Employment Application - A & S Fabricating Co.

Application for Employment

"*" indicates required fields

Position(s) Applied for:*

Salary Desired:

Date of Application:*

MM slash DD slash YYYY

How Did You Learn About Us?:

Friend

Walk-In

Employment Agency

Relative

Other

Last Name:*

First Name*

Middle Initial*

Address*

City*

State*

ZIP Code*

Telephone Number(s)*

Email*

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes

Have you ever filed an application with us before?

Yes

Other

Have you ever been employed with us before?*

Yes

Other

Are any of your relatives presently or have previously been employed with us before?

Yes

Other

Are you currently employed?*

Yes

May we contact your present employer?

Yes

How many absences from your current or last position

Excused

Unexcused

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment.)*

Yes

Type of employment desired (check all that apply):

Full Time

Part Time

Temporary

On what date would you be available for work?

Can you work any shift needed?

Yes

Other

Are you willing to do any kind of work, including sweeping floors, if asked?:

Yes

Can you, when needed, work 7 days or nights per week to meet production schedule?:

Yes

Can you work the normal days and hours required for the position you are applying for?:

Yes

Can you, and are you willing to work overtime with or without prior notice?:

Yes

Are you currently on "layoff" status and subject to recall?:

Yes

Do you have a valid driver's license?:*

Yes

Do you have reliable transportation?*

Yes

Have you been convicted of a felony with the last 7 years?

Yes

Conviction will not necessarily disqualify an application from employment. If yes, please explain:

High School Name

High School - Location

High School - Years Completed

Technical Training

College/University

Graduate/Professional

Other

Describe any specialized training, apprenticeship, skills and extracurricular activities:

Describe any honors you have received:

State any additional information you feel may be helpful to us in considering your application:

Indicate any foreign languages you can speak, read and/or write:

Fluent

Good

Fair

Speak:

Read:

Write:

List professional, trade, bus iness or civic activities and offices held:

References: Give name, address, telephone number of three personal references who are not related to you and are not previous supervisors/employers.

Name:

Address:

Phone:

Years Known:

Have you ever had any job related training in the United States Mlitary? :

Yes

Are you able to perform the essential functions of the job for which you are applying with or with out reasonable accommodations?:

Yes

Employment Experience

Start with your current employer, or if not currency employed, your most recent job. Include any job related military service as assignments and Volunteer activities . You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected status.

1. Employer :*

Dates Employed :*

From:

To:

Work Performed:*

Address:*

Telephone Numbers:*

Hourly Rate/Salary :*

Start

Final

Job Title:*

Supervisor*

Reason for Leaving*

Summarize special job related skills and qualifications acquired from employment or other experience.

Special Skills and Qualifications:

Check this box if the above is your only history of employment.

2. Employer:

Dates Employed

From

Work Performed:

Address:

Telephone Numbers:

Hourly Rate/Salary:

Start

Final

Job Title:

Supervisor:

Reason for Leaving:

Summarize special job related skills and qualifications acquired from employment or other experience.

Special Skills and Qualifications

3. Employer:

Dates Employed

From

Work Performed:

Address:

Telephone Numbers:

Hourly Rate/Salary:

Start

Final

Job Title:

Supervisor:

Special Skills and Qualifications

Summarize special job related skills and qualifications acquired from employment or other experience.

Special Skills and Qualifications

4. Employer:

Dates Employed

From

Work Performed:

Address:

Telephone Numbers:

Hourly Rate/Salary:

Start

Final

Job Title:

Supervisor:

Reason for Leaving:

Summarize special job related skills and qualifications acquired from employment or other experience.

Special Skills and Qualifications

A & S Fabricating CO., an Equal Opportunity Employer, does not discriminate based on age, sex, race, color, religion, national origin, citizenship, veteran status, or disability that does not prohibit performance of essential job functions, or any other protected status under applicable federal, state or local laws. This list, however, is not exhaustive of the grounds on which discrimination is prohibited.

I certify the answers given herein are true and complete to the best of my knowledge.

I expressly authorize, without reservation, A & S Fabricating Co., Its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume' or job interview deemed necessary in arriving at an employment decision and is not intended to be a contract of employment. I hereby waive any and all rights and claims I may have regarding A & S Fabricating Co., its agents, employees or representatives, for seeking, gathering, and using truthful and non_defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

This application for employment shall be considered active for a period of time not to exceed six months. Any applicant wishing to be considered for employment beyond that time period should inquire as to whether or not applications are being accepted at that time.

I hereby verify that I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with A & S Fabricating Co. is of an "at will" nature, which means that the employee may resign at any time and the employer may discharge an employee at any time with or without cause and with or without notice. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by the President or other authorized executive of this company.

In the event of employment, I understand that false or misleading information given in my application, resume or interview(s) may result in discharge. I understand that I am required to abide by all rules and regulations of the employer. A & S Fabricating Co. proudly maintains a Drug Free/Alcohol Free workplace. All prospective employees are required to submit to drug/alcohol testing and a Pre-employment physical. Employment is subject to successfully passing a drug/alcohol test. I understand I will also be subject to Random, Post-Accident, and Reasonable Suspicion Drug/Alcohol test. I understand that if hired, I may not hold other employment nor engage in Consulting, Sales, Investments or other activities that may create a conflict of interest with A & S Fabricating Co.

I acknowledge by my signature that I have read and fully understand and agree with the above statements and that clicking the accept button below is the equivalent of my signature on this application.

I accept

I do not accept

Date

MM slash DD slash YYYY

Captcha*