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Apply for a Position at AQS

AQS is an Equal Opportunity Employer and fully subscribes to the principles of Equal Employment Opportunity. It is the policy of AQS to provide employment and other benefits related to the employment based on qualifications, without regard to race, color, religion, national origin, age, sex, veteran status, disability, or any other basis prohibited by Federal or State Law. As an Equal Opportunity Employer, AQS, intends to comply fully with all Federal and State Laws and the information requested on this application will not be used for any purpose prohibited by law.

PERSONAL INFORMATION

Position Desired
Last Name
First Name  Middle Initial
Street Address
City, State, Zip ,
Are there other names under which you have worked or attended school?
If yes, please list all for reference checking purposes
Home Phone
Cell Phone
Work Phone
Pay Expected
E-mail Address

Have you ever applied for employment with us before?
If yes, month, year, and location
Have you ever worked at this company before?

If yes, when
Are you legally eligible for employment in the United States?
Are you 18 years of age or older?
Have you ever been convicted of a crime or pleaded no contest for any offense or violation other than minor traffic violations?
If yes, please explain 1) nature of crime, 2) date of conviction, and 3) state in which convicted.
(Convictions are not an automatic bar to employment)
Do you have any pending criminal charges against you?
If yes, describe the 1) nature of the charges, 2) date issued ,and 3) county and state where issued.
Are you looking for part time or full time work?
What hours can you work?
Will you work overtime if asked?
When can you begin working for AQS?
How did you learn about this opportunity?
What percentage of time are you willing to travel?

EDUCATION

Name and Location of School: # of Years: Did you Graduate? Graduation date (mm/yy) GPA Degree Program or Course Emphasis Degree or Diploma:
High School







College






College






Graduate School






Trade, Business, or
Correspondence School










Certifications or licenses

PREVIOUS EMPLOYMENT
Please provide accurate and complete information for all employment. Do not skip any employment. Begin with the most recent employment first.

May we contact your current/most recent employer?

Company 1
Company Name
Address
City, State, Zip
Phone
Starting Date (mo/yr)
Ending Date (mo/yr)
Name of Supervisor
Pay (starting)
Pay (final)
Begining Bonus
Final Bonus
Job Title
Overview of work responsibilities
Reason for leaving

Company 2
Company Name
Address
City, State, Zip
Phone
Starting Date (mo/yr)
Ending Date (mo/yr)
Name of Supervisor
Pay (starting)
Pay (final)
Begining Bonus
Final Bonus
Job Title
Overview of work responsibilities
Reason for leaving

Company 3
Company Name
Address
City, State, Zip
Phone
Starting Date (mo/yr)
Ending Date (mo/yr)
Name of Supervisor
Pay (starting)
Pay (final)
Begining Bonus
Final Bonus
Job Title
Overview of work responsibilities
Reason for leaving

Company 4
Company Name
Address
City, State, Zip
Phone
Starting Date (mo/yr)
Ending Date (mo/yr)
Name of Supervisor
Pay (starting)
Pay (final)
Begining Bonus
Final Bonus
Job Title
Overview of work responsibilities
Reason for leaving

SUPERVISORY REFERENCES
Please provide three supervisory references for which AQS can contact as individuals who have the ability to provide feedback about your work preformance. These must be individuals who have direct experience with your work. Co-worker, client, family and friend references will not be accepted.

REFERENCE 1
Name Years Known
Address
City. State. Zip
Company name
Title
Supervision dates: From To
Phone
E-mail Address

REFERENCE 2
Name Years Known
Address
City. State. Zip
Company name
Title
Supervision dates: From To
Phone
E-mail Address

REFERENCE 3
Name Years Known
Address
City. State. Zip
Company name
Title
Supervision dates: From To
Phone
E-mail Address

RESUME

In addition to a completed application form, you may copy and paste your resume into the box below for review. Please do not send just your resume. Be sure to complete the entire application form.

1. All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.

2. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purpose of verifying any information, I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment.

3. I understand that upon receiving a job offer, a physical examination and drug screening may be required. (Note: If this is a job requirement, you will be notified.)

4. Regardless of whether or not I become employed by the company, I recognize that this application is not and should not be considered a contract of employment.

I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the company’s unless specially provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other than an officer or official of the company, and then only by means of a signed, written document.

Date:
Signature: