Employment Application

Name:*
Address:
Phone:*
-
Other Phone:
-
Are you under the age of 19?*
If Yes, Date of Birth:
 / 
 / 
If employed can you provide documented proof of U.S. citizenship or authorization to be employed in the U.S. ?*
Other:
Have you been convicted of a felony?*
If yes, describe details (conviction does not necessarily bar you from employment)
Do you understand the physical and mental requirements of the job you are applying for? *
Can you meet these job requirements? *
Position you are applying for:
Expected wage:
If offered a position, when can you start?
Hours Availble to work:
Will you work overtime if asked?
Did you graduate from High School?
If yes, which High School?
Name and Location of College/University
College/University Major
Years Completed at College/University
Trade Name
Trade Major
Years Completed in Trade
1st Reference Name:
1st Reference Phone:
-
1st Reference Years Known
1st Reference Association
2nd Reference Name:
2nd Reference Phone:
-
2nd Reference Years Known
2nd Reference Association
3rd Reference Name:
3rd Reference Phone:
-
3rd Reference Years Known
3rd Reference Association

I understand that all employment with Fibertel is on an at-will-basis, which means that the employment relationship may be terminated by myself, Fibertel, or clients of FiberTel with or without cause, with or without reason, and with or without notice. I further understand that there is no contract for employment, express or implied, As consideration for employment, I agree that any claim, dispute, or controversy (including but not limited to, any and all claims of discrimination and harassment) which otherwise require or allow resort to any court or other governmental dispute resolution forum between an employee and Fibertel and/or Fibertel clients (or their owners, officers, managers, employees, agents, and other parties affiliated with employee benefit and health plans), or between an employee and any other person or entity for whom the employee is required to perform services pursuant to my employment with Fibertel and/or Fibertel clients, whether based on tort, contract, statutory, or equitable law, or otherwise (with the sole exception of claims arising under the National Labor Relations Act which are brought before the National Labor Relations Board, claims for medical and disability benefits under the Utah Worker’s Compensation Act, and the Department of Workforce Services claims), shall be submitted to and determined exclusively by biding arbitration pursuant to the Federal Arbitration Act, in conformity with the procedures of the American arbitration Association under its National Rules for the Resolution of Employment Disputes and judgment based upon the decision or award by the arbitrator(s) in such arbitration may be entered in any court having jurisdiction thereof.

Confirmation*
1) Company Name:
1) Address:
1) Phone:
-
1) How long were you employed?
1) Supervisor:
1) Wage:
1) Position:
1) Reason for leaving:
3) Company Name:
3) Address:
3) Phone:
-
3) How long were you employed?
3) Supervisor:
3) Wage:
3) Position:
3) Reason for leaving:
Upload Resume:
2) Company Name:
2) Address:
2) Phone:
-
2) How long were you employed?
2) Supervisor:
2) Wage:
2) Position:
2) Reason for leaving:
4) Company Name:
4) Address:
4) Phone:
-
4) How long were you employed?
4) Supervisor:
4) Wage:
4) Position:
4) Reason for leaving: