Job Application - Fox & Associates

Date

Name *

First

Last *

Last

Email *

Primary Phone Number *

Address *

Address

City

State/Province

Zip/Postal

Country

Have you applied to Fox & Associates, Inc. before? (Please pick Yes or No)

If yes, please give position applied for and approximate dates applied

Are you at least 18 years old and legally authorized to work in the United States? *If under the age of 18 years, complete the section directly below this one.

Yes

No

If hired and under the age of 18, can you provide a work permit?

Yes

No

Do you have a valid Driver’s License?

Yes

No

Military Service Status

Active

Inactive

Reserves

Not Applicable

Type of Employment

Full Time

Part Time

Employment Desired *

Design Engineer

Civil CADD Tech

Field Chief

Office Location Preference (Please check one)

Hagerstown, MD

Frederick, MD

Greencastle, PA

No Preference

Date available to start

Do you have specific salary requirement? *If “Yes”, please indicate desired salary per week or desired hourly wadges below

Yes

No

Desired salary per week or desired hourly wadges description

My Employment History & Education is included in my Resume (If no, please fill out the following sections)

Yes

No

Can Fox contact your previous employers? (If “No” explain why below)

Yes

No

If answered “No” to the previous question, explain why:

Employment History (If answered “No” to previous question)

Education (If answered “No” to previous question)

Below please list 2 personal references other than family, include their first & last name, their occupation, phone & email, years known, and how you know them.

Read this carefully before answering the following question:

Have you ever been convicted of a felony or misdemeanor?

Yes

No

If “Yes”, give details including date, location (City/County), nature of offence and disposition

Attach Resume

Maximum file size: 16.78MB

File Upload – Additional Supporting Documents if Applicable

Maximum file size: 16.78MB

Please Carefully Read the Following BEFORE Signing and Submitting

I have fully read and agree with the above statement

Yes I have

Additional information/comments you’d like to share with Fox

Signature

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