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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. FTC, Inc. employees are subject to random unannounced drug screens thereafter. This application is current for one year.

Personal

First:

Last:

Middle:

Are you 18 or Older: Yes No

Mailing Address:

City:

State:

Zip:

Email Address:

Mobile Phone:

Home Phone:

Emergency Contact:

Emergency Phone:

General

For what position are you applying?

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: Full time Part Time

Date Available (MM/DD/YYYY):

Check all shifts you are available to work: Nights

Saturdays

Sundays

Holidays

Overtime

Kingstree District

Sumter District

Who referred you to FTC?

Have you previously worked for FTC, Inc., FTC Communications, or FTC Management Group? Yes No

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:

Education

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

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.

Extracurricular activities, class or club officer (excluding those that would reflect sex, race, color, religion, national origin, citizenship, or disability) High School

College/University

Other

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:

Full-Time Part-Time

May we contact for a reference? Yes No Later

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:

Full-Time Part-Time

May we contact for a reference? Yes No Later

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:

Full-Time Part-Time

May we contact for a reference? Yes No Later

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:

Full-Time Part-Time

May we contact for a reference? Yes No Later

Reason for leaving:

Work Performed:

References

Name

Position

Company

Daytime Phone

Name

Position

Company

Daytime Phone

Name

Position

Company

Daytime Phone

Name

Position

Company

Daytime Phone

Additional Information

To include a resume, please paste into the box below. (Click for help)

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 and deletion 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.

Full Name

Date: