» America's Leading Linen Team!   Please fill out the Online Application Form below or download, print and mail or fax the PDF version of the form. Download a PDF of the Application Form → COMTEX Employment Application Form COMTEX Online Application Form PERSONAL INFORMATION   Last Name: First Name: Middle Initial:   Street Address: City, State: Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code:   Telephone Number: Cell Number: Email Address: (required)   Social Security Number:     APPLICATION INFORMATION   Position(s) Applied For: Have you worked for COMTEX before? Yes   No If Yes, when?: Have you been convicted of a felony? Yes   No If Yes, please explain: Are you legally able to work in the USA? Yes   No If No, please explain: Type of Employment Desired: Permanent, Full Time   Permanent, Part Time Temporary, Full Time   Temporary, Part Time On Call   Summer Only     EMPLOYMENT HISTORY (Please list most recent Employer first.)   Name of Employer: From: Month January February March April May June July August September October November December Year 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 To: Month January February March April May June July August September October November December Year 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 Supervisor Name: Pay Rate: Street Address: City, State Phone Number: May we contact? Yes   No   Name of Employer: From: Month January February March April May June July August September October November December Year 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 To: Month January February March April May June July August September October November December Year 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 Supervisor Name: Pay Rate: Street Address: City, State Phone Number: May we contact? Yes   No     EDUCATION HISTORY   Secondary School: (Grade 9-12) Location: Grade Completed:   College/University: Location: Diploma/Certificate:   Other Training: Location: Diploma/Certificate:     OTHER INFORMATION   Emergency Contact Information: Name: Phone Number:   Do we have permission to obtain reference checks on your previous employment and background history? Yes   No   Do you understand and agree with the COMTEX policy that may require you to undergo drug and alcohol testing in order to maintain a safe work environment? Yes   No   I attest under penalty of perjury that the information given on this application is correct to the best of my knowledge and understand that providing false information is grounds for dismissal.   I understand that my employment with COMTEX is "at will" and that COMTEX reserves the right to terminate my employment at any time "with or without" a cause.

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