Current Job Openings Openings Coming Soon Employee Application Please complete this form fully and accurately. career "*" indicates required fields Step 1 of 5 - Applicant Info 20% Name* First Last Address* Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* ResumeMax. file size: 100 MB.Please Upload Your Resume Position Applied For* Background & Experience*Date available to start working:* MM slash DD slash YYYY Desired Salary / Hourly Wage* How did you hear about us?*SelectTLC EmployeeCraigslistRadioBillboardFacebookOtherPlease indicate their name:* First Last Other (please specify):* Are you a citizen of the United States?* Yes No Have you ever been convicted of a felony?* Yes No Are you currently employed?* Yes No Do you have any obligations that would keep you from work-related travel?* Yes No If yes, please explain why:*Have you ever worked for this company in the past?* Yes No Please tell us what your reason for leaving and who your supervisor was:* EducationHigh School Address: City & State Did you graduate? Yes No College Name Address: City & State Did you graduate? Yes No Degree Previous EmploymentJob Title* Company* Address* Address Line 1 City State / Province / Region Phone Number*Responsibilities*Starting Salary/Hourly Wage* Ending Salary/Hourly Wage* Date Started* MM slash DD slash YYYY Date Ended* MM slash DD slash YYYY Reason for leaving:* Equal Employment Opportunity Information This information is being requested in accordance with federal regulations. The information is voluntary and will not be used when considering you for employment with our company.Ethnicity Caucasian / White African American / Black American Indian / Alaskan HI-Pacific Islander / Asian Hispanic / Latino Two or more races Gender Male Female Military Service Pre-Vietnam Era Vietnam Era Post-Vietnam Era Disabled Veteran Today's Date:* MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.
