EMPLOYMENT | AJI Electric

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First Name

Last Name

Phone

Start Date

Street Address

City

Region/State/Province

Postal / Zip code

Country

Social Security #

If you are under 18 years of age, can you provide required proof of your eligibility of work?

Have you ever filed an application with us before?

Have you been employed by our company before?

May we contact your present employer?

Are you currently employed?

What date you available to work?

Are you available to work...

Are you currently on "lay-off" status and subject to recall?

Can you travel if a job requires it?

Have you been convicted of a felony in the last 7 years?

If previously convicted of a felony, please explain.

Highest level of education completed.

Name of last school completed.

List any degrees/certifications earned.

Are you fluent in a foreign language?

Reserve Status

Describe any specialized training or apprenticeships completed.

Are you a veteran of the U.S. Armed Forces?

Branch of Armed Forces

Rank at Discharge

Major Duties & Military Special Training

Start with your present of last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected status.

Employer

From/To Date Employed

Company Address

Company Telephone

Ending Salary

Job Title

Supervisor

Reason for Leaving

Employer

From/To Date Employed

Company Address

Company Telephone

Ending Salary

Job Title

Supervisor

Reason for Leaving

Employer

From/To Date Employed

Company Address

Company Telephone

Ending Salary

Job Title

Supervisor

Reason for Leaving

Please describe why you feel you would be a great team member at Andrew-Jordan Industrial.

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By submitting this application, I certify that all information that I have provided herein is true and correct and that by providing false information on this application could lead to immediate termination or denial of employment.

Thank you for submitting your application! We look forward to learning more. A Human Resources representative has been notified of your submission. We’ll be in touch.