Apply at SahliTech, Inc.

SahliTech, Inc. Employment Application

First Nameyour first name

Last Nameyour last name

Emaila valid email

Date of BirthYour Birthday

Addressyour street address

Cityyour city

Stateyour state

Zip Codeyour zip code

Social Security Numberyour SSN

Phone Numberyour phone number

I am legally eligible for employment in the U.S.?pick one!

YesNo

Are you able to perform the essential functions necessary for the job, without accommodations?pick one!

YesNo

Position applying for:

Position ID:If you have one

EMPLOYMENT HISTORY (Most Recent)

Employer name and address:more details

0 /

Position title/duties, skills:more details

0 /

Supervisor name:

Supervisor phone number:

Supervisor E-Mail:

Ending Salary:

Regular amount of work hours:

Start Date:

End DateLeave blank if still employed

Reason for leavingmore details

0 /

EMPLOYMENT HISTORY (Past)

Would you like to enter another previous employer?

YesNo

Employer name and address:more details

0 /

Position title/duties, skills:more details

0 /

Supervisor name:

Supervisor phone number:

Supervisor E-Mail:

Ending Salary:

Regular amount of work hours:

Start Date:

End DateLeave blank if still employed

Reason for leavingmore details

0 /

EDUCATION

High school:

Graduate (with diploma)GEDNone

Institution nameyour highschool

College/University

YesNo

Institution name:

Field of study:

Years completed:

Degree or Certificate:

TradeTechnical

YesNo

Institution name:

Field of study:

Years completed:

Certificate:

MILITARY

Are you a US veteran?

YesNo

Duty/specialized training:

0 /

SKILLS & QUALIFICATIONS

All other certifications:

0 /

Other qualifications such as special skills, abilities or honors that should be considered:

0 /

Types of computers, software, and other equipment you are qualified to operate or repair:

0 /

Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to our attention:

0 /

REFERENCES

List two personal references who are not relatives or former supervisors.

Reference Namereference full name

Reference Emailreference email

Reference Phone Number

Reference Occupation:

Years Known

2nd Reference Namereference full name

2nd Reference Emailreference email

2nd Reference Phone Number

2nd Reference Occupation:

Years Known

INFORMATION TO THE APPLICANT

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you will be required to: supply your birth certificate, social security card, or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above.You also agree to all SahliTech terms and conditions, as well as any SRS codes that pertain.

Resume & Other

Do you have a resume?

YesNo

Resumeupload

Upload

Do you have a cover letter, certificate or anything else to show us?

YesNo

Cover letter or otherupload

Upload

Do you have any comments or anything else you would like to share with us?

YesNo

Commentsmore details

0 /

E-Signture:

Nameyour full name

Last 4 of social:

Today's date