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InstallTech, Inc. Employment Application
For additional information, please email jobs@installtechinc.com or call 717-266-4002.
Resume Upload
If available, attache resume here:
Personal Information
E-Mail:*
First Name:*
Middle Initial
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:*
Cell Phone:*
Business Phone:
Home Phone:
Qualification Questions
Are you legaly authorized to work in the US?*
Yes
No
Do you have a valid driver*
Yes
No
Are you 18 years old or older?*
Yes
No
Are you able to pass a drug screening prior to starting employment?*
Yes
No
Do you have reliable transportation to and from work?*
Yes
No
Are you able to lift over 80 pounds 5-10 times during a day? (May not apply to all positions)*
Yes
No
Have you ever been charged with or convicted of a misdemeanor or felony?*
Yes
No
If yes, in what year?
Brief description of charges or conviction:
Work Preference
Date Available
Position Applied for:
Choose a Position Applied for
Appliance Installer Assistant
Appliance Installer Trainee
Appliance Installer Supervisor
Installation Contractor
Operations Support Associate
Minimum Acceptable Salary:*
Employment Requested:*
Full Time
Part Time
Temporary
Education
High School Name/Location:
Diploma Received:
Diploma
Equivalency
None
College Name/Location:
Degree Earned:
Attended from:
Attended To:
Major/Minor:
College Name/Location:
Degree Earned:
Attended from:
Attended To:
Major/Minor:
Employment History
Name Of Employer:*
Address Line 1:
Address Line 2:
City:
State:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Employed From:
Employed To:
Employer Phone:
Job Title:
Supervisor Name:
Reason For Leaving:
Name Of Employer:
Address Line 1:
Address Line 2:
City:
State:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Employed From:
Employed To:
Employer Phone:
Job Title:
Supervisor Name:
Reason For Leaving:
Skills Section
Related Knowledge/Skills:
Professional References
Please list three references that have knowledge of your professional experience.
Reference Name:*
Address:
Occupation:
Phone:
Reference Name:
Address:
Occupation:
Phone:
Reference Name:
Address:
Occupation:
Phone:
Disclaimer and e-Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Full Name*
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