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MIS - Employment Application

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First Name:
Last Name:
Phone(with Area Code):
Enter the name of your present or last company:
Enter the name of the company you worked for the most:
Enter the name of the company you worked for that is closted to a retail warehouse store:
Store Position:
Job Type:
How did you hear about us?
Salary Requirements:
Do you have HMTL Experience? Yes   No
Do you have ASP or PHP Experience? Yes   No
Do you have Database(MS SQL) Experience? Yes   No
If yes, please rate your MS SQL skill level: General   Basic Novice Skilled Expert
Have you worked in the MIS Industry? Yes   No
Are you over 21 years old? Yes   No
Are you willing to travel (overnight 30-40%)? Yes   No
Please select the shifts you can work: Days Nights Weekends After School
Are you currently employed? Yes   No
Do you have Computer / Programmer Experience Yes   No
How many years? Enter 0 if none
How many jobs have you had in the last 5 years? 1 2 3 4 5+
If hired, when would you be available to work? (Days)

Quick Overview or Resume
Please tell us about your work experience and skills or Copy and Paste your Resume below