Application

Strategic Careers^® is an Equal Opportunity Employer. Applicants for all job openings will be considered without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, age, marital or veteran status, or the presence of a non-job-related medical condition or physical or mental disability.

My top three skills are:
Skill 1:	*
Skill 2:
Skill 3:


First Name:	*
Last Name:	* M.I.
Email Address:	*
Phone: * At least one phone number is required
Home:
Work:	Ext.
Cell:

Address Information:
Street:	*
City:	*
State:	*
Zip:	*

Education:

Degree(s) Attained:

School(s) Attended:

Month/Year Graduated:

Degree(s) Attained:

School(s) Attended:

Month/Year Graduated:

Degree(s) Attained:

School(s) Attended:

Month/Year Graduated:

Referral Source:

Website	Newspaper Ad	Referred by:
Job Fair	Internet Boards	Other:

Compensation:
Current Base or Rate:
Date of Last Raise:
Amount of Raise:
Desired Base or Rate:
Describe current bonus and/or commission plan:
Describe desired bonus and/or commission plan:

Miscellaneous:
Will you relocate?	Yes No
Will you travel?	Yes No
If yes, percentage of time:
Citizen of the United States?	Yes No
If no, can you prove your legal right to work in the United States?	Yes No
Availability to Interview:
Availability to Start:
Are you available to work a full-time schedule? (8am-5pm, M-F)	Yes No
Are you available to work more than 40 hours a week?:	Yes No

Professional References:

Reference 1
Name:
Phone:
Company:
Professional Relationship:

Reference 2
Name:
Phone:
Company:
Professional Relationship:

Reference 3
Name:
Phone:
Company:
Professional Relationship:

Reference 4
Name:
Phone:
Company:
Professional Relationship:

Job Req #:

Append Resume

Note: Acceptable documents are Word or PDF, preferably Word.

Applicant's Agreement:
I hereby give permission to Strategic Careers^® and Strategic IT Services, to perform a criminal background check with the Texas Department of Public Safety, the Federal Bureau of Investigation, any other law enforcement organization and any public records, foreign or domestic, for any criminal history, in accordance with applicable statutes, rules and regulations. In addition, I give permission to perform employment, education, and certification verifications.

I certify that answers given herein are true and complete to the best of my knowledge. I authorize Strategic Careers and Strategic IT Services to verify any and all statements contained in this application for employment, as may be necessary in arriving at an employment decision. I authorize Strategic Careers and Strategic IT Services to share the results of any investigation and any information in this application with Strategic Careers or Strategic IT Services' clients for purposes of placement with a client. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer, or, if I am hired, in my dismissal from employment.

* (Required Fields)