Online Application

Employment Application

Date of Application

Position Applied For

Last Name

First Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Alt Phone

How did you hear about us?

Newspaper ad

Employment Agency

Current FTI Employee

Other

Employee Name

Describe

Are you a citizen of the United States?

Yes

Are you legally eligible to work in the United States? (Proof of eligibility will be required upon offer of employment)

Yes

Are you over the age of 18 years? (If no, you may be required to provide authorization)

Yes

Can you with or without reasonable accommodation perform the essential functions of this job? (If you have any questions about the functions of the job, please ask the interviewer before answering this question.

Yes

Have you ever applied to FTI before?

Yes

When did you previously apply?

Have you ever worked at FTI before?

Yes

Start Date

End Date

Do you have any relatives employed at FTI?

Yes

What is there relationship to you?

What salary or rate of pay do you expect to receive if employed?

Are you seeking

Full time employment

Part time employment

Shift preference

No preference

Will you work overtime if required?

Yes

On what date will you be available to work?

EDUCATION

ELEMENTARY SCHOOL - Name/Location

ELEMENTARY SCHOOL - # Years Completed

HIGH SCHOOL - Name/Location

HIGH SCHOOL - Course of Study or Major

HIGH SCHOOL - # Years Completed

HIGH SCHOOL - Did you receive your diploma?

Yes

COLLEGE - Name/Location

COLLEGE - Course of Study or Major

COLLEGE - # Years Completed

COLLEGE - Did you receive your degree?

Yes

GRADUATE - Name/Location

GRADUATE - Course of Study or Major

GRADUATE - # of Years Completed

GRADUATE - Did you receive your degree?

Yes

Please list any academic honors, scholarships, offices held, etc. (Do not list any which reflect your race, color, religion, gender, national origin, age, disabilities or veteran status.)

Describe any specialized training, licensing, apprenticeships, or skills (e.g. job related training; computer technology/word processing etc.).

Have you received any job-related training in the U.S. Military? (if so, please explain and dates of training)

EMPLOYMENT HISTORY

(Begin with current or most recent employer.) Do not exclude any employment. Include any applicable temporary employment. Attach another sheet if necessary. Previous salaries or wages will not be used to determine compensation at FTI.

May we contact your current supervisor?

Yes

Company Name

Address

City

State

Phone

Name/Title of Supervisor

Start Date

End Date

Describe Your Duties

Reason for leaving and explanation

Company Name

Address

City

State

Phone

Name/Title of Supervisor

Start Date

End Date

Describe Your Duties

Reason for leaving and explanation

Company Name

Address

City

State

Phone

Name/Title of Supervisor

Describe Your Duties

Start Date

End Date

Reason for leaving and explanation

REFERENCES:

Please list three persons, who are not related to you or previous supervisors, who can
provide professional references.

Name

Address

City

State

Phone

Years Known

Relationship/Occupation

Name

Address

City

State

Phone

Years Known

Relationship/Occupation

Name

Address

City

State

Phone

Years Known

Relationship/Occupation

Click on Choose File to upload your resume and cover letter

Choose File

SIGNATURE
By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

This application was signed by:

Name/Signature

Date

Printed Copies are Not Controlled

This document and all information contained herein is protected as confidential, proprietary, and trade secret, and solely the property of Fiberoptics Technology Inc. Use of this document is strictly controlled by written agreement Anyone receiving this document without explicit written authorization from Fiberoptics Technology, Inc. shall not use this document for any purpose and shall immediately contact Fiberoptic Technology lnc.'s Compliance Officer at 860-928-CU.O.

+1-800-433-5248

Factory Tour

Employment Application

Your source for Fiber Optics, Fiber Optic Lighting and Illumination products since 1977

Reference

Warranties

Calculators

Certifications