expunged convictions

Yes

If yes, please explain.

(A “yes” answer to this question does not necessarily preclude consideration for employment)

Over 18*

Are you 18 years of age or over?

Yes

Date Available for Employment*

MM slash DD slash YYYY

Prevent Performing*

Is there anything that would prevent you from performing in a reasonable and safe manner, the activities involved in the position in which you have applied (job related tasks)? 

Yes

Prevent Performing Explanation

If yes, please explain:

EDUCATIONAL DATA

High School

HS Name & Address*

HS Number of Years Completed*

HS Degree*

HS Major Course of Study*

College

College Name Address

College Number of Years Completed

College Degree

College Major Course of Study

Alias*

In order to permit a check of your work and educational records, should we be aware of any change of name or assumed name that you previously used?

Yes

Alias Names and Dates

If yes, please identify names and relevant dates:

EMPLOYMENT

Current Employer

Current Employer Name

Dates Of Employment

Position Held

Starting Salary

Ending Salary

Supervisor Name

Supervisor Phone Number

Reason For Leaving

Former Employer 1

Employer Name

Dates Of Employment

Position Held

Starting Salary

Ending Salary

Supervisor Name

Supervisor Phone Number

Reason For Leaving

Former Employer 2

Employer Name

Dates Of Employment

Position Held

Starting Salary

Ending Salary

Supervisor Name

Supervisor Phone Number

Reason For Leaving

Employment Lapse

If there any lapse of your employment history from your resume, please explain.

Forced Resignation*

Have you ever been asked to resign from a position as a result of a policy violation?

Yes

Forced Resignation Explanation

If yes, please explain:

Present Employer Contact*

May we contact your present employer?

Yes

Previous Employer Contact*

May we contact your previous employer?

Yes

Reasons for Not Contacting Employers

Please identify any exceptions and reasons for not contacting present or prior employers:

Transportation*

Do you have reliable means of transportation?

Yes

Driver's License*

Do you have a valid driver’s license?

Yes

Drivers License Number*

State Issued*

State

Accidents*

Do you have any accidents or moving violations within the past three years?

Yes

Work Exclusion Explanation

If yes, how many?

Overtime*

Will you work overtime if asked?

Yes

Weekends*

Would you work weekends?

Yes

Friend/Relative*

Do you have any friends or relatives who work for Hightower Communications?

Yes

Friend/Relative 1 Name

Friend/Relative 1 Relationship

Friend/Relative 2 Name

Friend/Relative 2 Relationship

Previously Employed*

Have you ever been employed by Hightower Communications before?

Yes

Applied previously Description

If yes, give date(s):

Referred.*

Were you referred by a Hightower Communications employee?

Yes

Applied previously Description

If yes, who:

WORK REFERENCES

(Work or Professional ONLY)

Reference 1

Reference 1 Name*

Name

Reference 1 Phone*

Phone

Reference 1 Occupation*

Occupation

Reference 2

Reference 2 Name

Name

Reference 2 Phone

Phone

Reference 2 Occupation

Occupation

Reference 3

Reference 3 Name

Name

Reference 3 Phone

Phone

Reference 3 Occupation

Occupation

More References

Click checkbox to add more references.

Reference 4

Reference 4 Name

Name

Reference 4 Phone

Phone

Reference 4 Occupation

Occupation

Reference 5

Reference 5 Name

Name

Reference 5 Phone

Phone

Reference 5 Occupation

Occupation

APPLICANT’S STATEMENT

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the investigation of all matters contained in this application and hereby give permission to contact schools, previous employers, references, and others in order to verify the facts and information furnished with regard to my character and qualifications, and hereby release and indemnify this company from any claims or liability as a result of such contact. I also hereby release employers, schools, and other persons from all liability in responding to inquiries in connection with this application. Hightower Communications screens all potential staff (whether paid or unpaid). By completing this application, you are submitting to such inquiry. I understand that misrepresentations, omissions of facts or incomplete information requested in this application may remove me from further consideration for employment. In addition, if employed, any misrepresentations or omissions of facts called for in this application will be cause for dismissal at any time without any previous notice.

Applicants accepted for employment should clearly understand that while we make every effort to provide steady, continuous work, we have no employment contracts, and we cannot guarantee the permanencies of any position. Job tenure can be affected by many factors including business/economic conditions, changes in laws or employee policies, conformity to our work rules, job performance, etc. and, of course, employees may elect to leave on their own accord to seek other jobs.

If I am offered and accept employment with the aforementioned company, I understand that my employment is for no specific term and may be terminated by myself or the employer with or without notice or cause at any time. I further understand that an oral promise, policy, custom, business practice or other procedure (including any employee handbook or any personnel manuals) does not constitute an employment contract or modification of the at-will employment relationship between myself and this employer.

If hired, I agree to comply with the policies, standards and business ethics of Hightower Communications. The contents of any employee handbook or personnel manuals are subject to change or modification, without notice.

Applicant's Statement Signature*

Signature

Applicant's Statement Consent*

Click here to confirm this is your signature.

Applicant's Statement Date*

Date

MM slash DD slash YYYY

Comments

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