Home Maintenance Technician at Tri-County Community Action Agency

First Name *

Last Name

Email *

Phone *

Resume *

What is your expected salary? *

Date Available *

Do you have a valid driver's license? *

Do you have reliable transportation? *

Have you previously been employed with Tri-County Community Action Agency? *

If yes, when and position:

Were you referred by an employee of the agency? *

High School diploma *

If yes, name and location of school

GED *

If neither, indicate highest grade completed *

College/University

Location

Course of Study

Dates of Attendance

Hours Completed

Degree Received? *

If yes, please identify *

Year received

Identify any specialized training or skills you have *

Are you registered, licensed, or certified in any special training? *

Computer Proficiency *

What software have you used?

Company Name

Company Address

Telephone Number

Employment Dates

Last position held

Job Function(s)

Current/Last Salary

Reason for Leaving

May we contact Employer?

If No, please explain

Application Form