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:________________________________________________________________________________________________________FirstMiddleLastPlease list all other names used for education or employment including dates used and circumstances:_______________________________________________________________________________________________________________PRESENT ADDRESS:___________________________________________________________________________________________ Street_______________________________________________________________________________________________________________CityStateZip CodePRIOR 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 DATASocial 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 ___________NoDo 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 _______ NoWill you accept shift work? _______ Yes _______ NoNotice: 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.