Job Application: Data Services Subject Matter Expert Title: Data Services Subject Matter ExpertFields marked with an asterisk (*) must be filled out before submitting.Applicant InformationFirst Name *Last Name *Middle Name *Date of BirthDate Available *Desired WageContact DetailsAddress *City *State *Zip Code *TelephoneCell phoneEmail *Security ClearanceDo you have a Clearance? Yes NoIf YES, what type?Are your clearances active? Yes NoBackground InformationAre you a citizen of the United States? * Yes NoIf no, are you authorized to work in the U.S.? * Yes NoHave you ever worked for GINIA before? Yes NoIf you have worked for GINIA in the past, when?Have you ever been convicted of a felony? * Yes NoMilitary ServiceHave you served in the military before or are currently in active service? Yes NoIf Yes, please write years of serviceBranchRankDischarged? Yes NoTraining/Certification or Other AccomplishmentsPlease list relevant training Please list relevant certifications OtherEducationHigh School NameAddressYears attendedDid you graduate? Yes NoIf NO, did you receive a GED or equivalent? Yes NoCollege or University NameAddressYears AttendedDid you graduate? Yes NoIf YES, what type of degree/major?Advanced Degree? (i.e. Masters of Doctorate) Yes NoUniversity name & address Years AttendedDid you graduate?If YES, what type of degree/major?Employment History (List most recent employment first)Company Name #1AddressPhone NumberJob TitleStarting Wage ($)Ending Wage ($)Duration of EmploymentFull-Time Employee? Yes NoReason for leaving?May we contact your previous supervisor for reference? Yes NoName of SupervisorSupervisor phone number (business or personal) Company Name #2AddressPhone NumberJob TitleStarting Wage ($)Ending Wage ($)Duration of EmploymentFull-Time Employee Yes NoReason for leaving?May we contact your previous supervisor for reference? Yes NoName of supervisorSupervisor phone number (business or personal) Company name #3AddressPhone NumberJob TitleStarting Wage ($)Ending Wage ($)Duration of EmploymentFull-Time Employee? Yes NoReason for leaving?May we contact your previous supervisor for reference? Yes NoName of SupervisorSupervisor phone number (business or personal)References (Professional only – minimum 2 from supervisors)Full name *Phone Number *Relationship * Full Name *Phone Number *Relationship * Full NamePhone NumberRelationship Full NamePhone NumberRelationship Full NamePhone NumberRelationshipResume * I attest to all the information inputted into this application to be accurate and up to date. CAPTCHA Code *