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• Audio Design Engineer
• Avaya Voice Engineer

Full Name:
Address:
City:
State:
Zip:
Email Address:
Phone (Main):
Phone (Other):
How Were You Referred:
Position of Interest:	Sales Project Management Field Technician Design Engineer Other
Type of Employment:	Full-Time Part-Time Temporary Seasonal
Date You Can Start:
Salary Expectations:
Worked Here Before:	Yes     No
If Yes, When:
18 Years or Older:	Yes     No
If No, Please Explain:
United State Citizen?	Yes     No
If No, Legally Allowed?	Yes     No
Ever Been Convicted?	Yes     No
If Yes, Give Dates/Details:

Answering "yes" to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.

Summarize Your Special Skills or Qualifications:

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information giving in my application or interviews(s) may result in discharge.

I Agree to the Authorization