ACM Job Application Form

Advanced Cleanroom Microclean (ACM) is a company that is contracted by Sanofi Pasteur to do a very important job. We clean and disinfect the labs where vaccinations are manufactured. Vaccinations are pharmaceuticals that fight disease.

The job title is Aseptic Cleaning Technician.

You must be able to read and write in English.

You must have a high school diploma for an Aseptic Cleaning Technician and Team Leader position.

A supervisory position requires a four year college degree.

You will need to work holidays, but you will receive holiday pay (an additional 8 hours regular pay).

1st, 2nd, and 3rd shifts are available. A shift is 8 ½ hours (includes an unpaid 30 minute meal break)

1st shift is 6am – 2:30pm, 2nd shift is 2pm – 10:30pm, and 3rd shift is 10pm – 6:30am.

While working you may not wear any jewelry, make-up, or perfumes/colognes. This includes fake nails and nail polish.

You must be able to pass a drug screen and background check. (Clear of felonies and misdemeanors in the last 7 years)

We highly recommend you bring us your immunization records. We require you to have updated Tetanus and Menactra vaccines, as well as the influenza vaccine. The immunizations are provided at no cost to you.

In the work facility, you will come in contact with Latex. You may also be required to wear a mask and/or respirator, which could affect those with breathing difficulties.

Training is mandatory and on a set schedule. There is 13 days of training daytime. Please make sure you can attend ALL training sessions as we cannot deviate from the schedule.

Towards the end of the training period, you will receive your normal work schedule which will be effective after training is completed.

Starting salary for 1st shift Aseptic Cleaning Technicians is $18.00 an hour. Starting salary for 2nd and 3rd shift Aseptic Cleaning Technicians is $20.00 an hour.

Employees are also eligible for a quarterly bonus with good attendance.

If this sounds like a job you are interested in, please complete the attached application.
Advanced Cleanroom Microclean (ACM) is a company that is contracted by Sanofi Pasteur to do a very important job. We clean and disinfect the labs where vaccinations are manufactured. Vaccinations are pharmaceuticals that fight disease.

The job title is Aseptic Cleaning Technician.

You must be able to read and write in English.

You must have a high school diploma for an Aseptic Cleaning Technician and Team Leader position.

A supervisory position requires a four year college degree.

You will need to work holidays, but you will receive holiday pay (an additional 8 hours regular pay).

1st, 2nd, and 3rd shifts are available. A shift is 8 ½ hours (includes an unpaid 30 minute meal break)

1st shift is 6am – 2:30pm, 2nd shift is 2pm – 10:30pm, and 3rd shift is 10pm – 6:30am.

While working you may not wear any jewelry, make-up, or perfumes/colognes. This includes fake nails and nail polish.

You must be able to pass a drug screen and background check. (Clear of felonies and misdemeanors in the last 7 years)

We highly recommend you bring us your immunization records. We require you to have updated Tetanus and Menactra vaccines, as well as the influenza vaccine. The immunizations are provided at no cost to you.

In the work facility, you will come in contact with Latex. You may also be required to wear a mask and/or respirator, which could affect those with breathing difficulties.

Training is mandatory and on a set schedule. There is 13 days of training daytime. Please make sure you can attend ALL training sessions as we cannot deviate from the schedule.

Towards the end of the training period, you will receive your normal work schedule which will be effective after training is completed.

Starting salary for 1st shift Aseptic Cleaning Technicians is $18.00 an hour. Starting salary for 2nd and 3rd shift Aseptic Cleaning Technicians is $20.00 an hour.

Employees are also eligible for a quarterly bonus with good attendance.

If this sounds like a job you are interested in, please complete the attached application.
Signature

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Date

MonthDayYear
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Advanced Cleanroom Microclean

Cleanroom Technologies Inc.

An Equal Opportunity Employer
Advanced Cleanroom Microclean hereinafter, "Company" is an Equal opportunity employer and does not discriminate against any employee or qualified applicant for employment because of age, religion, sex, race, color, national origin, gender, sexual orientation, covered veteran, or disability status (as defined by applicable law AS a Condition of employment, all final external candidates must provide proof of work authorization in the U.S. and successfully pass background check, and/or drug test, and/or credit check as required by and consistent with applicable law.
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First Name
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Last Name
Present Physical Address
City
State
Zip
Mailing Address (if different from present address)

Mailing Address

Street Address Line 2

CityState

Zip
Home Phone
Cell Phone
E-Mail Address
example@example.com
How did you find out about this Job?

Employment Desired
Position applying for:
Location*
Regular full-time work?
Regular part-time work?
Temporary work e.g. summer/holiday?
What days and hours are you available for work? Or Preferred shift
If applying for temporary work, during what period will you be available?
Are you available for work on the weekends?
Would you be available to work overtime, if necessary?
If hired, on what date will you be available to start?
If hired, what is the salary that you desire?
Do you have any friends or relatives working for this company?*
If yes, state name(s) and relationship
Name
Relationship
Name
Relationship

Personal Information
Why are you applying for work at this company?
Have you ever applied or worked for this company before?
If yes, When/Where?
If hired, Would you have reliable means of transportation to and from work?
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age)
If hired, can you present evidence of your U.S. Citizenship or proof of your legal right to live and work in this country?
Have you been convicted of a criminal offense (felony or serious misdemeanor)? (Convictions for misdemeanor marijuana- related offense that are more than two years old need not be listed)
If yes, state the nature of the crime(s), when/where convicted, and disposition of the case.
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered)

Expe rience, Education and Training

Experience, Education, and Training

Type N/A if no answer*

	Name	Address of School	Did you Graduate?	Major Course of Study
High School
College/University
Vocational/Business

Many of our customers (clients) do not speak English. Do you speak, write or understand any foreign languages?
If yes, which languages?
Do you have any other experience, training, qualifications, or skills that you feel make you especially suited for work at this Company?
If so, please explain

Military Service ( Optional)
Have you obtained any special skills or abilities as the result of service in the military?
If so, please describe:

Emergency Contact Information
Emergency Contact Name*
Emergency Contact Number*

Employment History
List below all present and past employment starting with your most recent employer (last five years is sufficient). Account for all periods of unemployment. You must complete this section even if attaching resume.
Name of Employer 1*
Type of Business*
Telephone No.
Your Supervisors Name
May we contact for a reference?
No. & Street
City
State
Zip
Your Positions and Duties*

0/50
From*

MonthDayYear
Date
To*

MonthDayYear
Date
Reasons for Leaving

0/50
Name of Employer 2*
Type of Business*
Telephone No.
Your Supervisors Name
May we contact for a reference?
No. & Street
City
State
Zip
Your Positions and Duties*

0/50
From*

MonthDayYear
Date
To*

MonthDayYear
Date
Name of Employer 3*
Type of Business*
Telephone No.
Your Supervisors Name
May we contact for a reference?
No. & Street
City
State
Zip
Your Positions and Duties*

0/50
From*

MonthDayYear
Date
To*

MonthDayYear
Date
Reasons for Leaving

0/50
Please explain any gaps in your employment history (If medically-related, do not include nature or severity of condition or current status)

References
Please list below three persons not related to you who have knowledge of your work performance within the last five years
1 - First and Last Name*
Telephone No.*

Area CodePhone Number
Occupation*
No. of years Acquainted
2 - First and Last Name
Telephone No.

Area CodePhone Number
Occupation
No. of years Acquainted
3 - First and Last Name
Telephone No.

Area CodePhone Number
Occupation
No. of years Acquainted

Please Read Carefully, Initial Each Paragraph and Sign Below
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
Initials*
I hereby authorize the Company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the Company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from and all claims, demands or other liabilities arising out of or in any way related to such investigation or disclosure.
Initials*
I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and me be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company's designated representative.
Initials*
Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by internal personnel employed by the Company, I am entitled to copies of any such public records, obtained by the Company unless I mark the checkbox below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.
Initials*
I waive the receipt of a copy of any public record described in the paragraph above
Initials*
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Signature

Clear
Should be Empty:

Employment Desired

If yes, state name(s) and relationship

Personal Information

Experience, Education, and Training

Military Service ( Optional)

Emergency Contact Information

Employment History

References

Please Read Carefully, Initial Each Paragraph and Sign Below