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Employment Application

QSF-167: FTI Preliminary Employment Application
Revision: E Date: 09/29/2021
Process owner: HR
Fiberoptics Technology Inc. is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other status protected under local, state or federal laws.

Employment Application



(Begin with current or most recent employer.) Do not exclude any employment. Include any applicable temporary employment. Attach another sheet if necessary. Previous salaries or wages will not be used to determine compensation at FTI.


Please list three persons, who are not related to you or previous supervisors, who can
provide professional references.

By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

This application was signed by:

Printed Copies are Not Controlled

This document and all information contained herein is protected as confidential, proprietary, and trade secret, and solely the property of Fiberoptics Technology Inc. Use of this document is strictly controlled by written agreement Anyone receiving this document without explicit written authorization from Fiberoptics Technology, Inc. shall not use this document for any purpose and shall immediately contact Fiberoptic Technology lnc.'s Compliance Officer at 860-928-CU.O.

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