Starfish Computer Corporation - Online Application

Online Application for Starfish Computer Corporation
* Indicates Required Fields

* Last Name:
* First Name:
Middle Initial:
* Street Address:
* City	State ZipCode
* Home Phone #:
Office Phone #:
* Social Security #:
* E-Mail Address:

How did you learn about this position?
Job Fair Ad Agency Found On The Net
Other:
Referred By:

Have you ever applied to Starfish Computer Corporation before?
Yes No

Do you have a driver's license?
Yes No

Are you willing to commute to a client site?
Yes No

Please check the area(s) that you would be interested in pursuing opportunities.
Help Desk Windows NT Server MCSE Microsoft Solutions

* Date Available:
Current Annual Base Salary:
Date of last salary review:
Salary Desired:
Annual Bonus/Overtime:

Education

College/University	Years attended	Degree	Major	Graduated?
				Yes No
				Yes No
				Yes No

Technical School	Years attended	Certificate	Major	Graduated?
				Yes No
				Yes No

* If hired by Starfish Computer Corporation, could you submit legal proof of eligibility for employment?
Yes No

If you cannot provide legal proof, do you need employer sponsorship?
Yes No

* Have you ever been convicted of a felony? (If yes, please explain)
Yes No

* Employment History

Job #1
Dates	Employer & Address	Salary Start	Salary Finish	Supervisor's Name & Title	Title/Major duties

Hardware & Software used
Reasons for Leaving

Job #2
Dates	Employer & Address	Salary Start	Salary Finish	Supervisor's Name & Title	Title/Major duties

Hardware & Software used
Reasons for Leaving

Job #3
Dates	Employer & Address	Salary Start	Salary Finish	Supervisor's Name & Title	Title/Major duties

Hardware & Software used
Reasons for Leaving

Job #4
Dates	Employer & Address	Salary Start	Salary Finish	Supervisor's Name & Title	Title/Major duties

Hardware & Software used
Reasons for Leaving

* Professional References
( List 5 professional references whom we may contact regarding you qualifications.)

Name	Company	Title	Phone