Citywide online employment application

Current positions available:

Outside Sales Agent      Window Installer          Shop Helper

Personal Information:

Last Name  : 
First Name  :
SSN              : 
Phone#        :       Phone # 2:
Address       :City:State:Zip:
Referred By:

Employment Info:

Date you can start: Are you employed?:
May we contact your present employer:
Present employer info:
Ever applied to this company before?: If yes, When:
Do you have experience in the position you are applying for?:

Paste your resume here:

EDUCATION

High School                         :Yrs. Attended:Graduated?:
College                                  :Yrs. Attended:Graduated?:
Trade or business school:Yrs. Attended:Graduated?:

How did you hear about Citywide:
Authorization: "I certify that the facts contained herein 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 may result from utilization of such information. 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 forgoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and any other relevant federal and state laws."