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| | Click here or scroll down to respond to this candidate 1Application for Employment Accuwright Mechanical, LLC
PLEASE PRINTPosition(s) applied for _______________________________________________________ Date of application __________________________Referral Source: Advertisement (including Online) Employee Relative Government Employment Agency Walk-in Private Employment Agency __________________________ Other
Name of source (if applicable) ____________________________________________________________________________Name _____________________________________________________________________________________________________________ First Middle Last
Address ___________________________________________________________________________________________________________ Street City State Zip Code
Telephone Number _______________________________________ Cell Phone Number __________________________________________Email Address____________________________________________
Emergency Contact Person _________________________________ Emergency Contact Number __________________________________Driver s License Number__________________________________ Exp. Date____________________________ State______________
If you are under 18, can you furnish a work permit? Yes NoHave you filed an application here before? Yes NoIf yes, give date __________________________________Have you ever been employed here before? Yes NoIf yes, give dates From __________________________________ To __________________________________Are you eligible for employment in this country? Yes No(Proof of US Citizenship or Immigration Status will be required upon employment)Date available for work __________________________________Type of employment desired: Full-Time Part-Time Temporary Seasonal Educational Co-Op
Are you on layoff and subject to recall? Yes NoWill you relocate if job requires it? Yes No Will you travel if job requires it? Yes NoAre you able to meet the attendance requirements of the position? Yes NoWill you work overtime if required? Yes NoHave you ever been bonded? Yes NoHave you been convicted of a felony in the last seven (7) years? Yes No(Such conviction may be relevant if job related, but does not bar you from employment)
If yes, please explain _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Qualifications: ______________________________________________________________________________Desired Pay: ________________________________________________Employment HistoryList your last four (4) employers, assignments or volunteer activities, starting with the most recent, including military experience.Explain any gaps in employment in comments section below.Employer Telephone ( )Dates EmployedSummarize the nature of the work performed and job responsibilitiesFromToAddressJob TitleHourly Rate/SalaryStartingImmediate Supervisor and Title$PerReason for LeavingHourly Rate/SalaryStartingMay we contact for reference? Yes No Later$PerEmployer Telephone ( )Dates EmployedSummarize the nature of the work performed and job responsibilitiesFromToAddressJob TitleHourly Rate/SalaryStartingImmediate Supervisor and Title$PerReason for LeavingHourly Rate/SalaryStartingMay we contact for reference? Yes No Later$PerEmployer Telephone ( )Dates EmployedSummarize the nature of the work performed and job responsibilitiesFromToAddressJob TitleHourly Rate/SalaryStartingImmediate Supervisor and Title$PerReason for LeavingHourly Rate/SalaryStartingMay we contact for reference? Yes No Later$PerEmployer Telephone ( )Dates EmployedSummarize the nature of the work performed and job responsibilitiesFromToAddressJob TitleHourly Rate/SalaryStartingImmediate Supervisor and Title$PerReason for LeavingHourly Rate/SalaryStartingMay we contact for reference? Yes No Later$PerComments (including explanation of any gaps in employment) ___________________________________________________________________________________________________________________________________________________________________________________Skills and Qualifications - Summarize any special training, skills, licenses, certificates and/or characteristics of yourself that may qualify you as being able to perform job-related functions for the position which you are applying __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Educational Background (if job related)A. List last three (3) schools attended, starting with most recent. B. List number of years completed. C. Indicate degree or diploma earned, if any. D. Grade Point Average or Class Rank and E. Major and minor field of study (if applicable).A. SchoolB. YearsCompletedC. DegreeDiplomaD. GPAClass RankE. MajorE. MinorList any foreign language(s) you know and check the boxes that describe your skill level.LanguageSpeak SomeSpeak FluentlyReadWriteReferencesList name and telephone number of three business/work references that are not related to you and are not previous supervisors. If not applicable, list three school or personal references that are not related to you.NameTelephoneYears KnownArea Code( )Area Code( )Area Code( )It is understood and agreed upon that any misrepresentations by me on this application will be sufficient cause for cancellation of this application and/or separation from the employer s services if I have been employed.I give the employer the right to investigate all references and to secure additional information about me, if job-related. I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.The employer is an Equal Opportunity Employer. The employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant s consideration for employment on a basis prohibited by local, state or federal law.This application is current only for sixty (60) days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the employer has the authority to make any assurances to the contrary.I understand it is this company s policy not to refuse to hire a qualified individual with a disability because of this person s need for an accommodation that would be required by the ADA.Signature of Applicant ___________________________________________________________ Date ________________________________ Accuwright Mechanical, LLC IS AN EQUAL OPPORTUNITY EMPLOYER |