Job Application

Apply For A Position At STRATA

Fill out the form below or download a copy of the employee application to apply.

Download Employee Application

STRATA Networks Employment Application Form

General Information

Name*
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Mailing Address*
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Street Address
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City*
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State*
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Zip Code*
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How long have you lived at your present address?*
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Home Phone Number
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Mobile Phone Number*
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Email Address*
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Driver's License No. (if applicable)
*Applicable only if job for which you have applied may require driving a motor vehicle
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Secondary Contact Name*
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Secondary Contact Phone Number*
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Position Applying For
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Were you previously employed by this organization?*
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Date(s)
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Department
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Desired Wages*
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Check the following options which you would consider*

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Date Available for Work
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Education and Training

Select Level of Education*

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High School

High School
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Did you graduate?
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Number of Years Completed*
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College or University

Did you attend more than one college or university?
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How many colleges did you attend?
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Name of First College Attended
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Location
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Course of Study
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Did you graduate?
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Number of Years Completed
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Degree
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Name of Second College Attended
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Course of Study
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Location
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Did you graduate?
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Number of Years Completed
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Degree
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Name of Third College Attended
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Location
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Course of Study
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Did you graduate?
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Number of Years Completed
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Degree
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Name of Fourth College Attended
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Location
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Course of Study
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Did you graduate?
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Number of Years Completed
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Degree
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Trade School

Name of Trade School Attended
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Location
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Course of Study
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Did you graduate?
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Number of Years Completed
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Degree or Diploma
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Apprentice School

Name of Apprentice School Attended
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Location
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Course of Study
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Did you graduate?
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Number of Years Completed
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Degree or Diploma
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Additional Skills and Training

List any other education, training, special skills or certificates/licenses that you possess which are relevant to the position for which you have applied
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List any machines or equipment that you are qualified and experienced at operating which are relevant to the position for which you have applied
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Experience

List present and former employers beginning with the most recent.

Most Recent Employer

Company Name
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Type of Business
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Phone Number
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Address
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Employed

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Employed From
(Month and year)
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Employed To
(Month and year)
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Name and Title of Supervisor
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State Last Job Title and Describe Your Work
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May we contact?
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Starting Wages
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Ending Wages
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Reason for Leaving
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2nd Most Recent Employer

Company Name
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Phone Number
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Type of Business
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Address
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Employed

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Employed From
(Month and year)
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Employed To
(Month and year)
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Name and Title of Supervisor
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May we contact?
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State Last Job Title and Describe Your Work
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Starting Wages
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Ending Wages
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3rd Most Recent Employer

Company Name
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Type of Business
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Phone Number
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Address
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Employed

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Employed From
(Month and year)
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Employed To
(Month and year)
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Name and Title of Supervisor
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May we contact?
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State Last Job Title and Describe Your Work
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Starting Wages
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Ending Wages
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Reason for Leaving
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Reason for Leaving
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Skills and Qualifications

List any other experiences or qualifications in addition to those indicated above which relate to the job for which you are applying
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References

List business persons known, but not related to you, other than those listed above

First Reference

Name
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Title
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Business
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Phone Number
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Years Known
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Second Reference

Name
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Title
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Business
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Phone Number
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Years Known
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Third Reference

Name
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Title
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Business
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Phone Number
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Years Known
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Fourth Reference

Name
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Title
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Business
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Phone Number
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Years Known
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Do you have any relatives or friends working for this organization?
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List any relatives or friends working for this organization and your relationship to them
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Can you verify your legal rights to work in the U.S. by providing a birth certificate, proof of U.S. Citizenship, or by some other means?*
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If you are under 18, are you able to furnish a work permit?
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Have you been convicted of a crime in the past 7 years, excluding misdemeanors and summary offenses, which has not been annulled, expunged, or sealed by a court?*
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Please describe in detail
(A conviction record will not necessarily be a bar to employment.)
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List any relatives or friends working for this organization
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Additional Remarks
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Resume (Optional)
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I certify that the answers given by me to the foregoing questions and the statements made by me in this application are correct and complete. I understand that, if I become employed, a misrepresentation or omission of fact in this application may result in my discharge from employment.

I authorize the company, as part of its evaluation of my suitability for employment, to contact all school officials, references, and my previous supervisors to secure information concerning my skills, character, and ability.

I further acknowledge and agree that no manager or representative of the Company has any authority to enter into any employment agreement.

I understand and agree that, if I am employed, I will be an at-will employee and the Company may terminate my employment at any time and for any or no reason without prior notice.

Signature*
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