1. IT Consulting Services, Inc.
Employment Application
Applicant Information
Full Name: Date:
Last First M.I.
Address:
Street Address Apartment/Unit #
City State ZIP Code
Phone: Email
Date Available: Desired Salary:$
Position Applied for:
YES NO
Are you open to relocation? If so, where? ____________________________________
YES NO YES NO
Are you a citizen of the United States? If not, do you require sponsorship?
YES NO
Have you ever been convicted of a felony? & what type of sponsorship? ________________________
If yes, explain:
Technical Skills
** Please list technologies, years of experience and level (Beginner, Intermediate, Advanced)
Technical Skill Yrs of Experience Level of Experience
1
2. References
Please list three professional references.
Full Name: Relationship:
Company: Phone:
Address:
Full Name: Relationship:
Company: Phone:
Address:
Full Name: Relationship:
Company: Phone:
Address:
I certify that the facts contained in this application are true and complete to the best of my knowledge
and understand that, if employed falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements – including background checks and employment verification -
contained herein and the references and employees listed above to give you any and all information
concerning my previous employment and any pertinent information they may have, personal or
otherwise and release the company from all liability for any damage that may result from utilization of
such information.
By my signature, I agree that IT Consulting Services, Inc., has the right to represent me with any client
companies for which IT Consulting Services, Inc., submits my resume. IT Consulting Services, Inc. will
not refer my resume to companies without my prior consent, unless a time-critical situation prohibits
prior notification.
I also certify that I will not discuss proprietary client information with anyone outside of IT Consulting
Services, Inc.
IT Consulting Services, Inc., subscribes to the doctrine of Employment-At-Will. This doctrine
recognized the employee’s and employer’s right to terminate employment at any time and that offers of
employment do not constitute an employment contract or guarantee of employment for any period of
time whatsoever.
Print Name
Signature
Date
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