Employment Form Name * First Name Last Name Position of Interest * Phone * (###) ### #### Email Address * Additional Information Are you a U.S. Citizen? Yes No Do you have reliable transportation? Yes No Do you have a drivers license? Yes No Thank you for your interest in Cobalt Real Estate Maintenance. Employment request can take up to seven business days for review. If you do not receive a response within seven business days, please feel free to resubmit an Employment Form.