Welcome to the Winn Technology Group Employment Application! We're glad you would like to join our team. Please fill out the form below and someone from HR will be in contact if you are a good match for one of our open positions.
By completing this form, you agree that all information contained is accurate to the best of your knowledge and you consent to a criminal background check.

Personal Information

First Name *
Last Name *
Date of Birth *
Marital Status
Languages Spoken
Ethnicity (optional)
Position Applied For *
Home Address
Middle Name
Maiden Name
Social Security *
Email Address *
Daytime Phone
Alternate Phone
Desired Salary
Previous Address
Main Phone Number *
Alt Phone Number
How did you hear about us?
If a friend or family member, who?
Have you worked for Winn before? *
If so, when?

Availability

Employment Desired *
Hours Available *
Are you available evenings?
What date can you start? *

Education

Highest Level of Education Completed
School Attended
When?
Additional Info (Degree Earned)

Background

Have you ever been enrolled in the Armed Forces?
Start Date
Discharge Date
Have you ever been convicted of a crime?
Explain the crime
Will you submit to a background check?
Will you submit to a drug screen?
Do you have reliable transportation?
State issued Drivers License Number
Expiration Date
Are you familiar with these programs?
Program Yes No
Microsoft Word
Microsoft Excel
Microsoft PowerPoint
How many words per minute (WPM) can you type?
Please list any other computer skills

Most Recent Employer

Employer Name
Address
Phone Number
Start Date
Position Held
Salary
Duties
End Date

Second Employer

Employer Name
Address
Phone Number
Start Date
Position Held
Salary
Duties
End Date

Third Employer

Employer Name
Address
Phone Number
Start Date
Position Held
Salary
Duties
End Date

Professional References

Name, Company, Phone Number
Name, Company, Phone Number
Name, Company, Phone Number
Thank you. This concludes the employment application process. Click 'Submit Application' below if you are finished.