Application For Employment

  • Education

  • Please list Highschool, College, GED, & other schools attended if applicable.
    Name Of SchoolCity / StateDid You Graduate?If NO, # of Years Left To GraduateIf YES, Date of GraduationDegree ReceivedMajor 
  • Other credentials / licenses / professional affiliations, etc. which are relevant to the job(s) for which you are applying.
  • Skills

  • Please list technical skills, clerical skills, trade skills, etc. relevant to this position. Include relevant computer systems and software packages of which you have working knowledge, and note your level of proficiency (basic, intermediate, expert)
  • Work Experience

  • Begin with you current or most recent employer. If you held multiple positions with the same organization, detail each separately. Omission of prior employment may be considered falsification of information. Include full-time military or volunteer commitments. PLEASE NOTE: Integra Optics, Inc. reserves the right to contact all current and former employers for references information.
    Dates Of EmploymentFull Time or Part TimeTitleOrganization NameOrganization AddressSupervisor's NameSupervisor's Phone #Primary DutiesReason For Leaving 
  • References

  • Please list 3 (three) professional references.
    NameRelationshipCompanyCompany AddressPhone # 
  • Accepted file types: jpg, doc, png, pdf, Max. file size: 32 MB.
  • Accepted file types: jpg, doc, png, pdf, Max. file size: 32 MB.
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