ComNet Inc. Job Application

I understand that neither this application nor any communication by a management representative is intended to create or does create a contract of employment, offer, or promise of employment for a definite term. I acknowledge that if hired by ComNet, Inc., employment is on an at-will basis in accordance with Indiana state law. This means ComNet, Inc. is free to terminate my employment at any time, with or without cause or advance notice, in accordance with Indiana state law, and acceptance of employment is not a contract of employment for any specified time. Similarly I am free to terminate my employment with ComNet, Inc. at anytime for any reason. This at-will provision may be modified or waived only in a written agreement signed by an authorized representative of ComNet, Inc. and me. I agree to conform to the rules and regulations of ComNet, Inc. and I understand that ComNet, Inc. has complete discretion to modify such rules and regulations at any time. 

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other consideration made unlawful by federal, state, or local laws.

NOTE: All items with (*) must be completed.

Name:

 *

Address: (include Apartment or Unit number)

 *

City / State / Zip:

 *

Phone Number:

  * (000 000 0000)  Cell Number: * (000 000 0000)

Email Address:

Are you the age of 18 or older?  Yes  No

How long have you lived at this address?            Years             Months

Previous Address: (include Apartment or Unit number)

Previous City / State / Zip:

How long were you at this address?  Years  Months

Type of Employment desired: Full Time    Part Time  Temporary

Are you willing to work overtime? Yes  No

What is your expected rate of pay?

Hours per week you are available to work:  Maximum  Minimum

Our First Shift starts at 5:00AM and can run until 6:00PM

Our Second Shift starts at 12:00PM and can run until 1:00AM

Our Third Shift starts at 8:00PM and can run until 9:00AM

What shift would you prefer? First  Second  Third Any

When are you available to start? (mm/dd/yyyy)

You Must Take And Pass A Drug Test To Work For ComNet, Inc.

Are you willing to take a drug test? Yes  No

You Must Obtain A Police Report Without Any Convicted Felonies To Work For ComNet, Inc.

Are you willing to get a police record check?  Yes  No

EDUCATION

EMPLOYMENT HISTORY:

List the names of your present or previous employers in chronological order with present or last employer listed first. Account for the last 10 years of employment including any period of unemployment. If you are self employed, supply the firm name and business references. You may include any verifiable work performed on a volunteer basis, internships or military service.

REFERENCES

Name:   Phone:

Name:   Phone:

Name:   Phone:

Name:   Phone:

How Did You Hear About Us?

ADDITIONAL INFORMATION

Have you any physical limitations, e.g. Hearing, Vision, Back Problems, which may affect your ability to perform the work applied for? If yes please explain:

I understand that all the information I have provided in this application is true to the best of my knowledge. Any material falsehood or misrepresentations I provide on this application may be cause for denial of employment or immediate dismissal. Please print "I agree" in the box below to show that you have read this paragraph and understand its meaning.

* "I Agree"

*

I understand and agree as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, non-compete, and/or conflict of interest statement.