Employment Application Form

Employment Application

PLEASE ANSWER COMPLETELY AND ACCURATELY. DO NOT REFERENCE YOUR RESUME. IF ACCOMMODATION DUE TO A DISABILITY IS REQUIRED IN ORDER TO COMPLETE THE APPLICATION PROCESS, PLEASE LET US KNOW WHAT ACCOMMODATION YOU REQUIRE BY CLICKING HERE.

Please Read the Following Before Completing

FTC, Inc. is an equal opportunity employer and does not discriminate in hiring or employment on the basis of age, race, color, religion, sex, national origin, marital status, veteran status or handicap. No question on this application is intended to secure information to be used for such discrimination. This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Prospective employees must pass a drug screen, background check and pre-employment physical. This application is current for one year.


Personal Information
 

First
Last
Middle
Are you 18 or older?
Mailing Address
City
State
Zip
Email Address
Mobile Phone
Home Phone
Emergency Contact
Emergency Phone
 


General Information
 

What position are you applying for?
Second Choice

IF WORKKEYS ARE REQUIRED FOR THE POSITION IN
WHICH YOU ARE APPLYING, WE MUST RECEIVE YOUR
SCORES TO BE CONSIDERED FOR AN INTERVIEW.
 
Wage/Salary Desired
Available
Date Available(MM/DD/YYYY)
Who referred you to FTC?
Have you previously worked for FTC, Inc., FTC Communications, or FTC Management Group?
If yes, list dates
Name of Supervisor at FTC
Reason for leaving
Name of relative(s) currently employed by FTC, FTC Communications, FTC Management Group, or FTC Board of Directors
 
Are you legally eligible for employment in the United States?
Note: Proof of eligibility will be required at the start of employment
 
Have you ever been convicted of a felony or misdemeanor (other than minor traffic violations)?
Note: A conviction will not necessarily disqualify an applicant from employment. The nature and date of the offense, the surrounding circumstances and relevance of the offense to the position applied for may, however, be considered.
If yes, please explain and include date(s)
Do you have a valid driver's license?
License Number
State Issued
Expiration Date
Do you have a CDL?
CDL License Number
State Issued
Expiration Date
Are there any restrictions on your license?
 
 
Check all shifts you are available to work
Nights
 
Saturdays
 
Sundays
 
Holidays
 
Overtime
 
Kingstree District
 
Sumter District
 


Education
 

 
High School
College / University
Graduate School
Tech., Vocational, Business, Other
Name/Location
Did you graduate?
Course of study
Degrees, Licenses, Certifications


Skills
 

List additional professional, trade, business registrations, certifications, licenses or special skills. You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, handicap or any other protected status. Please include issuing state, number, date received and/or date of expiration where applicable.

 



Military
 

Branch of U.S. Military Service
Active Duty From
Active Duty To
Rank at Induction
Rank at Discharge
 
What special training did you receive or what skills did you acquire during your service?

 



Employment Experience

This portion of the application must be completed even if supplemented by a resume. Start with your most recent employment and list all jobs you have held.

 

Employer
Employer Address
Employer City
Employer State
Employer Zip
Employer Phone
Your Position
Employed From
Employed To
 
Starting Salary
Ending Salary
May we contact for a reference?
Reason for Leaving
Work Performed

Employer
Employer Address
Employer City
Employer State
Employer Zip
Employer Phone
Your Position
Employed From
Employed To
 
Starting Salary
Ending Salary
May we contact for a reference?
Reason for Leaving
Work Performed

Employer
Employer Address
Employer City
Employer State
Employer Zip
Employer Phone
Your Position
Employed From
Employed To
 
Starting Salary
Ending Salary
May we contact for a reference?
Reason for Leaving
Work Performed


References

Name
Position
Company
Daytime Phone
 
Name
Position
Company
Daytime Phone


Additional Information

To include a resume, please paste into the box below.
Please summarize other information you believe pertinent to your application regarding your interests, education, and experience which you have not already included.

I understand and agree that I may be required to have one or more physical exams, drug or alcohol tests, and / or any other necessary medical testing as a condition of hiring or continued employment. I agree to consent to take such tests at such times, and with health care professionals designated by the Company, and release the Company, its directors, officers, agents or employees and physicians administering tests and testing laboratories from any claim arising in connection with the use of such tests. Positive results on drug and alcohol tests will result in ineligibility for employment.

The information I have supplied on this application and by way of any oral statements is true and correct. I understand that any misstatements or misleading omissions will be considered sufficient cause for rejection as a candidate or for immediate discharge. I authorize, without liability, investigation of all statements in this application, and I understand that any false statements on this application shall be considered cause for dismissal. I authorize all previous employers (unless otherwise noted) to furnish the company my record, reason for leaving and all information they may have concerning me, and I hereby release them and the company from all liability from any damages whatsoever arising therefrom.

I understand and agree that if hired by FTC, Inc. my employment is for no definite period of time and may be terminated at will by either party without cause or prior notice, and that none of the Company's practices or policies are to be construed as imposing any binding obligations on FTC, Inc. and that they are subject to change at any time.

I understand that this employment application and any other company documents are not contracts of employment, and that any individual who is hired may voluntarily leave employment under proper notice, and may be terminated by the employer at any time and for any reason. I understand that any oral or written statements to the contrary are expressly disavowed and should not be relied upon by any prospective or existing employee.

I understand that, as a condition of any offer of employment, I am required by federal law to produce documentary evidence of identity and authorization to work in the United States. If documents are not produced within 3 days of date of hire, employment will terminate.

I certify that the information contained in this employment application is true, complete and correct to the best of my knowledge.
 
Signature
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