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i3 Broadband Application for Employment

Fields marked with an asterisk (*) are required; the others are optional.

Click "Submit Application" when you are finished.

Department
Department you are applying to:
Personal Information
First Name:* Required
Middle Name: Name or initial
Last Name:* Required
Present Address:* Required
City:* Required
State:* Required
Zip:* Required
Phone:* Required
E-mail: 
You must be at least 18 years old to work at i3 Broadband. Are you 18 years old or older? Yes  | No 
Employment Desired
Date You Can Start:* mm/dd/yyyy
Salary Desired: 
Are you presently employed? Yes: | No:
If so, may we inquire of your Present Employer? Yes: | No:
Have you ever applied to this Company before? Yes: | No:
If so, where?: 
If so, when?: 
Are you related to anyone employed by i3 Broadband?: If so, state name and location
Referred by: Referrer's name
Availability - Please list the hours you are available
SUNMONTUESWEDTHURSFRISAT
Education
High School
School Name & Location:* Required
Number of Years Attended:* Required
Graduated:* Yes:  |  No: Required
Extracurricular Activities:
College
School Name & Location:
Number of Years Attended:
Graduated: Yes:  |  No:
Concentration:
About You
Describe some of your hobbies and interests:
Are you a customer of i3 Broadband:
Describe your Experience:
Why would you like to work for i3 Broadband:
Describe a time you have provided excellent customer service. Why was the customer "WOWED":
What are your Personal and Career Goals:
Emergency Contact
In case of emergency, contact:
Name:
Address:
Phone:
Former Employers
Employer No. 1:
Start Date:
End Date:
Employer Name:
Employer Address:
Employer Phone:
Position:
Salary: Note if hourly or yearly
Responsibilities and reason for leaving:
Employer No. 2:
Start Date:mm/dd/yyyy
End Date:mm/dd/yyyy
Employer Name: 
Employer Address: 
Employer Phone: 
Position: 
Salary:Note if yearly or hourly
Responsibilities and reason for leaving:
Employer No. 3:
Start Date:mm/dd/yyyy
End Date:mm/dd/yyyy
Employer Name: 
Employer Address: 
Employer Phone: 
Position: 
Salary:Note if yearly or hourly
Responsibilities and reason for leaving:
Employer No. 4:
Start Date:mm/dd/yyyy
End Date:mm/dd/yyyy
Employer Name: 
Employer Address: 
Employer Phone: 
Position: 
Salary:Note if yearly or hourly
Responsibilities and reason for leaving:
References - Give below the names of three persons not related to you whom you have known for at least one year:
Reference No. 1
Name: 
Address & Phone: 
Business: 
Years Acquainted: 
Reference No. 2
Name: 
Address & Phone: 
Business: 
Years Acquainted: 
Reference No. 3
Name: 
Address & Phone: 
Business: 
Years Acquainted: 

"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 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 all parties from all liability for any damage that may result from furnishing same to you.

I understand and agree that if hired, my employment is for no definite period and may, regardless of date of payment of my wages and salary, be terminated at any time without any previous notice."

If you agree to these terms please click 'Submit Application'; otherwise, return to home page.

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