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Scott Tower Services, Inc. Employment Application Form

Please complete the required fields and press the submit button to submit the application.
APPLICATION FOR EMPLOYMENT APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS

Personal Information

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

How long have you lived at your current address?

Phone *

Email Address

Are you under 18? *YesNo

If under 18, what is your age? *

Position applied for *0 / 10

Desired Salary *

USD

How many hours can you work weekly?

Are you willing to work weekends?YesNo

Are you willing you work nights?YesNo

Type of employment desiredFull-timePart-timeBoth

When are you available to start?

Highest Level of Education - Please Describe0 / 500

Have you ever been convicted of a crime? *YesNo

Please explain crime(s) *0 / 500

Transportation & Skills

Do you have a driver's license? *YesNo

Driver's License Number0 / 50

Type of license

OperatorCommercial (CDL)Chauffeur

DL State of issueDrivers license state

DL Expiration

What is your means of transportation to work? *0 / 100

Have you had an accident in the last 3 years? *YesNo

How many accidents in the last 3 years?

Have you had any moving violations in the last 3 years? *YesNo

How many moving violations? *

Are you applying for an office position? *YesNo

Typing WPM?

10-Key Typing WPM?

Do you have a personal computer? *YesNo

PC or MAC? *

PCMacOther

Any other office related skills you would like to tell us about?0 / 500

References

At least 2 references required

Name *

Position *0 / 150

Company *0 / 150

Phone *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Additional Notes0 / 500

Name *

Position *0 / 150

Company *0 / 150

Phone *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Additional Notes0 / 500

Would you like to add another reference?YesNo4 maximum

Name *

Position *0 / 150

Company *0 / 150

Phone *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Additional Notes0 / 500

Would you like to add another reference?YesNo4 maximum

Name *

Position *0 / 150

Company *0 / 150

Phone *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Additional Notes0 / 500

Armed Forces

Have you ever been a member of the armed forces? *YesNo

Are you currently a member of the National Guard? *YesNo

Specialty0 / 20

Date Entered

Date Discharged

Past Employers

Put present employer as first entry

Name of the employer *0 / 50

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Name of last supervisor0 / 20

Phone

Employment Start Date

Employment End Date

Pay/Salary

USD

Position Held *0 / 50

Reason for leaving *0 / 500

Add another employer?YesNo

Name of the employer *0 / 50

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Name of last supervisor0 / 20

Phone

Employment Start Date

Employment End Date

Pay/Salary

USD

Position Held *0 / 50

Reason for leaving *0 / 500

Add another employer?YesNo

Name of the employer *0 / 50

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Name of last supervisor0 / 20

Phone

Employment Start Date

Employment End Date

Pay/Salary

USD

Position Held *0 / 50

Reason for leaving *0 / 500

Add another employer?YesNo

Name of the employer *0 / 50

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Name of last supervisor0 / 20

Phone

Employment Start Date

Employment End Date

Pay/Salary

USD

Position Held *0 / 50

Reason for leaving *0 / 500

Add another employer?YesNo

Name of the employer *0 / 50

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Name of last supervisor0 / 20

Phone

Employment Start Date

Employment End Date

Pay/Salary

USD

Position Held *0 / 50

Reason for leaving *0 / 500

May we contact your present employer? *YesNo

Did you complete this application yourself? *YesNo

Who completed this application? *0 / 20

Upload Resume

No file chosen

PDF only. Max upload size 3 MB.

Signature *0 / 20

Signature Date *

Please do not fill in this field.

Reach Out

Scott Tower Services, Inc.
1838 Henley Rd Suite 2
Middleburg, FL 32068
(904) 272-2399

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