Application Start of a Career Opportunities application Step 1 of 5 – Applicant Information 0% Applicant InformationName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail Date Avaliable MM slash DD slash YYYY Type of Employment Full-Time Part-Time Temp Seasonal Contract Position Applied for Desired Salary Are you a citizen of the United States? Yes No If no, are you authorized to work in the U.S.? Yes No Have you ever worked for ACT? Yes No If So When? Do you have friends or relatives working for ACT? Yes No If So Who? EducationHigh SchoolHigh School Address Number of Years AttendedDid you graduate Yes No Degree CollegeCollege Address Number of Years AttendedDid you graduate Yes No Degree OtherOther Address Number of Years AttendedDid you graduate Yes No Degree ReferencesPlease list three professional referencesReference 1Full Name Relationship Company PhoneAddress Reference 2Full Name Relationship Company PhoneAddress Reference 3Full Name Relationship Company PhoneAddress Previous EmploymentEmployer #1Company PhoneAddress Supervisor Job Title Starting PayEnding PayResponsibilitiesFrom To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Employer #2Company PhoneAddress Supervisor Job Title Starting PayEnding PayResponsibilitiesFrom To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Employer #3Company PhoneAddress Supervisor Job Title Starting PayEnding PayResponsibilitiesFrom To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Military ServiceBranch FromToRank at Discharge Type of Discharge If other than honorable, explain: DISCLAIMER AND SIGNATUREConsent(Required) I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.I authorize ACT to investigate all statements contained in this application, and I authorize any person or organization listed on this application to furnish requested information to ACT. If I become an ACT employee, my employment is “at will” and can be terminated by ACT or me at any time, for any reason, or for no reason.Untitled Signature(Required) Entering my full name above and checking this box constitutes a legal signature confirming that I acknowledge and agree to the above DisclaimerEntering my full name above and checking this box constitutes a legal signature confirming that I acknowledge and agree to the above DisclaimerCAPTCHADate MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged. Δ