CAREERS

Application For Employment

C-TEC AG is an Equal Opportunity Employer. This application will not be used for limiting or excluding any applicant from consideration for employment on the basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should ask that Human Resources be notified to facilitate the necessary accommodations.

If an offer of employment is made, the applicant may be required to undergo a drug screen, physical, and background check. Provide only the information required. Failure to do so will result in disqualification of your application. This employment application will only be valid for 90 days from the application date. It will be the responsibility of the applicant to re-apply for employment consideration after 90 days.

Step 1 of 3 - Personal & Education

Please specify the position(s) and/or type of work for which you are applying:*
Type of employment desired:*
- Full Time
- Part Time
- Temporary
Desired Salary*
How did you hear about the position (radio, website, journal star, internet, TV, referral, etc.)?
Legal Name*
First Middle Last Preferred Name
Phone*
Alternate Phone
Email*
Current Address*
Street Address Address Line 2 City State ZIP Code
Is your current address the same as your permanent address?*
- Yes
- No
Permanent Address*
Street Address Address Line 2 City State ZIP Code
Have you ever applied with us?*
- Yes
- No
When? Month and Year
Have you ever been employed by us?*
- Yes
- No
When? Month and years.
In what capacity?
Do you know anyone who is employed with us?
- Yes
- No
Click plus sign after the first row to add additional names.
Click plus sign after the first row to add additional names.
Name(s)
What days and hours are you available to work?*
If hired, what date can you start working?*
MM slash DD slash YYYY
Can you work on evenings, weekends, and holidays?*
- Yes
- No
Are you available to work overtime?*
- Yes
- No
Do you have anything scheduled in near future (i.e., vacation, etc.) that may affect your ability to work overtime, weekends, evenings, holidays, etc.? If so please explain.
Driving Information
If the position requires you to operate a company vehicle please complete the following:
Do you have a reliable way to get to work?*
- Yes
- No
Do you have a valid driver’s license?*
- Yes
- No
Driver's License #*
Date of Issue*
State of Issue*
Are you subject to any driving restrictions?*
- Yes
- No
Please explain.
Do you have CDL license?*
- Yes
- No
Class
Has your driver’s license ever been suspended or revoked?*
- Yes
- No
What date?
Explain
Education
High School Education: Name & Location of School*
List Every Business, Trade School, or College Attended
Click plus sign after the first row to add additional information.
Name of School Location Dates Attended (From-To) Degree Received/Course of Study
If you did not earn a degree from college, how many total hours have you successfully completed? (Quarters/Semesters)
Were you involved in any extracurricular activities in high school or college that you feel could be beneficial to you in the position you are applying for? (Organizations, offices held, awards, honors received, etc.)*
- Yes
- No
Please explain.
Do you currently have any specialty license(s) or an apprenticeship(s) other than from your above schooling?*
- Yes
- No
Please list.
Other Information
Do you have a current passport?*
- Yes
- No
Are you eligible to apply for one?
- Yes
- No
Have you been convicted of a crime in the past 10 years, excluding misdemeanors & summary judgments?*
- Yes
- No
Describe in detail.
Are you able to perform the duties of the job with or without reasonable accommodation?*
*Contact Human Resources if you have not been provided with a job description for the position for which you are applying.
- With
- Without

WORK HISTORY
May we contact your present employer(s)?*
- Yes
- No
If no, please explain.
PRESENT AND PREVIOUS EMPLOYMENT INCLUDING MILITARY SERVICE
Most Recent Company*
Supervisor*
Phone Number*
Location*
City State
Date Started*
Date Left*
Starting Salary*
Ending Salary*
TITLE OF POSITION HELD AND DUTIES PERFORMED*
Reason for Leaving*
Previous Employer 1
Previous Company
Supervisor
Phone Number
Location
City State
Date Started
Date Left
Starting Salary
Ending Salary
TITLE OF POSITION HELD AND DUTIES PERFORMED
Reason for Leaving
Previous Employer 2
Previous Company
Supervisor
Phone Number
Location
City State
Date Started
Date Left
Starting Salary
Ending Salary
TITLE OF POSITION HELD AND DUTIES PERFORMED
Reason for Leaving
Previous Employer 3
Previous Company
Supervisor
Phone Number
Location
City State
Date Started
Date Left
Starting Salary
Ending Salary
TITLE OF POSITION HELD AND DUTIES PERFORMED
Reason for Leaving
Previous Employer 4
Previous Company
Supervisor
Phone Number
Location
City State
Date Started
Date Left
Starting Salary
Ending Salary
TITLE OF POSITION HELD AND DUTIES PERFORMED
Reason for Leaving
References
Please list the name and phone number of three references.
Name*
Phone Number*
Relationship*
Name*
Phone Number*
Relationship*
Name*
Phone Number*
Relationship*
Did you complete this application yourself?*
- Yes
- No
If not, who did?
ATTACH RESUME OR LETTER, IF REQUIRED, TO PROVIDE COMPLETE DETAILS OF EXPERIENCE AND OTHER EMPLOYMENT
Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 128 MB.

Signature
Important Read Carefully and Initial Each Paragraph Before Signing
By my signature and initials placed below, I understand that the information provided in this employment application (and accompanying resume, if any) is true and complete; and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification for my dismissal from employment if discovered at a later date. I agree to notify the company if any information provided in this application changes while my application is pending or during my period of employment if hired.
Initials*
I authorize the investigation of all statements contained in this application. I also authorize the company to contact my present employer (unless otherwise noted in my application), past employers, and listed references. I understand that under the Federal Fair Credit Reporting Act, I have the right to make a written request to the company, within a reasonable time, for the disclosure of the name and address of the consumer-reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation. I release such persons and organizations from legal liability in providing the above information.
Initials*
I authorize any person, school, current employer (unless otherwise noted in my application), and organizations named in this application form to provide the company with relevant information that may be useful to the company in making a hiring decision; and I release such persons and organizations from any legal liability in making such statements.
Initials*
I understand that this application does not, by itself, create a contract of employment. I understand and agree that, if hired, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD OF TIME and may regardless of the date of payment of my wages or salary, BE TERMINATED AT ANY TIME. I understand that I am free to resign at any time. I understand that NO PERSON IS AUTHORIZED TO CHANGE ANY OF THE TERMS MENTIONED IN THIS EMPLOYMENT APPLICATION FORM.
Initials*
This application is current for 90 days. At the conclusion of this time, if I have not heard from the Company and still wish to be considered for employment, it will be necessary to fill out a new application.
Initials*
The Company is an Equal Opportunity Employer. We do not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state, or federal law.
Initials*
I give permission for a complete pre-employment physical examination, including a drug-screening exam if an offer of employment is made. I consent to the release to the Company any and all medical information as may be deemed necessary in judging my capability to do the work for which I am applying.
Initials*
Dated:*
MM slash DD slash YYYY
Signed*
THIS APPLICATION FOR EMPLOYMENT WILL REMAIN ACTIVE FOR 90 DAYS.
Phone
This field is for validation purposes and should be left unchanged.

ABOUT C-TEC AG

One Source

C-TEC AG is a nation-wide leader in the Silo Construction and Silo Repair services industry.

Name of School	Location	Dates Attended (From-To)	Degree Received/Course of Study

Name(s)

CAREERS

Application For Employment

Step 1 of 3 - Personal & Education

Driving Information

Education

Other Information

WORK HISTORY

PRESENT AND PREVIOUS EMPLOYMENT INCLUDING MILITARY SERVICE

Previous Employer 1

Previous Employer 2

Previous Employer 3

Previous Employer 4

References

Signature

One Source