Advanced Asphalt Employment Application
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Qualified applicants receive equal consideration. No question is asked for the purpose
of excluding any applicant due to race, creed, color, national origin, religion,
age, sex, handicap, veteran status, marital status, sexual orientation, or any other
characteristic protected by law. We are equal opportunity employer.
The field descriptions in
BLUE text are required.
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First Name:
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Last Name:
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Address:
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City:
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State:
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Zip:
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Phone:
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E-mail:
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Desired Position:
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If Other:
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Employment History
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Please list chronologically, beginning with most recent experience.
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Employer:
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Address/City:
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From (MM/YYYY):
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To (MM/YYYY):
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Supervisor:
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Phone:
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Salary:
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Type of Work:
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Reason for Leaving:
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Employer:
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Address/City:
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From (MM/YYYY):
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To (MM/YYYY):
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Supervisor:
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Phone:
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Salary:
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Type of Work:
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Reason for Leaving:
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Employer:
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Address/City:
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From (MM/YYYY):
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To (MM/YYYY):
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Supervisor:
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Phone:
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Salary:
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Type of Work:
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Reason for Leaving:
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Education
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Personal Information
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Member of the Drug-Free Workplace Network. Pre-Employment Drug Testing is a Requirement.
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Are you legally authorized to work in the U.S.?:
(If hired, you will be required to provide proof of work authorization.)
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Are you at least 18 years of age?:
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Briefly describe skills you may have that you acquired
in other employment or armed forces:
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Have you ever been convicted of a crime (felony)?:
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If yes, give details:
(Convictions are not automatic bar to employment)
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If you are experienced operator of any office machines
or equipment, please list:
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Typing speed?:
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wpm
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Shorthand?:
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wpm
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If you are experienced operator of any plant machines
or equipment, please list:
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Do you have any other skills you wish to mention?:
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Are you presently employed?:
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If so, may we contact your present employer?:
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If hired, when would you be available?:
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Employment References
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List individuals familiar with your job qualifications (No relatives or personal
friends).
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1) Name of Reference:
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2) Name of Reference:
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Occupation:
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Occupation:
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Address:
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Address:
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City/State/Zip:
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City/State/Zip:
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Phone:
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Phone:
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Relationship:
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Relationship:
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How long known:
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How long known:
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Invitation to Identify for Affirmative Action Purposes
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Advanced Companies, Inc., is committed to the employment and
advancement of minorities, females, and individuals with disabilities and veterans.
If you fall into one of these protected classifications, we invite you to identify
yourself and receive coverage under our company's Affirmative Action Plan.
You may inform us of your desire to benefit under the program at this time and/or
any time in the future.
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Gender:
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Indicate The Appropriate Race/Ethnic Group:
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How Were You Referred To This Job:
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Please read carefully before submitting your application
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. 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. 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.)
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 specifically 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 that an officer or official of the company, and then only by means
of a signed written document. We have a policy of no smoking on the premises.
Drug Testing Program
Advanced Asphalt has a vital interest in maintaining safe, healthful and efficient
working conditions for its customers and employees. Using or being under the influence
of drugs and/or alcohol on the job may pose serious safety and health risks not
only for the user, but to the public and all those who work with the user. The possession,
use or sale of an illegal drug or controlled substance may also pose unacceptable
risks to safe, healthful and efficient operations. To meet this compelling interest,
individuals who wish to be considered for employment must agree to DRUG AND ALCOHOL
TESTING DURING EMPLOYMENT. By completing and submitting this Notice and the associated
Application for Employment, the applicant understands and agrees to submit to drug
and alcohol testing during the course of employment as provided for in Advanced
Asphalts Drug and Alcohol Policy. The applicant further understands and agrees to
release Advanced Asphalt and its directors, officers, agents, employees, parents,
subsidiaries and affiliated concerns from any and all liability, claims, demands,
damages and causes of action of every kind and nature arising out of or resulting
from or in connection with submitting to drug and alcohol testing and any decision
concerning employment made by Advanced Asphalt in whole or in part, based upon the
results of drug and alcohol testing. Submission of an altered or adulterated specimen
or the substitution of a specimen by the applicant will result in a withdrawal of
the employment offer.
If you do not agree with these above terms, you should not apply for employeement
with Advanced Asphalt.
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