Careers - BEC Inc.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Cell Phone*

Home Phone

Position Applying for*

Date Available to Start*

Have you ever applied for a position with or worked for BEC before?*

Worked From*

Worked To*

Available to Work

Full Time
Part Time
Temporary

Temporary: Please Mention*

Desired Salary*

Are you willing to work overtime? **

Yes
No
Other

Other Overtime: Please Mention*

Do you have a vehicle in good working condition?*

Yes
No
Other

Other: Please Mention*

Attach Resume*

Motor Vehicle Report Authorization*

I have read and understand the below.

Department of Motor Vehicle reports may be obtained as part of my eligibility for employment. The reports may be procured by United Agencies, Inc. and may include my driving record to assess my insurability under the Company’s insurance coverage. By signing this disclosure, I hereby authorize the Company to procure such reports about me from time to time, as the Company deems appropriate, to evaluate my insurability.

Print Name*

CA Drivers' License Number*

Date of Birth*

Signature*