COLI Employment Form Submission

Contact Phone:*
Present Address:
Days you can Work:*
Willing to be on Call:*
Willing to Climb Towers?:*
Can you work Nights?*
Hours per Week you can work?:
Date You Can Start:
Are You 18 or Older?*
Do you have a current drivers license?*
Have you ever been convicted of a felony?:*
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.:
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.:*
Why do you believe you are the right candidate for the Job:
Please Upload your resume or email it to president@torchlake.com:
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