Join the Total Choice Team

Please fill-out the application below and submit resume if available.

Name:*
Address 1:*
Address 2:
City:*
State:*
Zip:*
Phone (Home):
Phone (Mobile):
Email Address:*
Date Available:*
Desired Salary:*
Position Applied For (if applicable):
Are you a citizen of the United States: Check for yes
If no are you authorized to work in the U.S.: Check for yes
Have you ever worked for this company: Check for yes
If yes when:
Have you ever been convicted of a felony: Check for yes
If yes please explain:
Education
High School:*
HS Address:
HS Start Date:*
HS End Date:*
Did you graduate High School: Check for yes
College:
College Address:
College Start Date:
College End Date:
Did you graduate from college: Check for yes
College Degree:
Other:
Start Date:
End Date:
Did you graduate from this institution: Check for yes
Degree from this institution:
Professional References (list 3)
Reference 1 Full Name:*
Relationship with Reference 1:*
Company of Reference 1:*
Reference 1 Phone:*
Reference 1 Address:
Reference 2 Full Name:*
Relationship with Reference 2:*
Company of Reference 2:*
Reference 2 Phone:*
Reference 2 Address:
Reference 3 Full Name:*
Relationship with Reference 3:*
Company of Reference 3:*
Reference 3 Phone:*
Reference 3 Address:
Previous Employment
Company 1 (most recent):*
Phone (Company 1):*
Address (Company 1):
Supervisor (Company 1):*
Job Title (Company 1):*
Starting Salary (Company 1):*
Ending Salary (Company 1):*
Responsibilities at Company 1:*
Start Date (Company 1):*
End Date (Company 1):*
Reason for Leaving (Company 1):*
May we contact your previous supervisor (1): Check for yes
Company 2:*
Phone (Company 2):*
Address (Company 2):
Supervisor (Company 2):*
Job Title (Company 2):*
Starting Salary (Company 2):*
Ending Salary (Company 2):*
Responsibilities at Company 2:*
Start Date (Company 2):*
End Date (Company 2):*
Reason for Leaving (Company 2):*
May we contact your previous supervisor (2): Check for yes
Military Service
Branch:
Start Date (military):
End Date (military):
Rank at Discharge:
Type of Discharge:
If other than honorable explain:
Resume (paste text here):
Security Code:
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