Automatic Door Authority Job Application
It is the policy of Automatic Door Authority, Inc. to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability, or veteran status.
Employer Information
Automatic Door Authority, Inc. 322 E. Birchlawn St. Seneca, IL 61360 Phone- 312-877-1914
Applicant Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Driver's License (State/Number)
Last 4 of Social Security Number
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Emergency Contact
Name
First Name
Last Name
Relationship to you
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Job Position
What Position are you applying for
Type of Work
Please Select
Desired Salary
Where you referred by someone, if so who?
Do you have friends or relatives that work here, if so who?
Have you ever applied to our company in the past? If so, When?
Are you at least 18 years of age? Yes/No
Yes
No
Are you willing to take a Drug Test? Yes/No
Yes
No
Are you available to work overtime as needed? Yes/No
Yes
No
When are you available to start working?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Can you legally work in the United States? Yes/No
Yes
No
Have you ever been convicted of a felony or misdemeanor? Yes/No
Yes
No
If yes, what, where, and when?
THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.
Employment History
Please list all jobs (including self-employment and military service) which you have held in the last 3 years, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue to the back page of this application.
Company
Supervisor's Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Job Title
Reason for leaving
Dates of Employment (Month/Year)-(Month/Year)
Job #2
Company
Supervisor's Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Job Title
Reason for leaving
Dates of Employment (Month/Year)-(Month/Year)
Education/ Training
High School Diploma or GED? Yes/No
Please Select
Yes
No
College Degree? Yes/No and Major?
Licenses or Certifications you hold?
AAADM Certified? If yes, AAADM Certification Number?
Military Service? Yes/No
Please Select
If yes, Branch & Training?
Certification
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorize Automatic Door Authority, Inc. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its President, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Automatic Door Authority, Inc., except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship.I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.
Signature
Date of Submittion
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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