Job InformationPosition(s) applied for:*Select a PositionInside Sales Representative (New Castle, DE)Point of Sale Support Technician (Frankford, DE)Point of Sale Support Technician (New Castle, DE)Outside Sales Representative (Harrisburg, PA Area)How did you learn about us?* Advertisement Employment Agency Friend Other Relative Walk-In Website Personal InformationName* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code Home PhoneEmail* Cell Phone*Employment DetailsIf under 18, can you provide required proof of eligibility to work?* N/A No Yes Have you ever filed an application with us before?* No Yes If yes, give date (mm/dd/yyyy): MM slash DD slash YYYY Have you ever been employed with us before?* No Yes If yes, give date (mm/dd/yyyy): MM slash DD slash YYYY Are you currently employed?* No Yes May we contact your present employer?* No Yes Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?* No Yes On what date would you be available for work (mm/dd/yyyy)? MM slash DD slash YYYY Are you available to work:* Full Time Part Time Shift Work Temporary Are you currently on "lay-off" status or subject to recall?* No Yes Can you travel if a job requires it?* No Yes ResumeUpload Resume:(*.pdf files only please)Accepted file types: pdf, Max. file size: 1 GB.EducationHigh SchoolName of School Course of Study Years Completed Diploma/Degree CollegeName of School Course of Study Years Completed Diploma/Degree OtherName of School Course of Study Years Completed Diploma/Degree Describe any specialized training, apprecticeship, skills, and extra-curricular activities:Describe any job-related training received in the United States Military (if applicable):Employment ExperienceEmployment InfoEmployer* Address* Phone* Title* Supervisor Reason for Leaving* From Date (mm/dd/yyyy):* MM slash DD slash YYYY To Date (mm/dd/yyyy):* MM slash DD slash YYYY Start Salary* End Salary* Duties*Are you able to provide additional employment (we suggest at least two)?* Yes Not Applicable Employment InfoEmployer* Address* Phone* Title* Supervisor* Reason for Leaving* From Date (mm/dd/yyyy):* MM slash DD slash YYYY To Date (mm/dd/yyyy):* MM slash DD slash YYYY Start Salary* End Salary* Duties*Are you able to provide additional employment?* Yes Not Applicable Employment InfoEmployer* Address* Phone* Title* Supervisor* Reason for Leaving* From Date (mm/dd/yyyy):* MM slash DD slash YYYY To Date (mm/dd/yyyy):* MM slash DD slash YYYY Start Salary* End Salary* Duties*Are you able to provide additional employment?* Yes Not Applicable Employment InfoEmployer* Address* Phone* Title* Supervisor* Reason for Leaving* From Date (mm/dd/yyyy):* MM slash DD slash YYYY To Date (mm/dd/yyyy):* MM slash DD slash YYYY Start Salary* End Salary* Duties*Additional InformationSummarize special job-related skills and qualifications acquired from employment or other experience:State any additional information you feel may be helpful to us in considering your application:Applicant's StatementI certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. Please place your digital signature in the box provided below:Signature* Date (mm/dd/yyyy):* MM slash DD slash YYYY Click the submit button below to send this application to DBS for review. You will be contacted within 1-2 weeks with additional information. Δ
