Welcome to Hutchinson Telephone Company

Application for Employment

Name
Address
City
State
Zip
Phone

Are you 18 years of age or older?	yes no
If hired, can you provide the documents required to prove that you are authorized to work in the United States?	yes no

Education

Type	Name/Location	Course	# Yrs Completed	Degree/Diploma
Elementary & Jr. High, High School				yes no
College or Technical Training				yes no
Other				yes no

Employment Record

Company Name /Address	Type of Work	Start/Stop Date	Pay	Reason for Leaving
1.
2.
3.
4.
5.

Additional Info

Position desired
Pay desired
Date you would be available for work
How were you referred to our company?
Is there any information we would need about your name or use of another name for us to be able to check your record?	yes no
If yes, please specify
Please list any additional information that you would like to provide regarding your ability to perform the job for which you have applied – such as licenses, awards, hobbies, etc.

References - other than relatives

Name	Occupation	Yrs. Known	Address
1.
2.
3.

Resume

Upload your resume

I understand that Hutchinson Telephone Company and Hutchinson Telecommunications Inc. follow an employment-at-will policy, in that either Hutchinson Telephone Company, Hutchinson Telecommunication Inc. or I may terminate my employment at any time, with or without prior notice, and with or without cause, as long as the reason is consistent with applicable state or federal law. I understand that this application is not a contract of employment. I understand that to be employed I must be lawfully authorized to work in the United States and I must show the employer documents that will prove this.

I understand that Hutchinson Telephone Company and Hutchinson Telecommunication Inc. will thoroughly investigate my work and personal history, and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named therein, including my current employer, unless otherwise noted, to provide any information requested about me and I release them from all liability for damage in providing this information.

I certify that all the statements herein are true and understand that any falsification or willful omission may result in dismissal or refusal of employment.

By submitting this form, you thereby agree to the above statements.