Welcome to Zap Lasers

It is our policy to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental handicap, or veteran status.

Items denoted with * are required.

Contact Information

First Name*:		Middle Name:
Last Name*:
Address*:		Apt/Suite:
City*:		State*:
Zip*:
Telephone*:		Mobile:
E-mail*:		Fax:

Position applied for*:

How did you hear of this opening?*:

When can you start?*: Desired Wage*:

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis?*:

Yes No

Are you looking for full-time employment?*:

Yes No

If "No", what hours are you available?*:

Have you ever been convicted of a felony?*:

Yes No

If "Yes", please describe the circumstances fully:

Education (Please include School Name and Location, Year, Major/Degree):

High School*:
College:
College:
Other:

In addition to your work history, are there other skills, qualifications or experience we should consider?:

Employment History (Start with most recent employer):

Company Name*:

Address*: Telephone*:

Date Started*:		Starting Wage*:		Starting Position*:
Date Ended*:		Ending Wage*:		Ending Position*:

Name of Supervisor*:

May we contact?*:

Yes No

Responsibilities*:

Reasons for leaving*:

Company Name*:

Address*: Telephone*:

Date Started*:		Starting Wage*:		Starting Position*:
Date Ended*:		Ending Wage*:		Ending Position*:

Name of Supervisor*:

May we contact?*:

Yes No

Responsibilities*:

Reasons for leaving*:

Company Name:*

Address:* Telephone:*

Date Started*:		Starting Wage*:		Starting Position*:
Date Ended*:		Ending Wage*:		Ending Position*:

Name of Supervisor*:

May we contact?*:

Yes No

Responsibilities*:

Reasons for leaving*:

References:

Name*: Telephone*:

Nature of Acquaintance*:

Name*: Telephone*:

Nature of Acquaintance*:

Name*: Telephone*:

Nature of Acquaintance*:

Include additional information (if necessary) and/or copy and paste resume (if not already submitted) below:

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history, I understand that employment at this company is "at will", which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment will continue on that basis. I understand that no supervisor, manager, or executive of this company, other than the president has the authority to alter the foregoing.

By checking this box, I certify that the statement above is true*: Yes