Employment Application

Position applied for Date of Application

We have many locations. Please indicate which you are applying for:

How did you learn about Cellular Advantage / Answer Wireless?

First Name: Middle Initial: Last Name:

Address: City: State: Zip Code:

Telephone #() Mobile/Other Phone #() Email:

Best time to contact you: a.m. p.m.

If you are under 18 and it is required, can you provide a work permit? Yes No

Have you submitted an application with us before? Yes No If yes, when?

Have you ever been employed with us before? Yes No If yes, from to

Are you legally eligible for employment in this country? Yes No

Type of employment desired:

Full Time Part Time

Date available for work.

Will you relocate if job requires it? Yes No

Will you travel if job requires it? Yes No

Are you able to meet the attendance requirements of the position? Yes No

Will you work overtime, if required? Yes No If yes, when?

Are you a veteran of the U.S. Armed Forces? Yes No

If yes, which branch? Dates of Service: from to

Do you have a military obligation, including National Guard, that would affect your work schedule?

Yes No If yes, please explain:

Have you ever been bonded? Yes No

Have you been convicted or a crime in the last seven (7) years? Yes No

If yes, please explain:

(Conviction will not necessarily be a bar to employment. Each instance and explanation will be considered in relation to the position for which you are applying.)

Driver’s license number if driving is an essential job function: State

Employment History

Provide the following information for your past and current employers, starting with the most recent. Explain any gaps in employment in comments section below.

Employer	Dates Employed
	From	To
Address
Job Title
Immediate Supervisor and Title
Reason for Leaving
May we contact for reference?

Employer	Dates Employed
	From	To
Address
Job Title
Immediate Supervisor and Title
Reason for Leaving
May we contact for reference?

Employer	Dates Employed
	From	To
Address
Job Title
Immediate Supervisor and Title
Reason for Leaving
May we contact for reference?

Employer	Dates Employed
	From	To
Address
Job Title
Immediate Supervisor and Title
Reason for Leaving
May we contact for reference?

Comments (including explanation of any gaps in employment)

Skills and Qualifications - Summarize any special training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.

Educational Background

(If job related)

High School and Beyond	Number of Years Completed	Degree or Diploma	GPA/ Class Rank	Major	Minor

References

List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Name	Telephone	Years Known

Additional Information

List professional, trade, business, or civic associations and any offices held. (Exclude memberships which would reveal sex, race, religion, national origin, age, color, disability or any other similarly protected status.)

Organization	Offices Held

List special accomplishments, publications, awards, etc.

(Exclude information which would reveal sex, race, religion, national origin, age, color, disability or other protected status.)

List any additional information you would like us to consider.

Resume

(Optional) Please upload your resume in one of the following formats: .pdf .doc .docx .rtf .txt

or paste the text of your resume here:

I hereby authorize Cellular Advantage/Answer Wireless to thoroughly investigate my references, work records, education and other matters related to my suitability for employment and, further, authorize my current and former employers to disclose to the company any and all letters, reports and other information pertaining to my employment with them, without giving me prior notice of such disclosure. In addition, I hereby release Cellular Advantage/Answer Wireless, my current and former employers, and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.

This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employers and still wish to be considered for employment, it will be necessary to fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to may any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.

I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA. I also understand that if I am hired, I will be required to provide proof of my identity and legal right to work in the United States on my first day of employment.

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement on this application or on any documents used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

My electronic signature below certifies that I have read and fully understand the foregoing and seek employment under these conditions.

Signature of Applicant: Date: