Atlas Welding and Fabrication

Atlas Welding and Fabrication

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Application for Employment

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Personal Information
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Are you 18 years or older?
- Yes
- No
Are you either a U.S. citizen or an alien authorized to work in the United States?
- Yes
- No
Do you have a valid drivers license?
- Yes
- No

Emplyoment Desired
Position
Date You Can Start
Date Format: MM slash DD slash YYYY
Salary Desired
Are you employed now?
- Yes
- No
May we inquire of your present employer?
- Yes
- No
Ever applied to this company before?
- Yes
- No
When?
Where?
Referred by

Education
Grammar school name and lcation
No. of year attended*
Did you graduate?*
- Yes
- No
Subjects Studies
High school name and lcation
No. of year attended*
Did you graduate?*
- Yes
- No
Subjects Studied
College name and lcation
No. of year attended*
Did you graduate?*
- Yes
- No
Subjects Studied
Trade, Business, or Correspondence school name and lcation
No. of year attended*
Did you graduate?*
- Yes
- No
Subjects Studied

General
Subjects of special study or research work
Special Skills
Activities: (civic, athletic, etc.)
U.S. Military or Naval Service
Rank
Present Membership in National Guard or Reserves

Former Employers (list below last three employers, starting with last one first)
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Name and address of employer
Salary
Position
Reason for leaving

From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Name and address of employer
Salary
Position
Reason for leaving

From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Name and address of employer
Salary
Position
Reason for leaving

References
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Business
Years Acquainted
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Business
Years Acquainted
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business
Years Acquainted

*The Age Discrimination in Employment Act of 1987 prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age.

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