Apply for employment with SureWire! ABOUT YOUName*Please enter your full legal name First Middle Last Date of Birth* Are you a US Citizen?*YesNoAre you authorized to work in the US for any employer?*YesNoEmail* Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Days/hours available to work:Please enter the times that you are available to work for each day of the week. Example: 5am-7pm MONDAY*TUESDAY*WEDNESDAY*THURSDAY*FRIDAY*SATURDAY*SUNDAY*Desired Wage?*Please enter the hourly wage you desireAre you willing to work over-time? (more than 40 hrs per week)*YesNoAre you currently employed?*YesNoWhen are you available to start work with SureWire?*Have you ever been convicted of a crime?*Answering yes does not necessarily disqualify you for employment with us. YesNo*Please explain number of convictions, nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.Are you willing to take a pre-employment drug test?*YesNoDo you smoke?*YesNoTransportationWhat is your means of transportation to work?*Do you have a valid driver’s license?*YesNoDriver's License State of issue:*Driver’s license number:*Have you had any accidents during the past three years?*YesNoHow many?Have you had any moving violations during the past three years?*YesNoHow Many? And what for?*ExperiencePlease describe your construction and/or telecom wiring experience:*Describe equipment you are familiar with:*ToolsTools you currently own:*Past EmployersPlease list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.Job Title*Employment start and end dates:*Name of employer*Supervisor's NameCity, State*What was your pay rate with this employer?*Reason for leaving:*List the duties performed, skills used or learned, advancements or promotions while you worked at this company:*Job TitleEmployment start and end dates:Name of employerSupervisor's NameCity, StateWhat was your pay rate with this employer?Reason for leaving:List the duties performed, skills used or learned, advancements or promotions while you worked at this company:Job TitleEmployment start and end dates:Name of employerSupervisor's NameCity, StateWhat was your pay rate with this employer?Reason for leaving:List the duties performed, skills used or learned, advancements or promotions while you worked at this company:Job TitleEmployment start and end dates:Name of employerSupervisor's NameCity, StateWhat was your pay rate with this employer?Reason for leaving:List the duties performed, skills used or learned, advancements or promotions while you worked at this company:May we contact your present employer?*YesNoNotes:PLEASE READ CAREFULLYAPPLICATION FORM WAIVER*In exchange for the consideration of my job application by SUREWIRE INC. (hereinafter called “the Company”), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the Company or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the owner of the Company. Both the undersigned and the Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1) the Company has a drug and alcohol policy that provides for preemployment testing as well as random and /or periodic testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I further understand that my employment with the Company shall be probationary for a period of thirty (30) days, and further, that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party. I have read these terms and I am in agreement with them. This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.