Hollis TV Inc

Bakersfield's TV Repair Shop

Job Application Form

If you would rather complete the application by hand and fax or mail, you can also print the PDF version.: Job Application. PDF *Subject of Request:
Job Application, HOLLIS-TV.COM  *Enter Today's Date: *What position are you applying for?
Field Technician  Dispatch Secretary  TV Technician  -------------------------------------------------------------------------------
APPLICANT INFORMATION
*First & Last Name: *Address: *City, State, Zip: *Phone Number: Alternate Phone: Email Address: *Check One:
I am a US citizen.
I am NOT a US citizen, but I am authorized to work in the US.
*Have you ever been convicted of a felony?
Yes  No  If Yes, Explain:
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EDUCATION:
*High School: *City, State: *Check One:
Graduated with Diploma
Did NOT graduate  Did NOT graduate, but later obtained GED.  College: City, State: List any degrees obtained:
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PREVIOUS EMPLOYMENT:
*Company: *Dates Employed: *City, State, Zip: *Company Phone: *Supervisor: *Job Title: *Responsibilities:
*Reason for Leaving:
. . . . . . . . . . . . . . . . . . . . . . . .
Company #2
Company #2 Dates Employed: City, State, Zip: Company Phone: Supervisor: Job Title: Responsibilities:
Reason for Leaving:
. . . . . . . . . . . . . . . . . . . . . . . .
Company #3
Company #3 Dates Employeed: City, State, Zip: Company Phone: Supervisor: Job Title: Responsibilities:
Reason for Leaving:
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MILITARY SERVICE:
Branch: Dates in Service: Rank At Discharge: Type of Discharge: If Other Than Honorable, Explain:
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PERSONAL REFERENCES:

People who you do not live with, and who you have not worked with qualify as personal references.

Please list at least 2 personal references.

*Name: *Relationship: *Years Known: *Phone: . . . . . . . . . . . . . . . . . . . . . . . .
#2
*Name #2: *Relationship *Years Known: *Phone: . . . . . . . . . . . . . . . . . . . . . . . .
#3
Name #3: Relationship: Years Known: Phone: -------------------------------------------------------------------------------
PROFESSIONAL REFERENCES:
*Colleague Name: *Company: *Job Title: *Years Worked With: *Phone: . . . . . . . . . . . . . . . . . . . . . . . .
#2
*Colleague Name #2: *Company: *Job Title: *Years Worked With: *Phone:

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. . . . . . . . . . . . . . . . . . . . . . . .
#3
Colleague Name #3: Company: Job Title: Years Worked With: Phone: -------------------------------------------------------------------------------
YOUR SKILLS, QUALITIES, ETC:
Let us know about yourself and why you want to work at Hollis TV Inc.:

Hollis TV Inc

Bakersfield's TV Repair Shop

Job Application Form

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