1)
Identifying Information
First Name *
Last Name *
2) Address
Street *
Apt#
City *
State *
Zip Code *
Telephone *
Fax
Email
3) Position & Location
I am seeking an opportunity in the
following LCI location. First Choice
Irving, TX
Buda, TX
If you are not able to work at another LCI location,
please do NOT select another location. (LCI does not
provide relocation costs.)
Second Choice
Buda, TX
Irving, TX
What
position are you applying for?
4) Availability
If hired, what date can
you start work? *
Month January February March April May June July August September October November December
Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year 2001 2002 2003 2004
5) Languages
Please list any languages that you read, speak, or understand and
indicate the level of fluency
Select
Language English Arabic French German Greek Hebrew Hindi Hungarian Italian Japanese Korean Mandarin Norwegian Persian Portuguese Russian Slovak Spanish
Written Basic Intermediate Fluent
Verbal Basic Intermediate Fluent
Comprehension Basic Intermediate Fluent
Select
Language English Arabic French German Greek Hebrew Hindi Hungarian Italian Japanese Korean Mandarin Norwegian Persian Portuguese Russian Slovak Spanish
Written Basic Intermediate Fluent
Verbal Basic Intermediate Fluent
Comprehension Basic Intermediate Fluent
Select
Language English Arabic French German Greek Hebrew Hindi Hungarian Italian Japanese Korean Mandarin Norwegian Persian Portuguese Russian Slovak Spanish
Written Basic Intermediate Fluent
Verbal Basic Intermediate Fluent
Comprehension Basic Intermediate Fluent
6) Other Information
How did you hear of LCI? *
Have you ever worked for our company
before? *
When and Where did you work
Are you currently employed? *
Can we contact your current employer? *
If hired, can you show eligibility to work in the
USA? *
Have you ever been convicted of a felony? *
7) Employment
History
Please describe your work experience starting with your most
recent job.
Job 1
Dates Begin:
Dates End:
Position:
Job 2
Dates Begin:
Dates End:
Position:
8 ) Educational background
High School:
Name and Location of High School*
No of Years Completed*
Graduated*
College/University
Name and Location of College/University:
No of Years Completed
Graduated?
Degree/ Diploma
Other Schools (Trade, Business or
Correspondence)
Name and Location of Other School:
No of Years Completed
Graduated?
Degree/ Diploma
