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Computer Heaven Employment Application
Please fill out all relevant fields to the best of your ability
Name
Phone Number
Email Address
Current Address
Position you are applying for
Date you can start
Are you attending school?
Yes
No
Desired wage
Days you are available to work
Are you looking for full time or part time employment?
Full Time
Part Time
Are you over 18 years of age?
Yes
No
Have you ever applied here before? If so, when?
Highest level of education
Highschool
GED
Some College
College Graduate
* Sorry, but Computer Heaven is not taking applications for part-time work at this time. Only full-time applications will be accepted.
Name of present or last employer
Name of Supervisor
Phone Number
Address
Starting date
Leaving date
Ending payrate
Description of duties
Reason for leaving
Name of previous employer
Name of Supervisor
Phone Number
Address
Starting date
Leaving date
Ending payrate
Description of duties
Reason for leaving
Name of previous employer
Name of Supervisor
Phone Number
Address
Starting date
Leaving date
Ending payrate
Description of duties
Reason for leaving
Name of Reference
Phone number
Your relationship with them
Years known
Name of Reference
Phone number
Your relationship with them
Years known
Name of Reference
Phone number
Your relationship with them
Years known
Military service record
Have you been convicted of a felony in the past 5 years? Explain here.
Hobbies or areas of special interest that may be relevant to work at Computer Heaven
Any sales or technical experience that would be relevant to work at Computer Heaven
If you have a resume, you may upload it here
Please upload a short audio/video clip of yourself explaining why you'd be a valuable addition to our team
Acceptance Statement
“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.”
Submit Application
