CyberRx Employment Application

Employment Application

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Personal Information

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CyberRx is an Equal Opportunity Employer. Applicants will be considered without regard to race, color, gender, religion, age, national origin, creed, marital or veteran status, disability, sexual orientation, gender identity, or any other legally protected status under federal or Maryland law.

Position Details

Job No.

Position Applied For*

Date of Application*

Personal Details

Last Name*

First Name*

Middle Name

Street Address*

City*

State*

ZIP Code*

Phone Number(s)*

Best Time to Contact

Date Available to Work

If Ever Employed Under Different Name, Please Specify

Availability

Desired Salary / Wage Range

Note: Per Maryland law, we do not ask about your current or prior salary history.

Available to Work

Full TimePart TimeTemporary

How Did You Learn About CyberRx?

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Additional Questions

Have you ever filed an application with us before?

YesNo

Have you ever been employed with us before?

YesNo

Are you currently employed?

YesNo

May we contact your present employer?

YesNo

Can you travel if required?

YesNo

Do any of your friends or relatives work here?

YesNo

Work Authorization

In compliance with the Immigration Reform and Control Act of 1986 (IRCA), we are required to verify employment eligibility. We do not ask about citizenship status. Proof of identity and work authorization will be required on your first day of employment via Form I-9.

Are you authorized to work in the United States?*

YesNo

If under 18 years of age, can you provide required proof of eligibility to work?

YesNoN/A (18 or older)

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CyberRx is an Equal Opportunity Employer. All information is kept confidential and used only for employment consideration.

Fields marked with * are required.