Electronic Technician Jobs in Connecticut

Pyramid Technologies

Pyramid Wireless
45 Gracey Avenue - Meriden, CT 06451
Toll-free (US/Canada) 800.336.3592

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Application For Employment

Applicants for employment are considered without regard to race, creed, color, religion, sex, sexual orientation, marital status, genetic information, national origin, age, disability, status as a veteran, Vietnam Era Veteran, or being a member of the Reserves or National Guard. Also it is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Position(s) Applied For

Referral Source:

Advertisement
Friend
Relative
Walk-In
Employment Agency
On-Line
Company Web Site
Other

First Name:
Middle Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone:
Are you under 18:
If employed and you are under 18, can you furnish a work permit?
Have you filed an application here before?
If yes, give date:
Have you ever been employed here before?
If yes, give date:
Are you employed now?
May we contact your present employer?

(Proof of authorization to work and of your identity will be required upon employment)

On what date would you be available for work?

Are you available to work:

Full Time
Part Time
Shift Work
Temporary
Over Time

Are you on a lay-off and subject to recall?

Can you travel if a job requires it?

SEALED RECORD NOTICE

An applicant for employment with a sealed record on file with the Commissioner of Probation may answer “no record” with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. An applicant for employment with a sealed record on file with the Commissioner of Probation may answer “no record” to an inquiry herein relative to prior arrests or criminal court appearances. In addition, any applicant for employment may answer “no record” with respect to any inquiry relative to prior arrests, court appearances, and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecution.

Within the past five years, have you been convicted of a misdemeanor? (Applicants may answer “no” with respect to a first conviction for drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace).
If yes, please explain:
Have you ever been convicted of a felony?
If yes, please explain:

LANGUAGES

Indicate what languages (including English) you speak, read, and / or write.

Speak

Fluently
Good
Fair

Read

Fluently
Good
Fair

Write

Fluently
Good
Fair

REFERENCES

Give name, address and telephone number of three references who are not related to you. (previous employers preferred)

Reference #1

Name
Address
Phone

Reference #2

Name
Address
Phone

Reference #3

Name
Address
Phone

Special Skills and Qualifications

Summarize special skills and qualifications acquired from employment or other experience:

Employment Experience

Start with your present or last job. Include military service assignments and any verified work performed on a volunteer basis. You may exclude organization names which indicate race, creed, color, religion, sex, sexual orientation, marital status, results of genetic testing, national origin, age, disability, status as a veteran, Vietnam Era Veteran, or being a member of the Reserves or National Guard.

Employment Experience #1

Employer
Address
City
State
Zip
Job Title
Supervisor
Reason for Leaving
Phone
Fax
Starting Hourly Rate / Salary
Ending Hourly Rate / Salary
Start Date
End Date
Work Performed

Employment Experience #2

Employer
Address
City
State
Zip
Job Title
Supervisor
Reason for Leaving
Phone
Fax
Starting Hourly Rate / Salary
Ending Hourly Rate / Salary
Start Date
End Date
Work Performed

Employment Experience #3

Employer
Address
City
State
Zip
Job Title
Supervisor
Reason for Leaving
Phone
Fax
Starting Hourly Rate / Salary
Ending Hourly Rate / Salary
Start Date
End Date
Work Performed

Employment Experience #4

Employer
Address
City
State
Zip
Job Title
Supervisor
Reason for Leaving
Phone
Fax
Starting Hourly Rate / Salary
Ending Hourly Rate / Salary
Start Date
End Date
Work Performed

Education

Years Completed
Describe Specialized Training, Apprenticeship, Skills, and Extra Curricular Activities
Honors Received

Elementary

Name of School

High School

Name of School
Diploma / Degree
Describe Course of Study

College / University

Name of School
Diploma / Degree
Describe Course of Study

Graudate / Professional

Name of School
Diploma / Degree
Describe Course of Study

It is my understanding that this employment application, or the granting of an oral interview, does not represent a contract of employment or a promise of future benefits by this company/organization. I understand and agree that if hired, my employment will be at-will in nature and may be terminated, with or without cause, at any time, by either myself or my employer. I also understand that this written statement supersedes any and all oral representations made by agents or representatives of this company/organization.

AGREEMENT: I certify that the information of on this application is true, complete and correct. I hereby authorize the investigation of my past employment, education and activities and I release from all liability all persons, companies and corporations supplying such information. I understand that false answers, statements or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.

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