A. PERSONAL DATA
Although hiring and firing decisions are fully at the discretion of ASC, it is the policy and practice to select new employees (and to promote current employees) on the basis of their qualifications, without regard to national origin, age, race, sex, color, religion, marital status, disability, or any other characteristic protected by law. If hired, employment with ASC is "at-will" and ASC reserves the right to terminate employees with or without notice at any time.
* Employment in the position for which you have applied is contingent upon completion of testing for the presence of illegal substances. The testing may be a part of a physical exam when required by contract or state laws. If you are offered the position, are you willing to take, and do you consent to, drug testing or a physical exam? Yes No
* Are you over 18 years of age? Yes No
* Are you legally eligible for employment in the United States? Yes No
* How did you hear of us? Employee Advertisement Other (Please specify)
If Yes, state level and granting agency
* Have you ever been convicted of any crimes? (Do not include violations for which the only penalty imposed was a fine of $50 or less)A record of criminal convictions will not necessarily bar you from employment. In making our decision, we will consider many factors, such as age and time of the offense involved, the seriousness and nature of the violations, and whether you have been rehabilitated. We will also consider the nature of the job for which you are applying. Yes No If Yes, explain
B. U.S. MILITARY SERVICE HISTORY
Branch of Service Dates of Service from to (MM/DD/YY format)
Command Occupational Specialty
C. EDUCATION
* Name of High School * Graduate Yes No * Location
List below only formal education beyond high school. If presently attending school, indicate by putting word "present" in column "To" under "Attendance". Indicate degree expected. List additional course work and military training in Section "H" "Additional Information".
Academic Honors and Offices Held Extra-Curricular Activities (You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, martial status, veteran status or any other protected status.)
Give an accurate summary of your responsibilities & accomplishments. Begin with your current/last position and work backwards. Use Section H as necessary. Please account for all major periods of unemployment in Section H.
1. NAME & ADDRESS OF EMPLOYER * KIND OF BUSINESS TELEPHONE * * Date of Employment From to * Starting Title Starting Salary * Name of First Supervisor * May we contact? $ per Week Month Year Yes No* Present Title Present Salary * Name of Last Supervisor $ per Week Month Year Yes No Reason for Leaving Brief Description of Work
2. NAME & ADDRESS OF EMPLOYER KIND OF BUSINESS TELEPHONE Date of Employment From to Starting Title Starting Salary Name of First Supervisor May we contact? $ per Week Month Year Yes No Present Title Present Salary Name of Last Supervisor $ per Week Month Year Yes No Reason for Leaving Brief Description of Work
E. SPECIAL SKILLS AND QUALIFICATIONS
Professional Licenses and Certifications Brief Description of Work
F. REFERENCES No.1 & No.2 Former supervisors who know your work No.3 Character references DO NOT LIST RELATIVES
G. WORK INTEREST INFORMATION
H. COMMENTS OR ADDITIONAL INFORMATION
I understand that the processing of my employment application requires the expenditure of time and resources by this employer. I also understand that this employer would not process this application if I had no genuine interest in employment with this employer and that my application is interest in employment with this employer.
I certify that the information furnished in this application and any supporting documents is true and complete to the best of my knowledge and belief, and I understand that any misrepresentation or omission of material fact on this or any other record submitted pertinent to employment could constitute grounds for dismissal, I authorize my previous employers, schools, credit agencies, and other persons named above to give any information they may have regarding me, whether or or not it is on their record. I hereby release said employers, schools, credit reporting agencies, or persons from all liability for any damage resulting from this information. Furthermore, I hereby release this employer from any/all liability of whatever kind and nature which, at any time, could result from obtaining and making an employment decision based on such information.
I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of this employer. However, I further understand that neither the policies, rules and regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and is at-will. I further understand that either I or this employer may terminate my employment at any time with or without notice or cause.
This application for employment is good for 90 days only. Consideration for employment after 90 days requires a new application.