TeleFlex Networks Secure Online Application

Please enter you basic details in the form below and attach your resume. You can hover over the field with your mouse for an explanation for what to put in that field. Your resume MUST INCLUDE previous employment which should include the following: Company, Address, Phone, Supervisor, Job Title, Starting and Ending Salary, Responsibilities, Dates of Employment, Reason for Leaving and if is appropriate that we use your supervisor as a reference or not. You may use our existing reference form and attach to this application. https://dl.dropbox.com/u/1702027/References.pdf

Enter the applicants name.

Please record the person's address.

Please put your home phone number.

Please enter your cell phone number here.

Please enter your email address.

Record the employee or applicant's date of birth here.

(Use YYYY-MM-DD for date and HH:MM:SS for time)

Date
Time
Date
Time

Please indicate the date the applicant will be available for hire.

(Use YYYY-MM-DD for date and HH:MM:SS for time)

Date
Time
Date
Time

Please enter your social security number in the following format (XXX-XX-XXXX). This is not required since we are a technology based company and can understand security concerns people may have. However, we will need to collect this information by some other method before you will be considered a potential candidate.

Please input the desired salary requested in an rate per hour format. (ex. 12.00)

Are you a citizen of the United States and/or authorized to work in the U.S.?

Have you ever been convicted of a felony?

If yes, please explain.

Please select all programs you completed.

Please list all applicable educational institutions to match your completed programs. List the institution name, location, dates attended, and degree received.

Please list AT LEAST three professional references including their name, company, relationship, phone and/or email.

Please select any skill(s) you have obtained during your work/educational experience.

Enter the amount (in years) of experience you have had in any information technology, telecommunications or related industry.

Please enter the current or applying job for candidate.

Please use this for general notes - if you are applying for a position online please use this field to letting us know what types of role you are interested in.

Where possible please select the source of the original application