• Loyal and CTI offer technical and sales opportunities to ambitious hard working individuals. Salary and benefits are attractive and will increase with training and experience.
  • Please fill in the application and fax to 631-422-6134 with Resume.
  • Testing will be required for positions and background checks are required.
  • Drug testing is random.
  • Human Resources Dept.
    Att: Lee
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.
Position(s) Applied For Date of Application
   
How Did You Learn About Us?

 

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Last Name First Name Middle Name
     
Street Address State Zip
     
Telephone Number(s) Social Security Number
   
If you are under 18 years of age, can you provide required proof of your eligibility to work?    Yes    No
Hove you been employed with us before?    Yes    No

If Yes, give date.

  
Are you currently employed?    Yes    No
May we contact your present employer    Yes    No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment.)    Yes    No
On what date would you be available to work?  
Are you available to work:      Full Time      Part Time      Shift Work      Temporary    
Are you currently on "lay-off" status and subject to recall?    Yes    No
Do you have dependable means of transportation to and from work?    Yes    No
Have you been convicted of a felony within the last 7 years? (Conviction will not necessarily disqualify an applicant from employment)    Yes    No
If yes please explain
Education
  Name / Address
of School		 Course of Study Years Completed Diploma Degree
High School        
Undergraduate College        
Graduate Professional        
Other (Specify        
Additional Information
State any additional information you feel may be helpful to us in considering your application. Summarize special job-related skills and qualifications form employment or other experience.
 

 
Employment Experience
Start with your present or last job. Include any job-related military service assignments and volunteer activities. you may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or other protected status.
Employer Dates Employed Work performed
  From To  
Address    
 
Telephone Number(s) Hourly Rate/Salery
  Starting Final
Job Title Supervisor    
   
Reason for leaving
 
Employer Dates Employed Work performed
  From To  
Address    
 
Telephone Number(s) Hourly Rate/Salery
  Starting Final
Job Title Supervisor    
   
Reason for leaving
 
Employer Dates Employed Work performed
  From To  
Address    
 
Telephone Number(s) Hourly Rate/Salery
  Starting Final
Job Title Supervisor    
   
Reason for leaving
 
References
Name Phone Number
   
Address
 
Name Phone Number
   
Address
 
Name Phone Number
   
Address
 
Applicants Statement
I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment beyond this time period should inquire as to whether or not applicants are being accepted at that time. I herby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization with or without cause. It  is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
  Signature of Applicant Date
     

WE ARE AN EQUAL OPPORTUNITY EMPLOYER