ELEIT TECHNOLOGY, INCORPORATED
NAME:________________________________________________________________________________________________________
First
Middle
Last
Please list all other names used for education or employment including dates used and circumstances:
_______________________________________________________________________________________________________________
PRESENT ADDRESS:
___________________________________________________________________________________________
Street
_______________________________________________________________________________________________________________
City
State
Zip Code
PRIOR ADDRESS (IF ANY):
_____________________________________________________________________________________
HOME TELEPHONE:
______________________________________
DAY PHONE: __
____________________________________
DATE: _______________________
POSITION APPLIED FOR: _________________________________________________________
Specific position must be listed or this application is invalid.
One position per application only.
________________________________________________________________________________________________________________
PERSONAL DATA
Social Security No. ____________________________________
Have you ever applied to ELEIT before? ___________________ If so, when? __________________________________________
Expected salary ______________ Referred by ______________________ Date available to work __________________________
If the position for which you are applying requires travel, are you available to travel?
__________Yes ___________No
Do you have relatives now employed with ELEIT? _________ Yes _________ No If Yes, list names: __________________
Have you ever been previously employed by ELEIT, if so, when and where: ____________________________________________
Reason for termination: ______________________________________________________________________________________
Are you at least 18 years of age? _______ Yes _______ No
Will you accept shift work? _______ Yes _______ No
Notice: ELEIT hires only United States citizens and lawfully authorized alien workers. All applicants must present documentation for permitting lawful
employment in the United States.
Applicants requiring disability-related accommodations for interviews should request them in advance.
ELEIT is an Equal Opportunity Employer and applicants are considered without regard to race, color, religion, sex, national origin, age, marital status,
veteran status, disability, or any other legally protected status. Minimum age limits imposed by law are observed. If selected for employment, a prospective
employee must provide satisfactory references, must be able to perform the essential functions of the job with or without reasonable accommodation,
sign a nondisclosure or patent agreement if requested, and be granted the necessary U.S. government access authorization, if required. The prospective
employee must agree to complete and sign any company or client-required confidentiality agreements. Pursuant to the ADA, ELEIT will make
reasonable accommodations to enable otherwise qualified individuals to accept employment and to perform their jobs properly and safely.
You need not disclose memberships to professional or technical organizations that might reveal information regarding race, color, religion, sex, national
origin, age, marital or veteran status, disability or any other legally protected status.
Present and former employees of the Department of Defense affected by Section 931 of the Defense Acquisition Improvement Act of 1986 will be expected
to provide approval documentation from their designated DoD Agency Ethics Official prior to the effective date of their employment with ELEIT.
EMPLOYMENT APPLICATION
This application must be completed in its entirety and is valid only until the specific position applied for is filled. One position per application only.
NAME:________________________________________________________________________________________________________
First
Middle
Last
Please list all other names used for education or employment including dates used and circumstances:
_______________________________________________________________________________________________________________
PRESENT ADDRESS:
___________________________________________________________________________________________
Street
_______________________________________________________________________________________________________________
City
State
Zip Code
PRIOR ADDRESS (IF ANY):
_____________________________________________________________________________________
HOME TELEPHONE:
______________________________________
DAY PHONE: __
____________________________________
DATE: _______________________
POSITION APPLIED FOR: _________________________________________________________
Specific position must be listed or this application is invalid.
One position per application only.
________________________________________________________________________________________________________________
PERSONAL DATA
Social Security No. ____________________________________
Have you ever applied to ELEIT before? ___________________ If so, when? __________________________________________
Expected salary ______________ Referred by ______________________ Date available to work __________________________
If the position for which you are applying requires travel, are you available to travel?
__________Yes ___________No
Do you have relatives now employed with ELEIT? _________ Yes _________ No If Yes, list names: __________________
Have you ever been previously employed by ELEIT, if so, when and where: ____________________________________________
Reason for termination: ______________________________________________________________________________________
Are you at least 18 years of age? _______ Yes _______ No
Will you accept shift work? _______ Yes _______ No
Notice: ELEIT hires only United States citizens and lawfully authorized alien workers. All applicants must present documentation for permitting lawful
employment in the United States.
Applicants requiring disability-related accommodations for interviews should request them in advance.
ELEIT is an Equal Opportunity Employer and applicants are considered without regard to race, color, religion, sex, national origin, age, marital status,
veteran status, disability, or any other legally protected status. Minimum age limits imposed by law are observed. If selected for employment, a prospective
employee must provide satisfactory references, must be able to perform the essential functions of the job with or without reasonable accommodation,
sign a nondisclosure or patent agreement if requested, and be granted the necessary U.S. government access authorization, if required. The prospective
employee must agree to complete and sign any company or client-required confidentiality agreements. Pursuant to the ADA, ELEIT will make
reasonable accommodations to enable otherwise qualified individuals to accept employment and to perform their jobs properly and safely.
You need not disclose memberships to professional or technical organizations that might reveal information regarding race, color, religion, sex, national
origin, age, marital or veteran status, disability or any other legally protected status.
Present and former employees of the Department of Defense affected by Section 931 of the Defense Acquisition Improvement Act of 1986 will be expected
to provide approval documentation from their designated DoD Agency Ethics Official prior to the effective date of their employment with ELEIT.
ELEIT Application
