Employment Pharr HP

Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email

Are you 17 years old or older? *

Yes
No

Have you ever pled guilty or been convicted of a crime other than a minor traffic violation? Do not include sealed and expunged convictions. *

Yes
No

If yes, please explain.

Educational Data

What is the highest level of education you've completed? *

List all educational degrees you've attained, the institution and the date they were awarded. *

Example: High School Diploma, XYZ High School, 1998 or BS Information Technology, ABC University, 2002

Employment

What job are you applying for? *

What is your desired salary?

Have you ever applied to or worked for any of the Pharr Family of Companies before? *

Yes
No

If so, when and for what company?

When could you report for work?

Indicate Shift Availability (Please check all that you are available to work) *

If working part time, what days/times would you be available to work?

Are you currently covered by a non-compete agreement with any former employer? *

Yes
No

If yes, identify which employer:

Most Recent Work History

Company Name *

Type of Business *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Dates of Employment *

First

Last

Your Job Title *

Starting Salary *

Final Salary *

Responsibilities / Duties *

Specific Reason For Leaving *

If this is your current employer, may we contact them?

Yes
No

Special Skills

If you are currently active or retired military, kindly tell us what branch of service and your post duties, including schools and training.

What knowledge, special technical or computer skills, and/or other qualifications have you acquired from employment or other experience? Include any specific equipment that you can proficiently operate and/or any software applications in which you are proficient. *

List any first aid or emergency response training for which you are currently certified (give date of certification).

Professional References

Give three references who are not relatives or former employers who can discuss work history.

Name *

First

Last

Job Title / Place of Employment *

Technology Coordinator, XYZ Company

Phone *

Email

Name

First

Last

Job Title / Place of Employment

Technology Coordinator, XYZ Company

Phone

Email

Name

First

Last

Job Title / Place of Employment

Technology Coordinator, XYZ Company

Phone

Email

How Did You Hear About This Position

If Current Employee, Please List Name

Upload Additional Documentation

Please upload your full resume/CV and signed affidavit to complete your application. Should you elect to complete the self-identification forms found at the bottom of the page, for gender/race, veteran status, and disability status please download and complete, save to your computer and upload those here as well. File types supported include .pdf, .doc, .docx, .jpg, .tif, .png, .gif - max 10 MB each

Upload Your Resume / CV

Include all educational and work history.

Signed Affidavit

Voluntary Protected Veterans Disclosure Form

Voluntary Disability Disclosure Form

Voluntary Race / Gender Disclosure Form

Join Our Family

Application

Educational Data

Employment

Most Recent Work History

Special Skills

Professional References

Upload Additional Documentation

Download Additional Forms