Application For Employment

BT Americas, Inc. does not discriminate in hiring or employment on the
basis of race, color, religion, disability, national origin, age, sex, or
any other characteristic prohibited by law. No question is intended to
secure information to be used for such discrimination.
To submit your application please complete the form below. Fields marked with
a red asterisk * are required. When you have finished click Submit at
the bottom of this form.

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General Information:


Additional Information Section

Do you have the legal right to work in the United States?


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?


Do you have any relatives who are currently employed by BT, plc. or any of its affiliates or subsidiaries?


If Yes - Please enter details regarding relatives currently employed at BT.


Are you currently under a non-compete agreement?


If yes - Please specify non-compete details.


Employment Source:

How were you referred to BT?


If you were referred by a BT Employee please enter their details below.

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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.

Additional Information:

Professional Certification /Licensing (include # and State of issue):

Foreign Languages:

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?


Have you ever initiated an act of violence in the workplace?


California Applicants:
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.

Professional/Work References:

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.


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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.

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