IT Jobs in Southeast Iowa | Careers at Cure Solutions

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Is This You?
Services
Why Choose Us
Our Clients
About Us
- Employment Form
- Referral Program
FAQs
Contact Us
Support
- Support
- Chat

Is This You?
Services
Why Choose Us
Our Clients
About Us
- Employment Form
- Referral Program
FAQs
Contact Us
Support
- Support
- Chat

Is This You?
Services
Why Choose Us
Our Clients
About Us
- Employment Form
- Referral Program
FAQs
Contact Us
Support
- Support
- Chat

Employment Form

Employment Desired

Position

Date you can start

Salary Desired

Type of Employment

Full time Part Time Summer Temporary

Where?

When?

Are you Employed Now?

Yes No

If so, may we contact your present employer?

Yes No

Have you ever applied to this company before?

Yes No

Please tell us why you are a good candidate for this position

Personal Information

First & Last Name

Middle Name

Email

Street Number

City

State

Zip Code

Birthday

Cell Number

Referred By

Education

High School Attended and Location

No. of Years Completed

Did you graduate?

Yes No

College Attended and Location

No. of Years Completed

Did you graduate?

Yes No

Trade, Business or Correspondence School Attended and Location

No. of Years Completed

Did you graduate?

Yes No

General

Special Courses or Training

Experience/Skills Related to the Position for Which You Are Applying

Office / Secretarial Applications

Typing

Typing - Years of Experience

Typing - Words Per Minute

Typing - Software Used (in Word Processing)

Shorthand

Shorthand - Years of Experience

Shorthand - Words Per Minute

Shorthand - Software Used (in Word Processing)

Word Processing

Word Processing - Years of Experience

Word Processing - Words Per Minute

Word Processing - Software Used (in Word Processing)

Employment History — Position 1 (Present or Most Recent)

Name Of Employer

Address (Number, Street, City, State, Zip Code)

Employer Phone

Type of Business

Department

Your Position

Duties

Name and Position of Immediate Supervisor

Can We Contact Them For A Reference Check?

Yes No

Supervisor Contact Number

Date Employed (Day, Month, Year)

Date Left (Day, Month, Year)

Starting Salary

Final Salary

Reason for Leaving

Employment History — Position 2

Name Of Employer

Address (Number, Street, City, State, Zip Code)

Employer Phone

Type of Business

Department

Your Position

Duties

Name and Position of Immediate Supervisor

Can We Contact Them For A Reference Check?

Yes No

Supervisor Contact Number

Date Employed (Day, Month, Year)

Date Left (Day, Month, Year)

Starting Salary

Final Salary

Reason for Leaving

Employment History — Position 3

Name Of Employer

Address (Number, Street, City, State, Zip Code)

Employer Phone

Type of Business

Department

Your Position

Duties

Name and Position of Immediate Supervisor

Can We Contact Them For A Reference Check?

Yes No

Supervisor Contact Number

Date Employed (Day, Month, Year)

Date Left (Day, Month, Year)

Starting Salary

Final Salary

Reason for Leaving

Other Experience

In this section, list any job experience not listed above that most directly relates to the job for which you are now applying.

Name Of Employer

Address (Number, Street, City, State, Zip Code)

Employer Phone

Type of Business

Department

Your Position

Duties

Name and Position of Immediate Supervisor

Can We Contact Them For A Reference Check?

Yes No

Supervisor Contact Number

Date Employed (Day, Month, Year)

Date Left (Day, Month, Year)

Starting Salary

Final Salary

Reason for Leaving

References

Reference 1

Company

Relationship

Phone

Email

Reference 2

Company

Relationship

Phone

Email

Reference 3

Company

Relationship

Phone

Email

Reference 4

Company

Relationship

Phone

Email

Background & Documents

Have you ever been convicted of any felonies or misdemeanors? (Excluding traffic and civil)

Yes No

If so, please list the Date, Type, and State.

Upload Your Resume

Contact

Cure Solutions

Address: 600 N Main Street Burlington, IA 52601
Phone: 319-753-2873
Email: help@curesolutions.com

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Is This You?
Services
Why Choose Us
Our Clients
About Us
- Employment Form
- Referral Program
FAQs
Contact Us
Support
- Support
- Chat