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Please fill in the form provided and someone will contact you shortly. Alternatively,
 Fax your resume to NEOS Technologies: attention Human Resources: 

+1 321 242 1019

or email to: neos@neostech.com

4005 Opportunity Drive, Melbourne, FL 32934  ·  (321) 242-7818  ·  FAX (321) 242-1019

Application For Employment
We consider applications for all positions without regard to race, color religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or other legally protected status.
INSTRUCTIONS: Fill out all spaces and answer all questions. Answer "NA" to those questions that do not apply.  Questions where noted " * " are optional. Most answer boxes are limited to the space provided. But, some answer boxes will allow up to 255 characters.
Position (s) Applied For:
How Did You Learn About Us? 

Advertisement*

Friend*

Walk-In*

Employment Agency*

Relative*

Other*
Fill in for Source*
Last Name:  First Name: Middle Name:
Address:  City:

State:  
 

Telephone Number (s) Zip Code:
Day

Evening
Cell E-Mail  
If you are under 18 years of age, can you provide required proof of eligibility to work?

Are you prevented from lawfully becoming employed in this country because of work Visa or Immigration Status?
Proof of citizenship or immigration status will be required upon employment 

Have you ever filed an application with us before?

If Yes, give date:

 
Have you ever been employed with us before?

If Yes, give date:

Are you currently employed? 

May we contact your present employer?

Are you currently on "lay off" status and subject to recall?

On what date would you be available for work?

Are you available to work? You may make more that one selection by holding the Ctrl key down

Are you able to travel if the job requires travel?

Are you physically or otherwise unable to perform the duties of the job for which you are applying?

Have you been convicted of a felony within the last 7 years?

Convictions will not necessarily disqualify an applicant from employment. If Yes, please explain.

Education
High School:       

Years Completed:

School Name and Location:

Diploma / Degree:

Describe Course of Study:

Under-Graduate: 

Years Completed:

School Name and Location:

Diploma / Degree:

Describe Course of Study: 
Graduate: 

Years Completed:

School Name and Location:

Diploma / Degree:

Describe Course of Study:
Other School:*

Years Completed:

School Name and Location:

Diploma / Degree:

Describe Course of Study: 
Describe any honors you have received.*
Describe any specialized educational training you have received.*
Indicate any foreign language you can speak, read, / or write*
Speak
Read  
Write  

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which would indicate race, color,  religion, gender , national origin, or handicap or other protected status.
Employer 1 : Service From:  
Address: Service To:
Supervisor: Phone Number:
Job Title: Beginning Hourly Rate:
Reason for leaving: Ending Hourly Rate:
Work Preformed:
Employer 2 : Service From: 
Address: Service To:
Supervisor: Phone Number:
Job Title: Beginning Hourly Rate:
Reason for leaving: Ending Hourly Rate:
Work Preformed:
Employer 3*: Service From: 
Address: Service To:
Supervisor: Phone Number:
Job Title: Beginning Hourly Rate:
 Reason for leaving: Ending Hourly Rate:
Work Preformed: 
Employer 4*: Service From:
Address: Service To:
Supervisor: Phone Number:
Job Title:            Beginning Hourly Rate:
Reason for leaving:  Ending Hourly Rate:
Work Preformed:

Special Skills and Qualifications 
Summarize special job-related skills and qualifications acquired from employment or other experience.*
Have you ever had any job-related training in the United States military?*                                      
List professional, trade, business, or civic activities and offices held.* You may exclude memberships, which would reveal sex, race, religion, national origin, age, ancestry, or handicap or other protected status.
State any additional information you feel may be helpful to us in considering your application.*

References
Give the name, address, and telephone number of three references who are not related to you and are not previous employers.

Applicant’s Statement

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

The applicant understands that neither this document nor any offer of employment from the employer constitute an employment contract unless a specific document to that affect is executed by the employer  and employee in writing 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 to abide by all rules and regulations of the employer.
Signature of Applicant
Date of Application

NEOS Technologies assumes no responsibility for the use of this "Application for Employment and Employment Data Record" or the loss of said Application or data entered into said Application or use or misuse of data by third party during transmission of data or during the investigation of statements entered into said Application which may result in injury to the Applicant.  NEOS Technologies assumes no responsibility for any questions which, when asked  by the Employer of the job Applicant, may violate State and / or Federal Law.
 
 
4005 Opportunity Dr. | Melbourne | FL 32934 | USA

Tel: (321) 242-7818 Fax: (321) 242-1019