Career | Communication Solution, LLC

CAREERS

Benefits Application Form

Great news, we are hiring!

Please complete the following form as applicable, which allow us to process your application faster. Thank you.

01 PERSONAL INFORMATION

Name * * ( Last Name, First Name, Middle Name )

Maiden or Other Names used

Present Address * * ( Full address with Apt No, City, States and Zip Code )

Permanent Address * * ( Full address with Apt No, City, States and Zip Code )

Length at Present Address? Month / Year

Phone Number * *

Social Security Number

Are You 16 Years or Older? * *

Referred By ( if any )

02 DESIRED EMPLOYMENT

Desired Position * *

Wage Desired * *

Date Start ( DD/MM/YY )

Are You Currently Employed? * *

If yes, may we contact your employer?

Have You Ever Worked For CST Before? * *

If YES, Where?

And When?

How Many Hours Per Week Can You Work?

Preferably Type

Transportation to Work?

Preferably Shift

03 EDUCATION

Name of Grammar School and Location

Subjects Studied

Did You Graduate?

No. Years Attended

Name of High School and Location

Subjects Studied

Did You Graduate?

No. Years Attended

Name of College and Location

Subjects Studied

Did You Graduate?

No. Years Attended

Name of Trade, Business or Correspondence School and Location

Subjects Studied

Did You Graduate?

No. Years Attended

04 GENERAL

Subjects of Special Study or Research Work

Special Training

Special Skills

Licensed Insurance Agent?

If Yes? Which One?

Are You a Captive Agent?

If YES, in Which State(s)?

Have You Ever Plead Guilty or Been Convicted of a Crime?

Explain Charge(s) ( if any )

05 MILITARY

Branch of Service

Discharge Date

Rank

06 WORK EXPERIENCE

List Three Previous Employers Starting with the Most Recent

01 Name of Present or Last Employer

Office Address ( Full address with Block No, City, States and Zip Code )

Job Title

Start Date

End Date

Name of Supervisor

Office Phone Number

02 Name of Previous Employer

Office Address ( Full address with Block No, City, States and Zip Code )

Job Title

Start Date

End Date

Name of Supervisor

Office Phone Number

03 Name of Previous Employer

Office Address ( Full address with Block No, City, States and Zip Code )

Job Title

Start Date

End Date

Name of Supervisor

Office Phone Number

07 REFERENCES

Please List Three References Other Than Relatives or Previous Employers

01 Name

Phone Number

Year Known

Company

Address

02 Name

Phone Number

Year Known

Company

Address

03 Name

Phone Number

Year Known

Company

Address

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that my result from utilization of such information. I also authorize a standard background check to be performed if required.

I understand that the possible employment with CS, LLC is strictly "at will". I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."

E-Mail Address

Today Date

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