Pre-Employment Application

CDC Technologies, Inc. is an equal opportunity employer. All applicants are considered for employment without regard to race, religion, sex, national origin, color, age, marital or veteran status, the presence of a non-job-related medical condition or physical handicap, or any other status protected by federal or state law.

Please fill out the entire application; be honest and explain answers thoroughly. Upon completing the application click Submit Application. Your application will be e-mailed to our office and our hiring manager will contact you in 3 - 5 business days.

* Your online application will not process until all required fields are completed!

Acknowledgements

Agree to Acknowledgement and Consent *

Yes No
Read Acknowledgement and Consent

Your Information

First Name *	Middle Initial
Last Name *
Address 1 *
Address 2
City *
State *
Zip Code *
Phone *
E-mail address *

Previous Addresses

1. Previous address *
Dates *	to

2: Previous address
Dates	to

Emergency Contact Information

Full Name
Complete Address
Phone

Education

High School Diploma or GED*	Yes No
Attend College *	Yes No If yes, how many years?
What College did you attend?
List any courses you are now taking

Work Experience

Last or present employer *
Dates *	to
Employer complete address *
Supervisor name and title *
Salary *
Your position and basic duties *
Reason for leaving *

2. Employer
Dates	to
Employer complete address
Supervisor name and title
Salary
Your position and basic duties
Reason for leaving

3. Employer
Dates	to
Employer complete address
Supervisor name and title
Salary
Your position and basic duties
Reason for leaving

U.S. Military Service

Branch of service
Rank at discharge
Honorable Discharge	Yes No
Give a brief description of special training received or most significant duty

Additional Information

Position applying for *
Valid Drivers license *	Yes No State of Issue
Use car to get to work *	Yes No

Referral

How did you hear about us?

Search Engine (i.e. Google, Yahoo...)
Link From Another Web Site
Business Colleague or Acquaintance
Alliance Partner
CDC Technologies, Inc. Client

CDC Technologies, Inc.
info@cdctechinc.com
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