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Serving Pennsylvania, Ohio, West Virginia, Maryland,
and Customers Nationwide.

Employment Application
Personal Information
Last Name, First, Middle
Date of Application
Street Address
Position desired
Contact Email
City, State & Zip Code
Home Number
Work Number
Please read and complete form. Provide all information requested. Your application will be maintained in our active files for one (1) year from the date of submission. You may submit a new application at any time.
Educational History
School Name Location (City & State) Major course or Subject Dates Attended (mm/yy-mm/yy) Degree
High School
Technical/Trade
College
Other Education/Training
Special Skills
List any special skills including computer, drafting, programming, etc.
Employment Record
Starting with present or most recent, list last two employers. Include self-employment, summer and part-time jobs.
Last or present Company
Title or Job Classifcation
Street Address
Phone Number
Job Duties
City, State & Zip Code
Supervisor's Name
Dates of Employment
Previous Company
Title or Job Classifcation
Street Address
Phone Number
Job Duties
City, State & Zip Code
Supervisor's Name
Dates of Employment
Miscellaneous
Were you previously employeed by SMARTSolution Technologies? Yes No

Do you have any relative(s) currently employeed by SMARTSolution Technologies? Yes No

Have you ever been convicted of any any crimes other than minor traffic violations during the past seven years? (A conviction will not necessarily bar you from employment) Yes No

Will visa or immigration status prevent lawful employment? Yes No

Why do you want to work for SMARTSolution Technologies?
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