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Lao Democratic Republic
Papua New Guinea
Saint Vincent Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
Current Base (Range):
55K - 60K
60K - 65K
65K - 70K
70K - 75K
75K - 80K
80K - 85K
85K - 90K
90K - 95K
95K - 100K
100K - 105K
105K - 110K
110K - 115K
115K - 120K
120K - 125K
125K - 130K
130K - 135K
135K - 140K
140K - 145K
145K - 150K
150K - 155K
155K - 160K
160K - 165K
165K - 170K
170K - 175K
Current Bonus (Range):
None / Not Applicable
%0 - %5
%5 - %10
%10 - %15
%15 - %20
%20 - %25
%25 - %30
%30 - %35
%35 - %40
Greather Than %40+
Current Job Title:
Additional Information Section
Do you have the legal right to work in the United States?
Right to Work in the U.S.:
I am authorized to work in this country for any employer
I am authorized to work in this country for my present employer only
I require sponsorship to work in this country
My status to work in this country is unknown
Are you at least 18 years of age?
Have you ever been employed by British Telecom or any of its current or prior acquisitions, affiliates, or subsidiaries?
Dates of Employment:
Do you have any relatives who are currently employed by BT, plc. or any of its affiliates or subsidiaries?
Relative Employed at BT:
If Yes - Please enter details regarding relatives currently employed at BT.
Relative 1 - Name:
Relative 1 - Position:
Relative 1 - Relationship:
Relative 1 - BT Division:
Relative 2 - Name:
Relative 2 - Position:
Relative 2 - Relationship:
Relative 2 - BT Division:
Are you currently under a non-compete agreement?
If yes - Please specify non-compete details.
How were you referred to BT?
Advertisement (Please Specify)
BT Recruiter (Please Specify)
BT Transition Center
BTA Careers Website
College (Please Specify)
Employment Agency (Please Specify)
Ethical Hacker Network
Former BT Employee
INS Alumni Referral
Internal BT Employee
Job Fair/Conference (Please Specify)
Lee Hecht Harrison
Metro State College, Denver CO
Milirecruit - Job Fair
Monster - Authenticated
My Perfect Gig
Other (Specify Source):
If you were referred by a BT Employee please enter their details below.
Referring Employee Name:
Referring Employee EIN:
Voluntary Equal Opportunity Questionnaire:
The Company does not discriminate against qualified applicants based upon any
protected group status, including but not limited to race, color, creed, religion, sex (except where it is a bona fide occupational qualification), national origin, ancestry, age, marital status, veterans status, sexual orientation, physical or mental disability or medical condition as defined by applicable equal opportunity laws.
To help the Company comply with federal/state equal employment opportunity record keeping, reporting and other legal requirements, we would appreciate your voluntarily answering the questions listed below. You are NOT required to answer them. Refusal to provide the requested information will not result in adverse treatment of you or your application. Your answers will not affect the determination of your job-related qualifications. The information you provide on this form will be kept in a confidential file separate from your application for employment.
Prefer not to disclose
Choose Not to Disclose
Hispanic or Latino
White (not Hispanic or Latino)
Black or African American (not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (not Hispanic or Latino)
Asian (not Hispanic or Latino)
American Indian or Alaska Native (not Hispanic or Latino)
Two or More Races (not Hispanic or Latino)
Choose Not to Disclose
Other Protected Veteran
Newly Separated Veteran
Armed Forces Service Medal Veteran
None / No Military Service
Decline / Prefer Not To Disclose
Professional Certification /Licensing (include # and State of issue):
Certificates / Licensing:
Please indicate your level of competence in the following languages:
Criminal Conviction Inquiry:
Please note that a “Yes” answer to any of the following questions will not necessarily disqualify you from employment. Factors such as the age and time of the offense, seriousness and nature of the violation, and rehabilitation will be considered when making any employment decisions.
Have you ever been convicted of a crime?
Do not include convictions that were sealed or expunged pursuant to a court order.
Note: Before answering this question regarding criminal convictions, please refer to the instructions below if you reside or are applying for a position in California, Connecticut, District of Columbia, Georgia, Hawaii, Massachusetts or Washington?
Are you currently awaiting trial for any criminal offense?
Awaiting Trial Details:
Have you ever initiated an act of violence in the workplace?
Workplace Violence Details:
Do not identify any misdemeanor conviction for which probation has been successfully completed or otherwise discharged and the case has been dismissed by a court. Also, do not identify marijuana-related convictions entered by the court more than 2 years ago that involve: unlawful possession of marijuana; transportation or giving away up to 28.5 grams of marijuana, other than concentrated cannabis, or the offering to transport or give away up to 28.5 grams of marijuana, other than concentrated cannabis; possession of paraphernalia used to smoke marijuana; being in a place with knowledge that marijuana was being used; or being under the influence of marijuana.
Connecticut Applicants: Do not identify any arrest, criminal charge or conviction the records of which have been erased by a court based on sections 46b-146,54-76o or 54-142a of the Connecticut General Statues. Criminal records subject to erasure under these sections are records concerning a finding of delinquency or the fact that a child was a member of a family with service needs, and adjudication was a youthful offender, a criminal charge that has been dismissed or nolled (not prosecuted), a criminal charge for which the person was found not guilty, or a conviction for which the offender received and absolute pardon. Any person whose criminal records have been judicially erased under one or more of these sections is deemed to have never been arrested within the meaning of the law as it applies to the particular proceedings that have been erased, and may so swear under oath.
District of Columbia Applicants: Do not identify convictions that were entered by the court more than 10 years ago.
Georgia Applicants: Do not identify any guilty plea that was discharged by the court under the Georgia’s First Offender Act.
Hawaii Applicants: You will only have to answer this question if you receive a conditional offer of employment. At that time you will be asked whether you have been convicted of a crime within the past (10) years.
Massachusetts Applicants: An applicant for employment with a sealed record on file with the Commisssioner of Probation may answer “no record” with respect to an inquiry herein relative to prior arrests, criminal court appearances, or convictions. In addition, an applicant for employment may answer “no record” with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the convictions for drunkenness, simple assault, speeding, minor traffic violations, afftay or disturbance of the peace. Finally, Massachusetts applicants should not disclose convictions for other misdemeanors where the date of conviction or the end of any period of incarceration was more than five years ago unless there have been subsequent convictions within those five years.
Washington Applicants: Do not identify any conviction that is more than ten (10) years old at the time of making this application.
Include at least two direct managers or supervisors. You may also include work associates, customers, vendors or others who may be contacted at this time. If you have been self-employed, please provide the names of professional/business references.
Relationship to Applicant:
Relationship to Applicant:
Relationship to Applicant:
Relationship to Applicant:
Certification and Agreement:
I certify that the information contained in this application for employment and any oral or written information that I have furnished separately during the course of pre-employment interviews or otherwise, is and shall be true and correct. I understand that any misrepresentation or omission of a fact in my application may be grounds for refusal to hire or for dismissal if I am employed.
I understand that BT Americas, Inc. employs in the United States only those individuals authorized to work in the United States and I will produce the required documents demonstrating my authorization.
I hereby authorize the Company to conduct any necessary investigation regarding my background as it relates to the position I am seeking to the extent permitted by federal, state and local law. I agree to complete the requisite authorization forms for the background investigation. I hereby release all parties from an liability in connection with the lawful provision and use of such information.
I recognize that this employment application is not an offer of employment. I agree that if I am hired by the Company, I will be an at-will employee, meaning that either the Company or I may end the employment relationship at any time with or without cause or notice. I understand that only the President, and no manager, supervisor, or representative of the Company, has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the at-will employment relationship, and with respect to the President, any such agreements must be in writing and are subject to the approval by the Company’s Board of Directors or other designated persons.
I have read this application carefully and completely, and fully understand and agree with it:
BT is an Equal Opportunity Employer M/F/Disability/Veteran.