Pre-Employment Questionnaire
Please fill out this form as completely as possible. If your
qualifications match one of our openings, we will contact you.
Your name:
Your email address:
Your phone number:
Complete street address (and dorm,
room #, apt #, etc.):
City, State, and Zip Code:
I am legally authorized to work in the United States.
Please indicate current certifications:
MCSE
MCSA
CompTIA A+
CompTIA Server +
CompTIA Network +
CompTIA Linux +
Other: Please type in the certification:
Other: Please type in the certification:
Other: Please type in the certification:
Other: Please type in the certification:
Please paste
your cover letter
and/or resume
here:
Our pre-employment screening policies require a preliminary criminal records check prior to interview. By
pressing the submit button below, you are consenting to this check. Understand that further background
screening will be conducted if you become an official candidate. If you do not consent to the preliminary
criminal records check, please press the "Reset" button below and navigate away from this page. All
information submitted is treated in accordance with our Privacy Statement.
We are proud to serve southeast Missouri,
southern Illinois, and western Kentucky.
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