Employment Application

Thank you for your interest. Please complete all required sections.

Personal Information

First Name *

Last Name *

Date of Birth *

Phone Number *

Email Address *

Communication Preferences

Preferred Method of Communication * Best Time to Contact You *

Morning (8am - 12pm) Afternoon (12pm - 5pm) Evening (After 5pm)

Address

Street Address *

City *

State *

ZIP Code *

Eligibility Information

How were you referred to us? * If other, please specify If yes, please explain

Position Information

Which position(s) are you interested in? *

Cable Installer/Technician Fiber Specialist [Requires Certification] Security Camera Specialist [Requires Certification] A/V Specialist [Requires Certification] Electrician [Requires Certification] Alarm Specialist [Required Certification] Phone Receptionist Other

If other, please specify Which type of work are you available for? *

Full-time Part-time Temporary Contract

When can you start? *

Salary expectations *

Work Experience

Current/Most Recent Employer

Job Title

Start Date

End Date (leave blank if current)

Key Responsibilities Reason for Leaving

Education and Skills

Highest Level of Education * If other, please specify Field of Study Certifications or Special Training Technical Skills

Professional References

Optional, but helpful.

Reference 1 Name

Relationship

Phone

Email Reference 2 Name

Relationship

Phone

Resume Upload

Upload Resume * (PDF, DOC, DOCX — max 5MB)

Certification & Agreement

By submitting this application, I certify that all information provided is accurate and complete to the best of my knowledge. I understand that any false statements, omissions, or misrepresentations may result in disqualification from consideration for employment or termination if discovered after employment begins. I authorize Sarvicus to verify all information provided, contact references, and conduct background checks as permitted by law. I release all parties from liability for any damage that may result from providing such information.

I certify that I have read, fully understand, and accept all terms of the foregoing statement. *

Electronic Signature *

Date *

Security check: what is 2 + 6? *

* Required field. Automated submissions are rejected.