applied technical systems by eliwalker


									                                                                                                       Applied Technical Systems, Inc.

                                                          Application for Employment
                                     Name                                                            Date
                                   Current                                              Home Phone Number (                 )
                                   Address                                              Work Phone Number (                 )
     Personal Information

                            Are you prevented from being lawfully employed in the United States?                                   [ ] Yes [ ] No
                            Are you 18 years of age or older?                                                                      [ ] Yes [ ] No
                            For reference purposes, have you worked or attended school under a former name?
                              If yes, please list former name:
                                                                                                                                   [ ] Yes [ ] No
                            Have you ever applied here before? If yes, when?                                                       [ ] Yes [ ] No
                            Have you ever been employed here before? If yes, when?                                                 [ ] Yes [ ] No
                            Are any relatives currently employed here? If yes, give full name:                                     [ ] Yes [ ] No
                            Are you able to perform the essential functions of the job you are applying for?
                               If no, what accommodation would assist you?                                                         [ ] Yes [ ] No

                            In the course of employment, you may be subject to a government security investigation
                            and must meet eligibility requirements for access to classified information. Is there any
                            known reason you may not meet these requirements? (e.g. non-US citizen, felony
                                                                                                                                   [ ] Yes [ ] No
                            conviction, etc.) Note: This does not necessarily preclude you from employment.
Current, Recent

                                  Employer Name                          Location                                                         Salary

                                                                                                    Employed there?
                                                                                                   [ ] Yes [ ] No

                                                                                                   [ ] Yes [ ] No

                                                                       Employment Preference

                             Position Desired                                         Earnings Desired
                                                                                      Are you available to travel?               [ ] Yes [ ] No
                                  Location                                            Are you willing to commute?                [ ] Yes [ ] No
                                                                                      Are you willing to relocate?               [ ] Yes [ ] No
                            Career Objectives

  I certify that all the information provided on this form is true and complete to the best of my knowledge, and I understand that any misrepresentation,
  falsification or omission may be considered justification for refusal of employment or subsequent termination.
  I understand that employment by Applied Technical Systems is conditional upon acceptance of an offer. I further understand that my employment is at the
  discretion of Applied Technical Systems and it has no specified term. It can be terminated at will, with or without notice, at any time, for any or no reason,
  at the option of either myself or Applied Technical Systems.

  Please read the above statement and sign here:                                        _______ Date of Application ________________

  Company Confidential

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