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Are you seeking full-time or part-time employment?*
 
How did you hear about this position at Modular Technology?
 
If 'referred by a friend', please let us know who referred you.
 
Are you legally eligable to work in the United States? *
 
Do you have a valid driver's license? *
 
Have you ever been convicted of any offense against the law? Include convictions by general court martial while in the military service. Do not include juvenile offenses and minor traffic violations? *
 
A conviction does not automatically mean that you cannot be employed. If you answered Yes to the question above, please provide all of the facts (date/place/charge/court/sentence) so that a decision can be made.
 
What is your expected starting salary (hourly rate)?
 
If hired, when would you be able to start (mm/dd/year)?  
 
   
 
  I have read and accept the terms & conditions. *

Review you answers prior to submitting this form.
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Terms and Conditions

ATTENTION: YOU MUST READ THIS STATEMENT BEFORE APPLYING FOR A POSITION

I certify that all of the statements made in this application are true and complete to the best of my knowledge. I understand that a false or incomplete answer may be grounds for not employing me or for dismissing me after I have begun to work. I understand that all information contained in this application may be subject to verification.

I understand that my fingerprints and police record may be checked if I am to be employed. rtify that all of the statements made in this application are true and complete to the best of my knowledge. I understand that a false or incomplete answer may be grounds for not employing me or for dismissing me after I have begun to work. I understand that all information contained in this application may be subject to verification.

I understand that if I am applying for a position that will require driving, a driving record check for pre-employment will be conducted through the Department of Motor Vehicles, and I authorize approval for this to be done. rtify that all of the statements made in this application are true and complete to the best of my knowledge. I understand that a false or incomplete answer may be grounds for not employing me or for dismissing me after I have begun to work. I understand that all information contained in this application may be subject to verification.

I understand that this application is not intended to be a contract of employment, and if I am employed, my employment will be as an employee at will, and that my employment may be terminated by the employee or employer at any time, with or without cause. rtify that all of the statements made in this application are true and complete to the best of my knowledge. I understand that a false or incomplete answer may be grounds for not employing me or for dismissing me after I have begun to work. I understand that all information contained in this application may be subject to verification.

As your application is processed, all or part of the information which is contained herein may be disseminated to another agency, non-governmental organization, system or person who would not have regular access to the information. The purpose of this dissemination will be for the evaluation of your application. By accepting this application, you are providing Modular Technology with permission to disseminate the information as deemed necessary by Modular Technology. rtify that all of the statements made in this application are true and complete to the best of my knowledge. I understand that a false or incomplete answer may be grounds for not employing me or for dismissing me after I have begun to work. I understand that all information contained in this application may be subject to verification.


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