Employment Application

East Pensacola Heights Cyclery currently has opportunities for technicians throughout the Southeastern United States. We are always interested in qualified individuals for current and potential openings in our organization. To apply, please fill out the following application. It will be automatically forwarded to our Human Resource Department. You may also e-mail your resume to: resume@ephcyclery.com

Personal Information Please provide the following information:

Full Name:
Street Address:
City:
State:
Zip Code:
E-mail Address:
Telephone Number:
Salary Desired:
Date you can Start:

Education Information Please check next to the highest level of education you have completed.

High School Some College College Trade School

General Information Please answer each of the following questions:
*Are you:*
18 years of age or older?	Yes No
Responsible, professional, and honest?	Yes No
Currently employed?	Yes No
Looking for full-time employment?	Yes No
Able to lift at least 45 pounds?	Yes No
Available Saturdays if necessary?	Yes No
*Do you:*
Have dependable, insured transportation?	Yes No
Have a valid drivers license?	Yes No
Have your own home telephone?	Yes No
Have your own basic tools?	Yes No
Have previous experience in a commercial setting performing product assembly?	Yes No
Have experience working unsupervised?	Yes No

Previous Work Experience Please list your last three employers starting with the most recent first.

Job #1
Dates Employed:
Employer Name:
Employer Location:
Job Title:
Ending Salary:
Reason for Leaving:
Responsibilities:

Job #2
Dates Employed:
Employer Name:
Employer Location:
Job Title:
Ending Salary:
Reason for Leaving:
Responsibilities:

Job #3
Dates Employed:
Employer Name:
Employer Location:
Job Title:
Ending Salary:
Reason for Leaving:
Responsibilities:

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