Employment Application

Employment Application

Join the Captus Systems Team Today!

CAPTUS SYSTEMS is an Audio-Visual Design & Build firm that leads with technology and delivers with people, high ethics and professionalism. We have the expertise to design and deliver AV, IT and Unified Communications Systems anywhere.

    For What Job Are You Applying?


    Last Name

    First Name

    Middle

    City

    Address

    State

    Cell Phone

    Home Phone

    Email Address

    Have you ever been convicted of a felony?
    YESNO

    Are you a U.S. Citizen?
    YESNO

    Are you willing to submit to a pre-employment drug screening?
    YESNO

    Education

    Please List all Past Education

    Other Training or Certificates

    Employment History

    Employer

    Dates Employed

    Work Phone

    Address

    City

    State

    Position

    Pay Rate

    Duties

    Supervisor's Name

    Reason for Leaving

    May We Contact Them?
    YESNO




    Employer

    Dates Employed

    Work Phone

    Address

    City

    State

    Position

    Pay Rate

    Duties

    Supervisor's Name

    Reason for Leaving

    May We Contact Them?
    YESNO




    Employer

    Dates Employed

    Work Phone

    Address

    City

    State

    Position

    Pay Rate

    Duties

    Supervisor's Name

    Reason for Leaving

    May We Contact Them?
    YESNO


    References

    Name

    Title

    Phone


    Name

    Title

    Phone


    Name

    Title

    Phone

    YES I certify that all answers given are true and complete to the best of my knowledge

    YES I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

    YES In the event of employment, I understand that false of misleading information given in my application or interview(s) may result in discharge.

    YES I agree to Captus Systems Terms of Service and Privacy Policy.

    Attach Resume:

    Electronic Signature

    Date

    Office