Online Employment Application Date:                                Name :                                           Phone Number:                                 Email Address:          Street  Address:       City:                                     State:                                          Zip:                                        Are you looking for Full Time or Part Time?   Full Time Part Time Full Time Shifts Are:      Monday – Thursday      8:45am to 4:45pm      Friday   8:45am to 5:00 pm      Part Time Shifts Are :    Monday –Thursday    4:45pm to 9pm, Sat 9am-3pm, Sun 12pm –5pm Position Interested In: Customer Care Assistant Dialup Technical Support Dialup Sales DSL Technical Support DSL Sales DSL Customer Care Web Hosting Support Billing/Accounting Mail Other          Are you working right now? (Y/N?)    Yes No If Yes, why do you want to leave your current job?  Other than the fact that you are looking for a job, why do you want to work for Galaxy Internet Services? What past experience or skills do you have that you think would benefit Galaxy Internet Services?  If you were hired by Galaxy Internet Services, when would you be available to  start? If hired, how long would you expect to work for Galaxy? List your last three places of employment:  1.  Company:                  City/State:           Position:                 Salary:             Reason for Leaving:  2.  Company:                 City/State:          Position:                Salary:            Reason for Leaving:  3.  Company:                City/State:         Position:               Salary:           Reason for Leaving:  What is the name and number of a recent supervisor we may contact? Name:                         Number: Education History:  Are you a high school graduate?   Yes No Do you have a college degree?         Yes No If yes, what is your degree in?   List any computer or technical courses that you have recently attended: One: Course:   School:    Completed (Y/N?):  Yes No                                   Grade:   Two: Course:   School:    Completed (Y/N?):  Yes No                                   Grade:   Three: Course:   School:    Completed (Y/N?):  Yes No                                   Grade:   Have you ever been convicted of a felony?   Yes No If yes, describe the circumstances:    Galaxy Internet Services has been a leader in low cost, quality internet service since we opened our doors in June 1995. We provide comprehensive internet services, from 56k dialup, to high speed DSL, leased lines and web hosting. We are dedicated to providing our customers with the highest degree of reliable access and quality customer service possible while maintaining an exceptionally competitive price. Galaxy Internet Services is located in Newton, Massachusetts. Galaxy Internet Services is an equal opportunity employer.