IMIG Audio / Video

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Home / Design-Build Job Application

Design-Build Job Application

Design-Build Job Application

Step 1 of 5

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Name / Address
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email
Phone
Desired Employment
Position
Date You Can Start
MM slash DD slash YYYY
Desired Salary
Are you currently employed?
- Yes
- No
May we contact your current employer?
- Yes
- No
Have you applied with this company before?
- Yes
- No
When and where?

Legal Data
Are you legally eligible for employment in the U.S. ?
- Yes
- No
Have you been convicted of a felony?
- Yes
- No
Will you agree to a drug test if asked?
- Yes
- No
Education
High school
Years attended
Date graduated
University/College
Years attended
Date graduated
Trade, Business or Correspondence
Years attended
Date graduated

Employment History
Employer
Job title
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Duties
Salary
Reason for leaving
Employer
Job title
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Duties
Salary
Reason for leaving
Employer
Job title
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Duties
Salary
Reason for leaving

References
Name
First Last
Occupation
Phone
Relationship / Years known
Name
First Last
Occupation
Phone
Relationship / Years known
Name
First Last
Occupation
Phone
Relationship / Years known

Additional Areas of Expertise
U.S. Military Service
Professional Licenses or Certifications
Areas of specialized study, research or additional experience:
List the foreign languages you speak fluently (please note read and/or write proficiency)
Physical Record
Do you have any physical disabilities that would limit you from performing the work for which you are applying? If so describe
Have you ever been injured?
- Yes
- No
Details
Emergency Contact
First Last
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

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Contact Us

IMIG Audio/Video, Inc.
info@imigav.com
Phone: 907.274.2161
Fax: 907.279.0219
2611 Fairbanks Street, Suite 100
Anchorage, AK 99503

Testimonials

Judy Hall Liaison Officer Alaska Retirement Board May 21 2012 The Alaska Retirement Management Board has used the services of IMIG A/V for the past six years. I have always been pleased … Read More >>

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