LOADING...
Please wait.
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?*
Please choose one.
1
2
3
4
5
6
7
8
9
10+
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:*
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
Do you have tower climbing experience?*
Yes
No
What position are you applying for?*
Please choose one.
Ground Crew
Tower Hand
Receptionist
What position are you applying for?*
Please choose one.
Ground Crew
Receptionist
Date Available*
Do you have reliable transportation?*
Yes
No
Legally eligible to work in the U.S.?*
Yes
No
Enter Minimum Acceptable Annual Salary.*
Choose a Enter Minimum Acceptable Annual Salary.
$12/hour $24,960/year
$14/hour $29,120/year
$16/hour $33,280/year
$18/hour $37,440/year
$20/hour $41,600/year
$22/hour $45,760/year
$24/hour $49,920/year
$26/hour $54,080/year
Is this amount negotiable?*
Yes
No
How negotiable is this number?
Choose a How negotiable is this number?
Within $1,000
Within $5,000
Within $10,000
Within $15,000
Within $20,000 or more
Who referred you to our company?*
Please choose one.
Facebook.com
LinkedIn.com
NCworks.gov
Indeed.com
WRAL.com
wirelessestimator.com
Newspaper
Radio
Family Member
Friend
Employee
Other
Have you previously applied with us?*
Yes
No
If yes, when?
Are you able to stay gone up to 2 weeks?
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.*
Choose a Conviction
No
Yes
Yes, misdemeanors only.
Yes, felonies only.
Yes, misdemeanors and felonies.
Are you currently on probation?
Please choose one.
Yes
No
Felony Or Misdemeanor?*
Please choose one.
Felony
Misdemeanor
Charge:*
List only the charge.
Date of Charge*
Felony Or Misdemeanor?
Please choose one.
Felony
Misdemeanor
Charge:
List only the charge.
Date of Charge
Felony Or Misdemeanor?
Please choose one.
Felony
Misdemeanor
Charge:
List only the charge.
Date of Charge
Have you ever had any minor or major traffic violations?*
Choose a Conviction
No
Yes
Do you have a North Carolina Driver`s License?*
Yes
No
Felony Or Misdemeanor?*
Please choose one.
Felony
Misdemeanor
Charge:*
List only the charge.
Date of Charge*
Felony Or Misdemeanor?
Please choose one.
Felony
Misdemeanor
Charge:
List only the charge.
Date of Charge
Felony Or Misdemeanor?
Please choose one.
Felony
Misdemeanor
Charge:
List only the charge.
Date of Charge
Education
High School Name/Location:*
Diploma Received:*
Please choose one.
Diploma
Equivalency
None
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:*
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:*
Employer Phone:*
Employed From:*
Employed To:*
Job Title:*
Job Duties*
Please give a complete detailed description of your job duties.
Reason For Leaving:*
Name Of Employer 2:*
Supervisor Name 2:*
Employer Address 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:
Employer Phone:
Employed From:*
Employed To:*
Job Title:*
Job Duties*
Please give a complete detailed description of your job duties
Reason For Leaving:*
Name Of Employer 3:*
Supervisor Name 3:*
Employer Address 3:*
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:
Employer Phone:
Employed From:*
Employed To:*
Job Title:*
Job Duties*
Please give a complete detailed description of your job duties
Reason For Leaving:*
Skills Section
Related Knowledge/Skills:*
Certifications, schooling, training, etc.
Please list any other relevant information to this position.*
Any information relevant to the job or your employment should be listed here.
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*
Enter the security code shown above
in UPPER CASE.
Create Your Own Form
using this Template
Want the ability to collect information with an
online form that looks like this one?
Powered by
Elbowspace.com