AMERICAN PRECAST
INDUSTRIES LLC
EMPLOYEE APPLICATION
Applicant Information
Last Name
*
First Name
*
M.I.
*
Today's Date
*
/
Month
/
Day
Year
Date
Street Address
*
City
*
Phone
*
-
Area Code
Phone Number
Email
*
example@example.com
Date Available For Employment
*
/
Month
/
Day
Year
Date
Willing to work OT?
*
Please Type Yes or No
Position Applied For
*
Are you a citizen of the United States?
*
Yes
No
If no, are you authorized to work in the U.S.?
*
Yes
No
I am a U.S. Citizen & Authorized to work in the U.S.
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain
*
Type N/A if never convicted of a felony
Enter additional comments for Applicant Information section
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Education Background
Name of High School Attended
*
Address of High School
*
Attended From Year
*
Attended To Year
*
Did you Graduate
*
Yes
No
Name of College Attended
*
Type N/A if you did not attend a college
Address of College Attended
*
Type N/A if you did not attend a college
Attended From Year
*
Type N/A if you did not attend a college
Attended To Year
*
Type N/A if you did not attend a college
Did you graduate?
*
Yes
No
Enter additional comments for Education section
References
Name of Reference #1
*
Relationship
*
Phone
*
-
Area Code
Phone Number
Name of Reference #2
*
Relationship
*
Phone
*
-
Area Code
Phone Number
Name of Reference #3
*
Relationship
*
Phone
*
-
Area Code
Phone Number
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Employment History
Company Name
*
Phone
*
-
Area Code
Phone Number
Address
*
Supervisor
*
Job Title
*
Starting Salary
*
Ending Salary
*
Responsibilities
*
Worked From Month/Year
*
Worked To Month/Year
*
Reason for Leaving
*
May we contact your previous supervisor for a reference?
*
Yes
No
Company Name
*
If you have only worked for one (1) company type N/A
Phone
*
-
Area Code
Phone Number
Address
*
If you have only worked for one (1) company type N/A
Supervisor
*
If you have only worked for one (1) company type N/A
Job Title
*
If you have only worked for one (1) company type N/A
Starting Salary
*
If you have only worked for one (1) company type N/A
Ending Salary
*
If you have only worked for one (1) company type N/A
Responsibilities
*
If you have only worked for one (1) company type N/A
Worked From Month/Year
*
If you have only worked for one (1) company type N/A
Worked To Month/Year
*
If you have only worked for one (1) company type N/A
Reason for Leaving
*
If you have only worked for one (1) company type N/A
May we contact your previous supervisor for a reference?
*
Yes
No
I have not worked for more than one company
Company Name
*
If you have only worked for two (2) companies type N/A
Phone
*
-
Area Code
Phone Number
Address
*
If you have only worked for two (2) companies type N/A
Supervisor
*
If you have only worked for two (2) companies type N/A
Job Title
*
If you have only worked for two (2) companies type N/A
Starting Salary
*
If you have only worked for two (2) companies type N/A
Ending Salary
*
If you have only worked for two (2) companies type N/A
Responsibilities
*
If you have only worked for two (2) companies type N/A
Worked From Month/Year
*
If you have only worked for two (2) companies type N/A
Worked To Month/Year
*
If you have only worked for two (2) companies type N/A
Reason for Leaving
*
If you have only worked for two (2) companies type N/A
May we contact your previous supervisor for a reference?
*
Yes
No
I have only worked for two companies
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Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
*
Yes
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release..
*
I understand
Signature
*
Today's Date
*
/
Month
/
Day
Year
Date
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