Apply for Position Web Site To apply for a position at Copper Hills please fill out the form below. Please leave enough time to fill out the application in it's entirety and confirm your information before you submit it. Applicant Information First Name * Last Name * Phone Number * Email Address * Street Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Position Applied For * Desired Salary * Date Available * Are you a citizen of the United States? * YesNo If no, are you authorized to work in the U.S.? * YesNoN/A Have you ever worked for this company? * YesNo If yes, when? Have you ever been convicted of a felony? * YesNo If yes, explain? Education High School Address To From Did you graduate? YesNo Diploma College Address To From Did you graduate? YesNo Degree Other Address To From Did you graduate? YesNo Degree References Please list three professional references. Full Name Relationship Company Phone Address Full Name Relationship Company Phone Address Full Name Relationship Company Phone Address Previous Employment Company Address Phone Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? YesNo Company Address Phone Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? YesNo Company Address Phone Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? YesNo Military Service Branch From To Rank at Discharge Type of Discharge If other than honorable, explain: Disclaimer and Acceptance I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Do you accept? YesNo Preview your information before you submit everything: Information Summary
