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Employment Application Form
IMPORTANT: All fields must be filled out properly. Answers such as ``negotiable``, ``same as above``, or ``willing to discuss`` are not acceptable. Filling out the application to the best of your ability helps save time when processing your application.
Personal Information
Last Name:*

Middle Initial*

First Name:*

E-Mail:*

Birthdate*

Social Security Number*

Home Address Line 1:*

Home Address Line 2:

Number of years at this address?*

City:*

State:*

Zip Code:*

Are you willing to relocate?*
Yes No 

Home Phone:

Cell Phone:*

Work Related
All work is out of town in a company paid hotel room. You will return home when the work is completed, up to 2 weeks at a time.
Employment Requested:*
Full Time Part Time Temporary 

What position are you applying for?*

Date Available*

Enter Minimum Acceptable Annual Salary.*

Is this amount negotiable?*
Yes No 

How negotiable is this number?

Do you have reliable transportation?*
Yes No 

Legally eligible to work in the U.S.?*
Yes No 

Who referred you to our company?*

Have you previously applied with us?*
Yes No 

If yes, when?

Are you able to stay gone up to 2 weeks?
Yes No 

Do you have tower climbing experience?*
Yes No 

Are you ComTrain certified?*
Yes No 

The existence of a criminal record does not constitute an automatic bar to employment unless relevant to the type of employment. However, all charges must be listed! `Willing to discuss`, `wrong place wrong time`, and other such responses are considered incomplete answers and will not be processed.
Have you ever been convicted of a crime? This includes felonies and misdemeanors.*

Are you currently on probation?

Felony Or Misdemeanor?*

Charge:*

List only the charge.
Date of Charge*

Felony Or Misdemeanor?

Charge:

List only the charge.
Date of Charge

Felony Or Misdemeanor?

Charge:

List only the charge.
Date of Charge

Have you ever had any minor or major traffic violations?*

Do you have a North Carolina Driver`s License?*
Yes No 

Felony Or Misdemeanor?*

Charge:*

List only the charge.
Date of Charge*

Felony Or Misdemeanor?

Charge:

List only the charge.
Date of Charge

Felony Or Misdemeanor?

Charge:

List only the charge.
Date of Charge

Education
High School Name/Location:*

Diploma Received:*

Date Received?*

College Name/Location:

Did you earn a certificate or degree?
Yes No 

Degree Earned:

Attended from:

Attended To:

Major/Minor:

College Name/Location:

Did you earn a certificate or degree?
Yes No 

Degree Earned:

Attended from:

Attended To:

Major/Minor:

Employment History
It is required that you put your last 3 employers here. Please fill in all fields completely and in detail. This makes the application process faster.
Name Of Employer 1:*

Supervisor Name 1:*

Employer Address 1:*

City:*

State:*

Zip Code:*

Employer Phone:*

Employed From:*

Employed To:*

Job Title:*

Job Duties*

Reason For Leaving:*

Name Of Employer 2:*

Supervisor Name 2:*

Employer Address 2:*

City:*

State:

Zip Code:

Employer Phone:

Employed From:*

Employed To:*

Job Title:*

Job Duties*

Reason For Leaving:*

Name Of Employer 3:*

Supervisor Name 3:*

Employer Address 3:*

City:*

State:

Zip Code:

Employer Phone:

Employed From:*

Employed To:*

Job Title:*

Job Duties*

Reason For Leaving:*

Skills Section
Related Knowledge/Skills:*

Please list any other relevant information to this position.*

Military Service?*
Yes No 

Branch of Service:

Specialized Training:

Start Date?

End Date?

Duties:

Professional References
Please list three references that have knowledge of your professional experience.
Reference Name 1:*

Address 1:*

Occupation 1:*

Phone 1:*

Reference Name 2:*

Address 2:*

Occupation 2:*

Phone 2:*

Reference Name 3:*

Address 3:*

Occupation 3:*

Phone 3:*

I authorize Titan Tower, Inc. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I have carefully read the above certification and I understand and agree to its terms.

Agree Disagree 

Please type your full name as your E-Signature*

Date*

 

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in UPPER CASE.
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