Application

Computer Heaven Employment Application

Please fill out all relevant fields to the best of your ability

Name (Required)

Phone (Required)

Email (Required)

Current Address (Required)

Position you are applying for

Date you can start

Are you attending school?

Desired wage

Days available to work

Last time you applied here?

Full/Part time employment?

Are you over 18 years of age?

Highest level of education?

Name of present or last employer

Name of Supervisor

Phone Number

Address

Starting date

Leaving date

Ending payrate

Description of duties

Reason for leaving

Name of previous employer

Name of Supervisor

Phone Number

Address

Starting date

Leaving date

Ending payrate

Description of duties

Reason for leaving

Name of Reference

Phone number

Your relationship with them

Years known

Name of Reference

Phone number

Your relationship with them

Years known

Name of Reference

Phone number

Your relationship with them

Years known

Military service record

Have you been convicted of a felony in the past 5 years? Explain here.

Hobbies or areas of special interest that may be relevant to work at Computer Heaven

Any sales or technical experience that would be relevant to work at Computer Heaven

If you have a resume, you may upload it here

Please upload a short audio/video clip of yourself explaining why you'd be a valuable addition to our team

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

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Application

Computer Heaven Employment Application

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