Job Application

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Office Systems Installations (OSI) is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law.

Please fill out all of the sections below:

APPLICATION INFORMATION

Date: *
Applicant Name: *
Address: *
City *
State: *
Zip Code: *
Telephone Number (cell): *
Social Security Number:
Date of Birth: *
Drivers License Number:
Exp. Date *
State: *
Email Address: *
***Referred by:

EMPLOYMENT INFORMATION

Position(s) Applied for: *
How did you hear about the position? *
What days are you available to work? *
What hours or shift are you available to work overtime? *
On what date can you start working if you are hired? *
Do you have reliable transportation to and from work? *
Salary Desired: *

PERSONAL INFORMATION

Have you ever applied to or worked for OSI before? *
YesNo
If yes, when?
Do you have any friends, relatives, or acquaintances working for OSI? *
YesNo
If yes, state name and relationship:
Are you 18 years of age or older?
YesNo
Are you a U.S. citizen or approved to work in the United States?
YesNo
What document can you provide as proof of citizenship or legal status:
Will you consent to a mandatory drug/controlled substance test?
YesNo
Have you ever been convicted of a criminal offense(felony or misdemeanor)?
YesNo
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
(Note: No applicant can be denied employment solely on the grounds of conviction of a criminal offense, date of offesnse, the nature of the offense, including any significant details that description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for.)

EDUCATION AND TRAINING

High School: *
Address:
From:
To:
Did you graduate?
YesNo
College:
Address:
From:
To:
Did you graduate?
YesNo
Vocational School/Specialized Training:
Address
When
Did you graduate?
YesNo

PREVIOUS EMPLOYMENT

1. Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Telephone:
Dates Employed:
Reason for leaving:
2. Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Telephone:
Dates Employed:
Reason for leaving:

REFERENCES (PROFESSIONAL)

1. Full Name:
Relationship:
Company:
Phone:
Address:
City/State/Zip:
2. Full Name:
Relationship:
Company:
Phone:
Address
City/State/Zip
3. Full Name:
Relationship:
Company:
phone
Address:
City/State/Zip:

REQUIRED TOOLS ( Please indicate all you currently own-must have the rest within first 90 days)

Utility Knife w/extra blades
Work Gloves and Safety Glasses
Hard Hat and Safety Vest
Cordless Drill ( Name Brand if possible - 18 volt or above) with 2 batteries and a charger
Various Drill tips/bits ( #1-3 Phillips, #1-3 Square, Various Torx, 3/16" & 1/4" Allen Head bit)
at least 3) 1/4" Magnetic Bit Holder (2 short and 1 long)
25' Tape Measure
Channel Locks
Aluminum Torpedo Level ( 2ft - if possible)
Allen Set (Metric and standard)
Pry Bar
Tool Box(one with wheels recommended)
Small plastic tackle box for spare screws
1/4" Socket Set with 1/4" Adapter for drill
3/8" Ratchet Set & Sockets
Screwdriver Set
Open End Wrenches
Hack Saw (with extra blade)
Bug Eye (electrical outlet tester)
Regular Rubber Mallet - non marking - Orange or Grey
Metal cutters (Snips)
AT-WILL EMPLOYMENT The relationship between you and Office Systems Installations(OSI) is referred to as "employment at will". This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Office Systems Installations (OSI). No represtative of Office Systems Installations (OSI) has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will", and that you acknowledge that no oral or written statements or represtations regarding your employment can alter your "at will" employment status, except for a written statement signed by you and either our Company's President or our Director of Operations.
Date
Applicant Signature

Verification

Please enter any two digits *Example: 12
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