Discountcell Online Job Application
You should get a confirmation screen and an email after you submit the application. If not, that means that your application did not go through.
1.  Job you are applying for
2.  Application Date 01/07/2009  
3.  Shift(s) applying for (please check) Full Time
Part Time (8am-12pm)
Part Time (9am-1pm)
Part Time (1pm-5pm)
Part Time (8am-1pm)
Part Time (12 noon-5pm)
Flexible (Jr. Programmer / System Admin)
4.  Personal Information
First Name
Last Name
5.  Address
Street
City
Zip Code
6.  Contact Information
Phone
Email
7.  Are you eligible for lawful employment in the United States? If yes, check this box
8.  Have you ever resigned from or otherwise left any employment while allegations of misconduct or harassment on your part were pending or under investigation? Yes      No
9  Are you aware of any current investigation that may result in criminal charges against you? Yes      No
10.  Have you ever been discharged or forced to resign from any position? Yes      No
11.  Have you used illegal drugs in the last 5 years? Yes      No
12.  Have you ever been convicted of any violation of the law, other than minor traffic violations?  (e.g. speeding is a minor violation, DUI and reckless driving are not) Yes      No
13.  Education High School Graduate?   If yes, check box

College or University

Major Subjects

Date Attended From /     To /

Check if Graduated

Type of Degree


Graduate School

Major Subjects

Date Attended From /     To /

Check if Graduated

Type of Degree


Vocational or Special Training

Major Subjects

Date Attended From /     To /

Check if Graduated

Type of Degree

 

14.  Work Experience Begin with your present or last position including Military employment and work back. Be specific. If more than one position was held under the same employer, describe each position separately. Describe your duties in concise detail. Indicate responsibility, supervision, if any, reason for leaving, etc. ( You may attach a resume or other relevant documents to further describe your qualifications.)
Date of Employment From: /         To: /
Title of Position
Ending Pay Rate $/hr
Name of Employer
Address
Phone
Supervisor
Reason for Leaving
Describe Your Duties

Date of Employment From: /         To: /
Title of Position
Ending Pay Rate $/hr
Name of Employer
Address
Phone
Supervisor
Reason for Leaving
Describe Your Duties

Date of Employment From: /         To: /
Title of Position
Ending Pay Rate $/hr
Name of Employer
Address
Phone
Supervisor
Reason for Leaving
Describe Your Duties

Date of Employment From: /         To: /
Title of Position
Ending Pay Rate $/hr
Name of Employer
Address
Phone
Supervisor
Reason for Leaving
Describe Your Duties
15.  May we contact your present employer? Yes   No
Inquiry may be made of your former employer or the last school attended regarding your performance.
16.  Comments
17.  Resume Upload

 
By clicking the 'Submit' button, I authorize Discountcell to conduct a background investigation and authorize the release of information in connection with my application for employment. If required for the position, the background investigation may include information released to criminal or civil convictions obtained from appropriate sources, including previous employers. I understand that the information will be considered with my qualifications for employment with DiscountCell Inc.
I waive my right of access to such information and hereby release Discountcell and the reference source from any liability in connection with the release or use of the information.
I understand that this employment application and any other Discountcell documents are not contracts of employment and that any oral or written statements to the contrary are hereby disavowed by Discountcell.


 
The information I have given on this application for employment is true and complete and is subject to verification by Discountcell. I also understand that any misrepresentation or falsification, regardless of when discovered, may subject me to dis-qualification or dismissal from employment with Discountcell.

I Accept The Above Terms and Conditions