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Employment Application
Comcast/ Xfinity Retail
*
Indicates required field
*
Required Fields
Today's Date
*
Name
*
First
Last
Date of Birth
*
Social Security #
*
Will be required prior to hiring
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Drivers License or State ID #
*
State
*
Expiration
*
Copy of Drivers License or State ID
*
Max file size: 20MB
Previous Employer
*
Supervisor's Name
*
First
Last
Phone Number
*
Job Title
*
Reason for leaving
*
Date of Employment:
From
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To
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Salary or Hourly rate
*
Education- High School/ College Attended
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Year Grad.
*
Degree (yes or no)
*
Education- High School/ College Attended
*
Year Grad.
*
Degree (yes or no)
*
Business
References
Name
*
Phone Number
*
Business Relationship
*
Name
*
Phone Number
*
Business Relationship
*
Referred By
(Please list the name of person or company that referred you to apply here with us.)
*
Have you ever been convicted or plead guilty to a crime?
*
NO
Yes
If yes, was it a misdemeanor or felony?
*
NA
Misdemeanor
Felony
Please explain
*
Upload Resume
*
Max file size: 20MB
Headshot Picture (Professional picture with solid background to be used for id)
*
Max file size: 20MB
___________________________________________
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I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application, background checks of my previous employment, criminal records, and driving records as deemed necessary and appropriate by the company and its clients or agents, in their sole and absolute discretion.
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Energy Consultant App
Clients
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