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RCG Application for Employment We are an equal opportunity employer.  If you are an applicant with a disability and need a reasonable accommodation to allow you to complete this application, please contact employment@rcgsolutions.com. Date of Application: First Name: Last Name: Address: Telephone Number: Email Address: Position(s) Applied for: Salary Range Desired: Minimum: To: Position Desired: Full-time   |  Part-time   |  Full or Part-Time  Contractor   |  Internship  When are you available to begin work? Have you ever been convicted of a crime?  If so, please advise of the date(s) of conviction, nature of conviction, sentence imposed and type of rehabilitation.  If you are a Connecticut applicant, please click here. Educational Background   Name Degree (GED) Obtained? and/or Highest Year Completed High School College Post-Graduate Technical School References Please provide the name, address and telephone number for three references other than family members: Name Address Telephone Number Employment History Please list your employment for the past ten years.  If you need additional space, please use the reverse side: Employer 1 Employer Name, address, telephone number Dates of Employment Position Held Name of Supervisor Reason for leaving May we contact? Yes  |  No Employer 2 Employer Name, address, telephone number Dates of Employment Position Held Name of Supervisor Reason for leaving May we contact? Yes  |  No Employer 3 Name of Supervisor Reason for leaving May we contact? Yes  |  No Employer 4 Name of Supervisor Reason for leaving May we contact? Yes  |  No Employer 5 Name of Supervisor Reason for leaving May we contact? Yes  |  No Employer 6 Name of Supervisor Reason for leaving May we contact? Yes  |  No If you are applying for a Graphic Designer or Web Application Developer position, please indicate the applications, platforms, hardware, software, etc. on which you are proficient: Please share any other skills, experience or other job-related information that you deem relevant for our consideration: Please check the following: I understand that nothing in this application is intended to create a contract of employment.  I further understand that no statements or comments made by company employees during the hiring process or, if applicable, after hire, is intended to create a contract of employment. I affirm that the information provided on this application is true and correct to the best of my knowledge.  I understand that any misstatements, misrepresentations, or omissions of information on this application may result in my not being hired and/or the termination of my employment if they are discovered after my employment begins. I understand that if I am hired, my employment will be at-will, which means that I can be terminated at any time, with or without cause and with or without notice. I understand that initial and continued employment is contingent upon successful completion of a background check. I understand that initial and continued employment is contingent upon my signing a non-compete and/or confidentiality agreement.