Woodwind & Brass Repair Technician Application Woodwind & Brass Repair Technician Application PERSONAL INFORMATION Name * First Last * Last Email * Home Phone Mobile Phone Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Are you legally authorized to work in the United States * Yes No May We Contact Present Employer * Yes No Did Someone Refer You to our Company? * Yes No List Name of Person Who Referred You: Do You Have Friends or Relatives Who Work Here? * Yes No List Name(s) of Friends or Relatives Working Here: Have You Ever Been Convicted of a Felony or Misdemeanor? * Yes No THE EXISTANCE OF A CRIMINAL RECORDS DOES NOT CONSTITUTE AN AUTOMATIC DISREGARD FOR EMPLOYMENT UNLESS RELAVENT TO THE TYPE OF EMPLOYMENT. List Convictions Here: If Offered Employment, When Are You Able to Start Working? * EMPLOYMENT HISTORY (Begin with most recent) Date From Date To Company Name City, State Titles and Duties Reason for Leaving Supervisor Name Contact Number Date From Date To Company Name City, State Titles and Duties Reason for Leaving Supervisor Name Contact Number Date From Date To Company Name City, State Titles and Duties Reason for Leaving Supervisor Name Contact Number EDUCATION/TRAINING Have you obtained a high school diploma or GED certificate? * Yes No College/University (please list Name & Location, Diploma/Degree and Type of Specialization) Specialized Courses/Training (please list Name & Location, Diploma/Degree and Type of Specialization) Other Special Skills (skills you offer for this job opening) REFERENCES (Give Names of 3 people not related to you) Reference 1 Name * Reference 1 Email * Reference 1 Phone Reference 2 Name * Reference 2 Email * Reference 2 Phone Reference 3 Name * Reference 3 Email * Reference 3 Phone Security The information on this application is true and accurate to the best of my knowledge: By entering your name, you are giving us your valid digital signature. Date * Attach Resume Drop a file here or click to upload Choose File Maximum upload size: 33.55MB If you are human, leave this field blank. Submit