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TSSI Application by pKpFpjI9

VIEWS: 5 PAGES: 4

									                                                                                                     3075 FORSYTH ROAD
                                                                                                    WINTER PARK, FL 32792
                                                                                                       407.681.0500 OFFICE
                                                                                                          407.681.0501 FAX


APPLICANT INFORMATION

Last Name:                               First:                                   M.I.:                             Date:

Street Address:

City:                                                        State:                                              ZIP:

Home Phone:                     Cellular Phone:                       E-mail Address:

Date Available:                     Social Security No:                                   Desired Rate of Pay:

Position Applying For:

Have you ever worked for Tower Systems, Inc. or Tower Systems South, Inc. before?  Yes  No            If so, when?

Are you a citizen of the United States?  Yes  No        If no, are you authorized to work in the United States?  Yes  No

Have you ever been convicted of a felony?  Yes  No         If yes, please explain:



EDUCATION

High School:                                                    City/State:

From:                To:                     Did you graduate?         Yes  No          Degree:

College:                                                        City/State:

From:                To:                     Did you graduate?         Yes  No          Degree:

Other:                                                          City/State:

From:                To:                     Did you graduate?         Yes  No          Degree:



CERTIFICATIONS / TRAINING (please check all that apply)

 First Aid / CPR              Competent Climber                Andrew WP & Connectors             Boom Truck Operator

 OSHA 10 hr Safety Course     Competent Rescuer                Anritsu Site Master                Winch Operator

 OSHA 30 hr Safety Course     Eupen Cable & Connectors         Alcatel-Lucent Certified           Crane Operator

 Other:

 Other:




TOWER SYSTEMS SOUTH, INC.                                                                                                   Page 1
                                                                                                3075 FORSYTH ROAD
                                                                                               WINTER PARK, FL 32792
                                                                                                  407.681.0500 OFFICE
                                                                                                     407.681.0501 FAX


PREVIOUS EMPLOYMENT

Company:                                                       Phone: (      )

Address:                                                       Supervisor:

Job Title:                             Starting rate of pay:                         Ending rate of pay:

Responsibilities:

Dates of employment:                                           Reason for leaving:

May we contact your previous employer for a reference?  Yes  No

Company:                                                       Phone: (      )

Address:                                                       Supervisor:

Job Title:                             Starting rate of pay:                         Ending rate of pay:

Responsibilities:

Dates of employment:                                           Reason for leaving:

May we contact your previous employer for a reference?  Yes  No

Company:                                                       Phone: (      )

Address:                                                       Supervisor:

Job Title:                             Starting rate of pay:                         Ending rate of pay:

Responsibilities:

Dates of employment:                                           Reason for leaving:

May we contact your previous employer for a reference?  Yes  No



PROFESSIONAL REFERENCES

Name:                                  Company:                                      Contact Number:

Name:                                  Company:                                      Contact Number:

Name:                                  Company:                                      Contact Number:

Name:                                  Company:                                      Contact Number:



TOWER SYSTEMS SOUTH, INC.                                                                                      Page 2
                                                                                                    3075 FORSYTH ROAD
                                                                                                   WINTER PARK, FL 32792
                                                                                                      407.681.0500 OFFICE
                                                                                                         407.681.0501 FAX




SKILL LEVEL (please check all that apply)

                                            N/A          Minimal Knowledge       Moderate Knowledge     Advanced Knowledge

Guy Tower Installation                                                                                       

Self Support Tower Installation                                                                              

Monopole Installation                                                                                        

Antenna / Line Installation                                                                                  

Microwave Dish Installation                                                                                  

Path Alignment                                                                                               

Tower Rigging                                                                                                

Sweeping Lines                                                                                               

Foundation Installation                                                                                      

Site Surveying With Transit                                                                                  

Blue Print Reading                                                                                           

Gin Pole Operation                                                                                           

Computer Skills                                                                                              



ADDITIONAL QUALIFICATIONS

State any additional information that you feel may be helpful to us in considering your application:




TOWER SYSTEMS SOUTH, INC.                                                                                           Page 3
                                                                                                           3075 FORSYTH ROAD
                                                                                                          WINTER PARK, FL 32792
                                                                                                             407.681.0500 OFFICE
                                                                                                                407.681.0501 FAX


MOTOR VEHICLE INFORMATION

Do you have a valid driver’s license?                               If yes, what state is it issued in?

Do you have a clean driving record?                If no, please explain:

Do you have a CDL?                                                  Do you have a medical certificate?  Yes  No



PASSPORT INFORMATION

Do you have a valid United States Passport?                         If not, are you eligible to obtain one?  Yes  No



DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an
employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to
be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at
that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this
organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge
Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be
changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized
executive of this organization.

If this application leads to employment with Tower Systems, Inc. or Tower Systems South, Inc. I understand that false or
misleading information in my application or interview may result in my release.

Applicant Signature:                                                                           Date:



                                            FOR PERSONNEL DEPARTMENT USE ONLY

Arrange Interview  Yes  No            Remarks:

Employed  Yes  No           Date of Employment:                   Job Title:                              Rate of Pay:

Approved By:                                   Title:                                                      Date:




TOWER SYSTEMS SOUTH, INC.                                                                                                  Page 4

								
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