Application for Employment

Please complete the application in its entirety. Indicate “N/A” if not applicable.

It is the policy of Birmingham Technologies, Inc. to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

Job Application

APPLICANT'S INFORMATION

Issuance State
Exp. Date

APPLICANT'S EMPLOYMENT HISTORY

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment.

* Employer 1

* Employer 2

* Employer 3

APPLICANT'S EDUCATION AND TRAINING

List your current or most recent education first.

College/University 1

College/University 2

Other Training (graduate, technical, vocational)

MILITARY SERVICE

ADDITIONAL INFORMATION

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:

REFERENCES

List three non-relatives who would be willing to provide a reference for you.
Only numbers, no dashes or special symbols.
Only numbers, no dashes or special symbols.
Only numbers, no dashes or special symbols.

File Uploads

Please upload your resume and cover letter below, as a PDF or Plain Text files only.
Click or drag a file to this area to upload.
PDF or plain text files only
Click or drag a file to this area to upload.
PDF or plain text files only

CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize, Birmingham Technologies, Inc. to perform a background check including but not limited to contacting former employers and educational organizations regarding my employment, education and certifications. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand the relationship will be “at-will” in which either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Birmingham Technologies, Inc., except in a specific written contract of employment signed on behalf of the organization by its CEO, has the power to alter or vary the voluntary nature of the employment relationship.

I have carefully read the above verification and understand and agree to its terms.

By selecting "Agree" using any device, means or action, you consent to the legally binding terms and conditions of this Certification. You further agree that your signature on this document is as valid as if you signed the document in writing.