ATI Employment Application

Application for Employment

ATI is an equal opportunity employer and does not discriminate in employment decisions based on any legally protected status.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Personal Information
Name

First NameLast Name
Address

Address

Street Address Line 2

CityState

Zip
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Are you 18 years or older?
Are you legally authorized to work in the United States?
If no, please explain:

Criminal History Disclosure
Employment offers at ATI are contingent upon a clear background check that complies with various state requirements. While a conviction does not automatically disqualify an applicant, factors such as the nature of the offense, the time elapsed, and its relevance to the position are carefully considered. However, convictions of barrier crimes, as defined by the Commonwealth of Virginia, will result in disqualification from employment.
Have you ever been convicted of a felony?*
If yes, please explain:
*Information regarding an arrest, charge, or conviction that has been legally sealed does not need to be disclosed on this application. Applicants should verify that a record has been officially sealed before excluding it from disclosure.
Driving Record Disclosure
Employment offers at ATI are contingent upon a driving record review that meets the standards set by our insurance carrier. This review ensures compliance with safe driving practices and eligibility for the position.
Do you currently hold a valid and unrestricted driver's license?
Have you been a licensed driver for at least 3 years?
Which state issued your driver's license?
Applicants with a Virginia driver’s license must have an official driving record reviewed through the Virginia DMV. ATI will conduct this pre-employment check at no cost to you. The results will remain confidential but will become part of your employment record. Employment at ATI is contingent upon maintaining continual safe driving practices and meeting the standards required by our insurance carrier.

By entering your information and signing below, you give consent for ATI to complete this review.
Last Name
VA Driver's License #
Signature
Applicants with an out-of-state driver’s license must provide an official driving record from their state’s DMV. Employment with ATI is contingent upon a review of your driving record and ensuring it meets safe driving standards as required by our insurance carrier.

You will receive an email after submitting your application with further details on how to submit proof of your driving record.

Employment Desired
Position
Available Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Desired Pay
Hourly Rate//Salary
Referred By
Are you currently employed?
If yes, may we contact your current employer?
Have you ever applied with ATI before?
If yes, please indicate when

Education
School Name
Location
Years Attended
Did you graduate?
Major/Subjects Studied
School Name
Location
Years Attended
Did you graduate?
Major/Subjects Studied
School Name
Location
Years Attended
Did you graduate?
Major/Subjects Studied

Former Employment

List previous three employers, starting with the most recent first
Date (From)
Month & Year
Date (To)
Month & Year
Name and Address of Employer
Position
Reason For Leaving
Date (From)
Month & Year
Date (To)
Month & Year
Name and Address of Employer
Position
Reason For Leaving
Date (From)
Month & Year
Date (To)
MM/YYY
Name and Address of Employer
Position
Reason For Leaving
Which of these jobs did you like the best?
What did you like most about this job?

Professional References

Give the names of three persons not related to you, whom you have known at least one year. Include 2 current or past employers or supervisors and one other professional reference
Name
Company & Title
Email
example@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Name
Company & Title
Email
example@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Name
Company & Title
Email
example@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
By signing below, you certify that all information provided in this application, including any supporting documents, is true, accurate, and complete.

You understand that any false statement, misrepresentation, or omission of information required to be disclosed may result in disqualification from employment consideration or, if discovered after employment begins, immediate termination of employment.

You also acknowledge that employment with ATI is at-will, meaning either you or Compass may end the employment relationship at any time, with or without cause or advance notice, unless otherwise provided by law.
Signature

Applicant Information Release
I hereby authorize any person, educational institution, or company listed as a reference on my employment application to disclose, in good faith, information regarding my qualifications and suitability for employment.

By signing below, I release ATI, my former employers, educational institutions, and any other individuals or entities providing references from liability related to the exchange of this information and any other reasonable and necessary information relevant to the employment process.
Name
Signature
Should be Empty:

Application for Employment

Personal Information

Criminal History Disclosure

Driving Record Disclosure

Employment Desired

Education

Former Employment

Professional References

Applicant Information Release