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Job Application: PTCI Job Application

Title: PTCI Job Application

Fields marked with an asterisk (*) must be filled out before submitting.

If you are interested in joining the team at PTCI, please complete the application below. We will keep your application on file for one year for each category you select. You will be contacted if a particular position becomes available within the next year in a category that you selected that your education and experience would make you a candidate for.

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

 

Personal Information

First Name *
Last Name *
Middle Name
Mailing Address *
City *
State *
Zip Code *
Telephone *
Cellular/Other
Email
 
Referral Source
If you are under 18 and it is required, can you furnish a work permit? Yes
No
If no, please explain:
 
Have you ever been employed here before? * Yes
No
If yes, give dates and positions:
 
Is this application a request for reemployment following an extended military leave of absence from this company? If yes, additional information may be requested. * Yes
No
 
Are you legally eligible for employment in this country? Yes
No
 
Date available for work
What is your desired salary range?
Type of employment desired Full-Time
Part-Time
Temporary
Seasonal
Educational Co-Op
 
Are you able to perform the “essential functions” of the job for which you are applying (with or without reasonable accommodation)? Yes
No
Need more information about “essential functions” to respond

This question is not designed to elicit information about an applicant’s disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.

Driver’s license number required if driving may be required in the job for which you are applying
State
 

Answering yes to either part of the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

Have you ever pleaded ”guilty” or “no contest” to, or been convicted of a crime? Yes
No
If yes, please provide date(s) and details
 

Employment History

Starting with your most recent employer, provide the following:

Employer 1
Date Employed From
Date Employed To
 
Street Address
City
State
Zip Code
Starting job title/final job title
Why did you leave?
Immediate supervisor and title
May we contact for reference? Yes
No
Later
Employer Telephone
Email
Compensation (Starting)
Compensation (Final)
Commission, Bonus, Other Compensation
Summarize the type of work performed and job responsibilities
Employer 2
Date Employed From
Date Employed To
 
Street Address
City
State
Zip Code
Starting job title/final job title
Why did you leave?
Immediate supervisor and title
May we contact for reference? Yes
No
Later
Employer Telephone
Email
Compensation (Starting)
Compensation (Final)
Commission, Bonus, Other Compensation
Summarize the type of work performed and job responsibilities
Employer 3
Date Employed From
Date Employed To
 
Street Address
City
State
Zip Code
Starting job title/final job title
Why did you leave?
Immediate supervisor and title
May we contact for reference? Yes
No
Later
Employer Telephone
Email
Compensation (Starting)
Compensation (Final)
Commission, Bonus, Other Compensation
Summarize the type of work performed and job responsibilities
 

Skills and Qualifications

Summarize any special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying

Computer Skills (Complete applicable fields and include software titles and years of experience)

Word Processing
Years
 
E-Mail
Years
 
Spreadsheet
Years
 
Internet
Years
 
Presentation
Years
 
Other
Years
 

Educational Background

Starting with your most recent school attended, provide the following:

School (include city and state)
# of Years Completed
Completed Diploma
Degree
Certification
GED
Other
GPA/Class Rank
Major/Minor
School (include city and state)
# of Years Completed
Completed Diploma
Degree
Certification
GED
Other
GPA/Class Rank
Major/Minor
School (include city and state)
Years Completed
Completed Diploma
Degree
Certification
GED
Other
GPA/Class Rank
Major/Minor
 

References

List names and telephone numbers 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
Title
Relationship to You
Telephone
E-Mail
# of Years Known
 
Name
Title
Relationship to You
Telephone
E-Mail
# of Years Known
 
Name
Title
Relationship to You
Telephone
E-Mail
# of Years Known
 
Upload Your Resume
 

Social Security Number

We will use this information only for employment purposes and make reasonable efforts to safeguard your privacy.

SSN

Selected Categories * Accounting
Clerical
Custodial
Customer Service
Inside Plant
IT/Broadband
Media
Outside Plant

Application Addendum

Please describe your experience pertaining to the category or categories you selected.

Accounting Category

Financials
Computer experience / excel / word / outlook
Payroll
Accounts Receivable
Accounts Payable
Do you have a degree in accounting or equivalent experience? Please explain
 

Clerical Category

Office procedures and office equipment
Customer service
Composing letters and other correspondence
Computer experience / excel / word / outlook
General clerical work
Marketing
 

Custodial Category

Custodial experience
Computer experience / excel / word / outlook
 

Customer Service Category

Customer service
Computer experience / excel / word / outlook
Sales
Marketing
Basic office procedures / office equipment
Dispatching
 

Inside Plant Category

Prior telephony work
Warehouse / inventory / purchasing
Computer experience / excel / word / outlook
Cellular radio, digital, switching equipment
Electrical training and work
Understanding staking sheets and circuit diagrams
 

Information Technology/Broadband Category

Computer
Internet
PC troubleshooting
Customer service
Networking /ATMs / etc.
Testing software and solving virus problems
Do you have a degree in CIS or an Associates degree or equivalent experience? Please explain
 

Media Category

Video production
Computer experience / excel / word / outlook
Marketing / Public Relations
Customer service
 

Outside Plant Category

Basic electronics
Computer hardware / software
Locating, installing, repairing cable
Familiar with plant records / recordkeeping
Splicing
Customer service
Operating heavy equipment

Applicant’s Authorization to Release Information

As an applicant for a position with PTCI / PTSI, I authorize all past employers and educational institutions to release information about my work history and education for use in determining my qualifications for this position.

Please release or verify the items indicated:

All information requested Yes
No

Past Employers

Salary History Yes
No
Dates of Employment Yes
No
Positions Held Yes
No
Responsibilities and Duties Performed Yes
No
Reasons for Leaving Yes
No
Eligibility for Rehire Yes
No
Attendance Record for Last Year of Employment Yes
No
 

Educational Institutions

Years of Attendance Yes
No
Degree Obtained Yes
No
Transcript Yes
No
 

Applicant Statement

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

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

I understand that this application remains current for one year. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and 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 with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or 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 supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

This Company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state, or local law. This Company likewise does not tolerate harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status. The Company takes all complaints of harassment seriously and all complaints will be investigated promptly and thoroughly.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer’s service, whenever it is discovered.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement and authorize the release of information as specified in the Authorization to Release form above.

Initials of Applicant *
Date *

IMPORTANT! PLEASE NOTE: Before submitting your application, please verify that you have completed all the required fields indicated by asterisks. Depending on your browser privacy settings, if you submit your application without completing all the required fields, the application will not go through, and you may be required to start completely over.