Berk-Tek | Careers | Employment Interest Form

Careers / Employment Interest Form for all Positions

* First Name :

* Last Name :

* Address :

* City :

* State :

* Zip :

* Phone :

* Best time to call :

Email Address :

* Date Available to Start :

(MM/DD/YYYY)

Position Applying For:

Referred By:

* Indicates a required field.

I am interested in the following shift(s):

Educational Background (Select one that best describes you):
Some High SchoolSome College High SchoolCollege Graduate Vocational/Technical School
Are you at least 18 years old? YesNo

Are you a citizen or national, an alien lawfully admitted to permanent residence, or an alien authorized to work in the U.S.? YesNo

Have you been employed by Berk-Tek previously? YesNo
If "Yes", when and where:

Have you been terminated from a job for cause in the past 5 years? YesNo

Are you willing to take a drug test? YesNo

Attach Resumé (optional): File size is limited to 3MB. File types are limited to PDF, DOC, DOCX, RTF, TXT
Berk-Tek is an Equal Opportunity Employer.