Work for SSI: Online Job Application

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Online Job Application

Thank you for your interest in a career at SSI. Submit your application to us online here.

* = Required fields

Position you are applying for

Name*

Address

City

State

Zip

Home Phone*

Best time to call you

Alt. Phone

Email*

Have you submitted an application at SSI before?

Yes No

If so, give date(s) and position(s)

Have you ever been employed at SSI before?

Yes No

If hired, when would you be able to start?

Desired salary

Have you ever pleaded "guilty" or "no contest" to, or been convicted of a crime?

Yes No

If yes, please provide date(s) and details

Have you entered into an agreement with any former employer or other party (such as a non-competition agreement) that might, in any way, restrict your ability to work for our company?

Yes No

References - please provide us with 3 references.

List the name and phone number of 3 business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Name	Relationship to you	Phone #	# of years known

Is there any other job-related information you want us to know about you?

Resume* - please attach your resume here

By submitting this online application for employment at SSI, I certify that all of the statements made in this application are true and complete to the best of my knowledge. I understand that a false or incomplete answer may be grounds for not employing me or for dismissing me after I have begun to work. I understand that all information contained in this application may be subject to verification.