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I wish to become a Team Member of the: [ ] TechGroup [ ] SalesGroup [ ] RPiNet Group |
Industry
Experience: Y / N Resume Attached: Y / N |
| Full Name: | Hm Phone: |
| Address: | Cel Phone: |
| City/State/Zip Code: | Pager: |
| Social Security Number: | Have Your Own Car: Y / N |
| Desired Starting Hourly Wage: | Self-Motivated: Y / N |
| Present or Previous Employer: : |
Employed From: Employed To: |
| Address: | Telephone: |
| Job Title: | Leaving Salary: |
| Job Duties: : |
Reason for Leaving: : |
| Other Previous Employer: : |
Employed From: Employed To: |
| Address: | Telephone: |
| Job Title: | Leaving Salary: |
| Job
Duties: : |
Reason
for Leaving: : |
| Educational History: | [ ] High School Grad | [ ] College Grad | [ ] High School Grad |
| [ ] Computer Wise | [ ] GED | [ ] Tech Grad | [ ] Self Taught |
| [ ] Software Wise | [ ] Internet Wise | [ ] Hardware Wise | [ ] Registry Wise |
| Do you Have what it Takes? Sell yourself, Tell us why you would be an Asset to R-Pc. : (use back of application if needed.): : : : : : |
| Reference Name | Address | Occupation | Telephone |
| I HEREBY DECLARE THAT THE ABOVE STATEMENTS ARE TRUE. Applicant's Signature: _____________________________________ Date: ___/___/2004 |
