Employment Application | Criterion Technology, Inc.

Submit a copy of your resume to mboyt@ctioptics.com, using the subject "Applicant Resume". Please continue with the application process after you have submitted your resume.

Applicant Information

First Name:
Middle Initial:
Last Name:
Street Address:
Apartment/Unit Number:
City:
State:
Zip Code:
Phone Number:
Email:
Date Available:
Desired Salary:
Position Applied For:
Are you a US citizen?
If no, are you authorized to work in the US?
Have you worked for this company before?
If yes, when?
Have you ever been convicted of a felony?
If yes, please explain:

Education

High School

Name:
Address:
Attended from:	to
Did you graduate?

College

Name:
Address:
Attended from:	to
Did you graduate?
Degree:

Other

Name:
Address:
Attended from:	to
Did you graduate?
Degree:

Skill set:
Additional skills:
How would hiring you benefit Criterion?

References

First Reference

Full Name:
Relationship:
Company:
Phone Number:

Second Reference

Full Name:
Relationship:
Company:
Phone Number:

Third Reference

Full Name:
Relationship:
Company:
Phone Number:

Previous Employment

Latest/Current Employer

Company:
Phone Number:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Employed from:	to
Reason for leaving:
May we contact your supervisor for a reference?

Previous Employer

Company:
Phone Number:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Employed from:	to
Reason for leaving:
May we contact your supervisor for a reference?

Previous Employer

Company:
Phone Number:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Employed from:	to
Reason for leaving:
May we contact your supervisor for a reference?

Military Service

Branch:
Served from:	to
Rank at time of discharge:
Type of discharge:
If other than "honorable," please explain:

Disclaimer and Signature

Signature:
Date Signed: