Providing quality phone and internet service throughout eastern Kentucky.

This application is valid for six months from the date it is received. After completing this resume, you can press the Submit button at the end to send it to us electronically, or you can choose to print it and mail it to us at:

SOUTHEAST TELEPHONE
106 SCOTT AVENUE
PIKEVILLE, KY 41501

SouthEast Telephone is an equal opportunity Employer. Applicants may request any reasonable accommodations in the application process. You may contact the Human Resources department at (606)432-3000.

Section 1: General Information
Date: 2010-03-12
Name:
   
LAST   FIRST   MIDDLE
Telephone:
 
HOME   OTHER
Previous name(s), if any:
Current address:
     
STREET   CITY   STATE   ZIP
On what date would you be available for work?
Social Security Number:
If you are under the age of 18, can you furnish a work permit?

Yes  No

E-mail Address
Visa classification if
not a U.S. citizen:
Have you ever been convicted
of violating any law (omit minor traffic violations)?

Yes  No     If yes, please list arrest, disposition of the arrest, and/or conviction(s), date(s), and place(s) below.
List professional, trade, business or civic activities and offices held. (You may exclude those which indicate race, color, religion, sex or national origin.
Section 2: Job Preferences
Availability to Work:
Position(s) desired:
   
FIRST POSTION   SECOND POSTION (IF NECESSARY)   THIRD POSTION (IF NECESSARY)
Shift preference(s), if any:
Desired earnings:
Can you work weekends? No    Yes    Occasionally
Section 3: Employment Status
Have you ever been with us before?
Yes  No If yes, give the name you used while employed:
 
When:   From:     To:
Position held:  
Department:  
Are you currently employed? Yes  No
May we contact your present employer? Yes  No
Are you on a lay-off and subject to recall? Yes  No
Do any of your friends or relatives work here? Yes  No     If yes, state names and relationships below:
Have you filed an application here before? Yes  No     If yes, give date:
Section 4: Military Service Record
Have you ever served in the military service?
Yes  No If yes, state Branch:
  If yes, state dates of duty:
 
   
FROM (MONTH/DAY/YEAR)   TO (MONTH/DAY/YEAR)   RANK AT DISCHARGE
  If yes, state your duties (include special training and duty stations)
 
  If yes, state Country:
Section 5: Education
High School Diploma/GED?
Yes  No If yes, state name of High School:
  If yes, state address of High School:
College (if applicable)
       
DATES ATTENDED   SCHOOL NAME   CITY   STATE   GPA
     
MAJOR   MINOR   DEGREE RECEIVED   DATE OF DEGREE
Graduate School (if applicable)
       
DATES ATTENDED   SCHOOL NAME   CITY   STATE   GPA
     
MAJOR   MINOR   DEGREE RECEIVED   DATE OF DEGREE
Business or Trade School
(if applicable)
       
DATES ATTENDED   SCHOOL NAME   CITY   STATE   GPA
     
MAJOR   MINOR   DEGREE RECEIVED   DATE OF DEGREE
Clerical Skills (Not required, but helpful)
 
TYPING SPEED (WPM)   MACHINES OR EQUIPMENT YOU HAVE SKILLS TO USE
Section 6: Employment History
Start with your present or last job. Include military service assignments and volunteer activities. Exlcude organization names which indicate race, color, religion, sex or national origin.
Current (or last) employer
  Full-Time  Part-Time
NAME USED WHILE EMPLOYED   JOB STATUS
   
COMPANY NAME   SUPERVISOR NAME   YOUR POSITION
       
ADDRESS   CITY   STATE   ZIP  
DESCRIPTION OF DUTIES PREFORMED
       
TELEPHONE   WAGE OR SALARY   FROM DATE   TO DATE  
REASON FOR LEAVING
Previous Employer
  Full-Time  Part-Time
NAME USED WHILE EMPLOYED   JOB STATUS
   
COMPANY NAME   SUPERVISOR NAME   YOUR POSITION
       
ADDRESS   CITY   STATE   ZIP  
DESCRIPTION OF DUTIES PREFORMED
       
TELEPHONE   WAGE OR SALARY   FROM DATE   TO DATE  
REASON FOR LEAVING
Previous Employer
  Full-Time  Part-Time
NAME USED WHILE EMPLOYED   JOB STATUS
   
COMPANY NAME   SUPERVISOR NAME   YOUR POSITION
       
ADDRESS   CITY   STATE   ZIP  
DESCRIPTION OF DUTIES PREFORMED
       
TELEPHONE   WAGE OR SALARY   FROM DATE   TO DATE  
REASON FOR LEAVING
Previous Employer
  Full-Time  Part-Time
NAME USED WHILE EMPLOYED   JOB STATUS
   
COMPANY NAME   SUPERVISOR NAME   YOUR POSITION
       
ADDRESS   CITY   STATE   ZIP  
DESCRIPTION OF DUTIES PREFORMED
       
TELEPHONE   WAGE OR SALARY   FROM DATE   TO DATE  
REASON FOR LEAVING
Section 6: Additional Employment History
Use this section if you need to add additional employment history.
Additional Space for more Employer Information
Section 7: References
Please list three personal references (Not relatives or former employers).
Reference #1:
 
NAME   OCCUPATION
 
ADDRESS   TELEPHONE NUMBER
Reference #2:
 
NAME   OCCUPATION
 
ADDRESS   TELEPHONE NUMBER
Reference #3:
 
NAME   OCCUPATION
 
ADDRESS   TELEPHONE NUMBER
Section 8: Driving Information

Do you have dependable transportation to and from work?

Yes  No
Can you travel if a job requires it? Yes   No
Applicant's Agreement and Certification
To Applicant: Read this information carefully and indicate your understanding of it below.

I certify that answers given herein are true and complete to the best of my knowledge. I autorize investigation of all statements containted in this application for employment as may be necessary in arriving at an employment decision. I understand that nothing on this application is intended to create or imply a contractual relationship; if hired, I understand that employment is at will, i.e., that it is not for any specific time period or duration, and can be terminated with or without reason at any time.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required by all rules and regualtions of the Company. I understand that I am required to submit to pre-employment drug screeening prior to any formal offer of employment.

Please complete this section indicating that you have read and understand the Applicant's Agreement and Certification.
These items must be completed in order for your application to be processed.
Yes, I have read and understand this agreement and certification.
Please type your full name and date in the spaces provided below.
 
NAME   DATE