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Printable Employment Application

Print this application, fill it out in ink, and bring it to our office at 2001 Oakshire Lane, Suite C, Pueblo, CO 81001. Feel free to attach a copy of your resume.

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Top Grade Tech

Employment Application

2001 Oakshire Lane, Suite C
Pueblo, CO 81001
(719) 766-0944
topgradetech.com

Please print clearly in ink and answer all questions marked with an asterisk (*). You may attach a resume, but please complete this application as well. Prefer to apply online? Visit topgradetech.com/careers/apply.

Contact Information

Last name *
First name *
Preferred name
Street address *
City *
State *
ZIP *
Mobile phone *
Email *

Position & Availability

Position(s) you're interested in *

Employment type desired * Full-time Part-time Either

Date available to start
Desired pay

Are you legally authorized to work in the United States? * Yes No

Will you now or in the future require visa sponsorship to work in the US? Yes No

Do you have a valid driver's license and reliable transportation for on-site client visits? Yes No

Education & Certifications

Highest level of education completed:

Some high school High school diploma or GED Some college Trade or technical certificate Associate's degree Bachelor's degree Master's degree or higher

School or program
Field of study
Certifications, licenses & technical skills

Employment History

List your most recent jobs first.

Employer 1

Company name
Job title
Supervisor
Phone
Start (month/year)
End (month/year)
Main duties
Reason for leaving

May we contact? Yes No

Employer 2

Company name
Job title
Supervisor
Phone
Start (month/year)
End (month/year)
Main duties
Reason for leaving

May we contact? Yes No

Employer 3

Company name
Job title
Supervisor
Phone
Start (month/year)
End (month/year)
Main duties
Reason for leaving

May we contact? Yes No

References

Professional references preferred. Please don't list relatives.

NameRelationshipPhone or email

Additional Information

Anything else you'd like us to know?

Certification & Signature

Signature *
Date *

Top Grade Tech is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic.

For office use only

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Received by
Entered in CRM