AreA's Employment Application Form

Fill out the Application Below for an opportunity to Join our Team!
Position(s) Applied for:*
How were you referred to us?*

Walk-InEmployeeNewspaper AdFacebookFriend / RelativeOther (Please Specify)
Others:
Name:*

First NameLast Name
Primary Phone Number:*

Area CodePhone Number
E-mail Address:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload Resume (optional):

Upload a File

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Pre-Employment Questions*

	YES	NO	Details
Are you over the age of 18?
Have you ever been employed with us before? If yes, give date.
Do any of your friends or relatives work here? If yes, state name & relationship
Are you currently employed?
May we contact your present employer?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Are you currently on "lay-off" status and subject to recall?
Can you travel if a job requires it?
Are you aware this is a Seasonal Business?

Date available for work Date
What is your desired salary range?$ / Hour*
Are you available to work:

Full TimePart TimeTemporary (Please indicate dates available)
Education

Education details*

	Name & Address of School	Course of Study	No. of Years Completed	Diploma/ Degree
High School
Undergraduate College
Graduate/ Professional
Other (Specify)

Work Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or other protected status.

Employer 1
Employer*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Starting/Present Job Title
Supervisor*
Reason for leaving*
Work Performed*
May we Contact?*

YesNo
Include explanation of any gaps in employment.
Dates Employed

Employer 2
Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Starting/Present Job Title
Supervisor
Reason for leaving
Dates Employed
Work Performed
May we Contact?

YesNo
Include explanation of any gaps in employment.

Employer 3
Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Starting/Present Job Title
Supervisor
Reason for leaving
Dates Employed
Work Performed
May we Contact?

YesNo
Include explanation of any gaps in employment.

Job Skills & Training
Describe any specialized training, apprenticeship, skills and extra-curricular activities:
Describe any job-related training received in the United States Military:
List professional, trade, business, or civic activities and offices held. (You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status):
Additional Qualifications, Training or Certifications:

Specialized Skills

	Check all that Apply	Details
PC / MAC
Microsoft Office
QuickBooks
Spreadsheet
Word Processing
Forklift Operator
Production/Mobile Machinery (list)
Other (list)

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

If you are applying for an office position, you may be asked to complete a basic math test in your interview.
How Many Pounds are in a ton? *
How Do you Calculate Square Footage?*
If the customers subtotal is $100.00 and the tax rate is 7.5% what is the final total?*
If an Area is 15 Feet Long and 24 Inches Wide, what is the total square footage of the area?*
If an Area is 15 Feet Long and 24 Inches Wide, what is the total perimeter?*
How would your rate your basic math skills on a scale of 1-5?*

References

Please list two (2) personal/professional references. Do not include family members, or past supervisors.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Occupation:
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Occupation:

Applicant's Statement

I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. 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 an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer; this may include pre-employment, random, and post-accident drug and alcohol testing.
Signature*

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