Job Application Form

First Name *

Last Name *

Email*

Phone Number*

Country * United States

Address Line 1

Address Line 2

City

State/Territory

Postal Code *

Resume Uploader

Are you legally eligible for employment in the United States? * (yes or no)YesNo

Please provide a minimum of two (2) references. Include individuals familiar with your work experience and skills, please do not include relatives. Name, Years Known, Professional Relationship, Email Address or Phone Number. By providing these references, you authorize the release of information pertaining to your work history, work habits, and work performance. *

If you have not attached a resume, please provide your employment history. You will have the opportunity to do this when you see the screen that states “Thank you! We have received your application”, scroll to the middle of the screen and click on the “Sure, Let’s Do It” button, then click on History to enter your employment history. Have you or will you be providing your most current employer(s)? *

Do you have a valid driver's license?
YesNo

Have you had any moving violations? If yes, please explain.
YesNo

What is your desired salary? AnnualHourly

Amount:

Do you want to tell us anything else about you?

Gender:FemaleMaleNot Specified

Race/Ethnicity: Hispanic or LatinoNot Hispanic or LatinoPrefer Not to Answer

Protected Veteran Status: I identify myself as one or more of the classifications of protected veteranI am not a protected veteranI decline to self-identify

Section 503 Disability Status: If you are unable to complete this application due to a disability, please contact IDC-Automatic to ask for an accommodation or an alternative application process.