Providence Industrial Electronics Repair, Inc. - Apply Online

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Providence Industrial Electronics Repair

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	SUPPORT 1-800-460-1869

WHY PROVIDENCE?

A Great Place to Work

Why Providence?: Warranty / Guarantee | Testimonials | A Rich History | A Great Place to Work

APPLY ONLINE

An Equal Opportunity Employer
Providence Industrial Electronics Repair is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization. At the end of this online application, you will be given an opportunity to attach a resume. However, a resume will not be considered a substitute for a completed application.

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QUESTIONS?

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or call us at 1-800-460-1869

Applicant Information

Applicant's Full Name			Social Security #
Home Phone			Cell Phone
Email
Current Address
City			State	Zip Code

Are you a citizen of the United States?	Yes	No
If not, do you have work papers?	Yes	No

Employment Position

How were you referred to the Company?
Have you ever worked for the Company?	Yes No
If yes, when?
Position(s) applying for
Type of employment desired	Full-time Part-time Temporary
Date available to start
Salary desired
Have you ever pled "guilty" or "no contest" to or been convicted of a crime?	Yes No
If yes, give dates and details	Answering yes to these questions does not constitute an automatic rejection to employment. Date of the offense, seriousness, and nature of the violation, rehabilitation, and position applied for will be considered.
Driver's License Number (if applicable to position)

Personal Information

If hired, are you willing to submit to and pass a controlled substance test?

Yes No

Education, Training and Experience

	High School	College / University	Vocational School
School Name
School Address
Number of years completed
Degree / diploma earned
Did you graduate?	Yes No	Yes No	Yes No

Military
Branch
Rank in Military
Total Years of Service
Skills / Duties

Additional Information

Do you speak, write or understand any foreign languages?

Yes No

If yes, describe which language(s) and how fluent you consider yourself to be

Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us?

Yes No

If yes, explain

Previous Employment (begin with most recent position)

Are you currently employed?	Yes No
If you are currently employed, may we contact your employer?	Yes No
Below, please describe past and present employment positions, dating back five years. Simply click each employer to expand and edit the fields. Please account for all periods of unemployment. Even if you attach your resume, this section must be completed.

Employer 1 (click to expand)

Name of Employer
Name of Supervisior
Address
Telephone Number
Length of Employment (Dates)
Starting Salary / Title
Ending Salary / Title
Position & Duties
Reason for Leaving
May we contact this employer for reference?	Yes No

Employer 2 (click to expand)

Name of Employer
Name of Supervisior
Address
Telephone Number
Length of Employment (Dates)
Starting Salary / Title
Ending Salary / Title
Position & Duties
Reason for Leaving
May we contact this employer for reference?	Yes No

Employer 3 (click to expand)

Name of Employer
Name of Supervisior
Address
Telephone Number
Length of Employment (Dates)
Starting Salary / Title
Ending Salary / Title
Position & Duties
Reason for Leaving
May we contact this employer for reference?	Yes No

References

List below three persons who have knowledge of your work performance within the last four years. Simply click each reference to expand and edit the fields. Please include professional references only.

Reference 1 (click to expand)

Name (first, last)
Telephone Number
Cell Number
Address
Occupation
Number of Years Acquainted

Reference 2 (click to expand)

Name (first, last)
Telephone Number
Cell Number
Address
Occupation
Number of Years Acquainted

Reference 3 (click to expand)

Name (first, last)
Telephone Number
Cell Number
Address
Occupation
Number of Years Acquainted

Resume

Upload your resume here
Accepted formats: Word (.doc, .docx), PDF, Text (.rtf, .txt)

I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company. 

I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company. I also understand that if offered employment, I will be subject to a 90-day probationary period prior to management’s consideration of full-time employment. 
I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information 
related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or 
in any way related to such examination or revelation.

I have read and agree with the statements above.
Please enter your initials:

Services:
Fast & Reliable Repairs
Engineering Services
Products We Repair

Why Providence?:
Warranty / Guarantee
Testimonials
A Rich History
A Great Place to Work

Repair Catalog

Pricing / Rush

Satisfaction Guarantee

Employment Opportunities

FAQ

Customer Support:
268 Northstar Drive
Suite 128
Rural Hall, NC 27045

Telephone: 336-969-9107
Toll Free: 1-800-460-1869
Fax: 336-969-0355

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