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Employment Application Form

Application for At-Will Employment

We consider applicants for all positions without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, or any other legally protected status.
Instructions to Applicant
1. You must fully and accurately complete the Application for Employment. Incomplete applications will not be considered. Alexander Manufacturing Co. may use the information given in the application to investigate the applicant's previous employment and background.

2. All applications are reviewed by a human resources recruiter. You will be contacted only if additional information is needed or we are calling you to schedule an interview.
* Required Information
Personal Information
First Name * :
Middle Name* :
Last Name * :
Social Security Number * :
Address * :
City * :
State * :
Zip Code * :
Primary Telephone Number * :
Alternate Telephone Number * :
Email address * :
Best way to contact :
Additional Information
Date available for employment? * :
Which job status would you accept? (check all that apply) :
Status
Are you willing to travel if the position requires it? * :
How did you find out about this position? :
Have you applied at Alexander previously? * :
Have you interviewed at Alexander previously? * :
Have you ever been employed by Alexander? * :
If so, hire date and position held :
Do you have any relatives employed by Alexander? * :
If yes, list name, relationship, and department :
If offered employment, can you submit proof of your legal right to work and remain in the USA? * :
Education
High School
Name of school :   Years completed? :
Address :   Did you graduate? :
City :   State :
Zip :    
College
Name of school : Major :
Address : Minor :
City : State :
Zip :    
Did you graduate? : Degree :
List scholastic honors, specialized training, apprenticeship, inter/externships, and extra-curricular activities that may be helpful in considering your application :
Please provide a detailed description of why you have decided to pursue this specific opportunity at Alexander Manufacturing :
 
Military Service
Were /Are you a member of the U.S. Armed Forces? :
Branch of Service :
Period of active duty
From :
To :
Highest rank held :
Type of separation/discharge :
Work History
List all previous employment starting with your most recent position. Account for any time during this period that you were unemployed by stating the nature of your activities. Indicate if you were employed under a different name.
Are you currently employed? :
Do you have prior work experience? *
(If yes, please complete all required fields below) 		:
1. Most recent employer
Name of Company :
Street :
Street 2 :
City :
State :
Zip :
Employer's Phone :
Job Title :
Employed From :
To (Or currently employed) :
Starting Salary :
Ending Salary :
Supervisor's Name :
Supervisor's Phone :
Employment Status :
Job duties and responsibilities :
Reason for leaving :
May we contact this employer for a reference? :
2.Most recent employer
Name of Company :
Street :
Street 2 :
City :
State :
Zip :
Employer's Phone :
Job Title :
Employed From :
To :
Starting Salary :
Ending Salary :
Supervisor's Name :
Supervisor's Phone :
Employment Status :
Job duties and responsibilities :
Reason for leaving :
May we contact this employer for a reference? :
3.Most recent employer
Name of Company :
Street :
City :
State :
Zip :
Employer's Phone :
Job Title :
Employed From :
To :
Starting Salary :
Ending Salary :
Supervisor's Name :
Supervisor's Phone :
Employment Status :
Job duties and responsibilities :
Reason for leaving :
May we contact this employer for a reference? :
4.Most recent employer
Name of Company :
Street :
City :
State :
Zip :
Employer's Phone :
Job Title :
Employed From :
To :
Starting Salary :
Ending Salary :
Supervisor's Name :
Supervisor's Phone :
Employment Status :
Job duties and responsibilities :
Reason for leaving :
May we contact this employer for a reference? :
Please explain any gaps in your employment history:
(Please include dates) 		:
References
Please give three references (do not list relatives)
Name and Occupation Email Address Phone Number Relationship
Skills / Experience
Professional Associations of which you are a member :
List other job-related skills you have :
Working knowledge of computer software? :
Other knowledge of computer software :
Upload Resume
Upload Resume * :
Upload Cover Letter
Upload Cover Letter :
Read and Sign
Read the following carefully before signing:
I certify that the information I have furnished is correct and complete to the best of my knowledge and belief with the understanding that it may be subject to verification with former employers or other persons. I authorize my past employers, educational institutions I have attended and/or others to supply any information they have concerning me, my work performance and/or education during my association with them and release them from all liability in connection with the release or use of that information. I understand and agree that misrepresentation, falsification or omission of any information contained/requested herein may result in the refusal of employment or immediate discharge whenever discovered. In the event that I am employed, I understand and agree that regardless of the job I am first assigned, I may be required to accept a change of job depending on my demonstrated skills after employment and the needs of Alexander Manufacturing. I understand that as a condition of initial and continued employment, I must meet the health standards established by Alexander Manufacturing. Compliance with these standards will be determined by a possible physical examination which may include a drug screen. I understand that I may be required to authorize a criminal records check. I understand that if I am employed by Alexander Manufacturing, the employment relationship can be terminated at will by either party, at any time, with or without notice or with or without cause.
My typed name below shall have the same force and effect as my written signature:
Applicant's Signature :
Date :
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