Job Application Question Answer by nky85654

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									               AM-RAIL CONSTRUCTION, INC.
                                           JOB APPLICATION




INSTRUCTIONS: Please provide the information requested in the following pages as it applies to you at this time. It is
important that you answer every question. If the question does not apply to you, please put N/A.

At the time you submit this application, we will require a copy of your photo ID and social security card . This can be scanned
and e-mailed to us at amrailam@hotmail.com or mailed to us at PO Box 581164, Tulsa, OK 74158.

Thank you for your cooperation.
              AM-RAIL CONSTRUCTION, INC.
                                        JOB APPLICATION


NAME:_________________________________________________      DAYTIME PHONE NUMBER:_________________________________
MAILING ADDRESS:_____________________________________       OTHER PHONE NUMER:_____________________________________
CITY AND STATE________________________________________      E-MAIL ADDRESS:__________________________________________


CURRENT PHYSICAL ADDRESS: _________________________________________________________________________________________
     _________________________________________________________________________________________________________________
HOW LONG HAVE YOU BEEN AT THIS ADDRESS? ________________YEARS ____________MONTHS
LANDLORD’S NAME AND PHONE NUMBER ______________________________________________________________________________

PREVIOUS ADDRESS: __________________________________________________________________________________________________
     _________________________________________________________________________________________________________________
HOW LONG AT PREVIOUS ADDRESS? _____________YEARS           _____________MONTHS
LANDLORD’S NAME AND PHONE NUMBER _____________________________________________________________________________


WHAT POSITION ARE YOU APPLYING FOR?_______________________________ DESIRED WAGES___________________________
HAVE YOU BEEN GIVEN A COPY OF THE JOB DESCRIPTION FOR THIS POSITION TO READ?          YES_________ NO_________
     IF YOU ANSWERED YES, IS THERE ANY REASON THAT YOU COULD NOT PERFORM THE RESPONSIBILITIES OF THIS
     POSITION AS DESCRIBED IN THE JOB DESCRIPTION?        YES______________      NO______________
           IF YES, EXPLAIN____________________________________________________________________________________________
     IS THERE ANY REASON THAT WOULD PREVENT YOU FROM BEING AT WORK DURING REGULAR HOURS OF WORK?
           YES_______________ NO_________________
           IF YES, EXPLAIN____________________________________________________________________________________________


WHAT WAS THE HIGHEST GRADE LEVEL YOU FINISHED IN SCHOOL?______________________________________________________
 WHAT COLLEGE LEVEL COURSES HAVE YOU COMPLETED?______________________________________________________________
_______________________________________________________________________________________________________________________
      WHAT COLLEGE DID YOU ATTEND?
HAVE YOU WORKED FOR AM-RAIL IN THE PAST?         YES _____________            NO ______________
      IF YES, PLEASE STATE DATES OF EMPLOYMENT ___________________________________________________________________
1. NAME OF MOST CURRENT EMPLOYER________________________________________________________________________________
IMMEDIATE SUPERVISOR’S NAME_______________________________________________________________________________________
 ADDRESS AND PHONE NUMBER ________________________________________________________________________________________
_______________________________________________________________________________________________________________________
 START DATE_________________ END DATE_________________REASON FOR LEAVING________________________________________

2. NAME OF PREVIOUS EMPLOYER _____________________________________________________________________________________
ADDRESS AND PHONE NUMBER ________________________________________________________________________________________
 _______________________________________________________________________________________________________________________
 START DATE_________________ END DATE_________________REASON FOR LEAVING________________________________________
 _______________________________________________________________________________________________________________________
HAVE YOU APPLIED FOR EMPLOYEMENT AT AM-RAIL IN THE PAST? _____________________________________________________
HAVE YOU BEEN INJURED ON THE JOB IN THE PAST SEVEN YEARS? ______________________________________________________
    IF YES, PLEASE EXPLAIN____________________________________________________________________________________________
________________________________________________________________________________________________________________________

DRIVER’S LICENSE NUMBER__________________________________EXPIRATION DATE________________________________________

DESCRIBE ANYTHING ABOUT YOURSELF THAT YOU BELIEVE QUALIFIES YOU FOR THIS POSITION:_________________________
______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________

 PROVIDE THE NAMES, CONTACT INFORMATION, AND RELATIONSHIP OF ANY PERSONS WE MAY CONTACT AS A REFERENCE
 FOR YOU AND ANY INFORMATION YOU PROVIDE IN THIS APPLICATION. REFERENCES CAN INCLUDE CURRENT OR FORMER
 EMPLOYERS, CURRENT OR FORMER TEACHERS, COLLEAGUES, AND OTHERS WHO KNOW YOU PROFESSIONALLY.
             NAME                                CONTACT INFORMATION                                   RELATIONSHIP
 _______________________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________



SIGNATURE:_________________________________________________________        DATE:______________________________________

   THIS INFORMATION WILL BE VERIFIED. FA LSIFIED OR DECEPTIVE INFORMATION WILL BE CONSIDERED A REASON FOR NOT APPROVING THE
                                                           APPLICATION.
                         Am-rail construction, Inc.

                                           Job application




Am-Rail Construction has a drug and alcohol policy. All new employees must undergo a drug test before reporting to an Am-
Rail jobsite. We will inform you where to go for the drug test. The cost of the first drug test is the responsibility of the new
employee, and will be deducted from your first pay check. After the first drug test, any random testing requested by Am-Rail
will be paid for by Am-Rail. Refusal to take the test, or a positive reading, will result in the employee’s application being
denied and/or immediate termination.

Your signature below acknowledges that you have read, understood and approve the above policy.________________________




EMPLOYEE NAME:__________________________________________________ DATE:____________________________


EMPLOYEE SIGNATURE:_______________________________________________________
                    AM-RAIL CONSTRUCTION, INC.




I, ______________________________________________(print name) do affirm that the forms of identification I am

submitting with my application is genuine, legal, authentic and original. The picture identification I am submitting is not

fraudulent. I understand that using fraudulent forms of identification could lead to my being prosecuted.




Signature___________________________________________________ Date______________________________________
                          RELEASE A ND A UTHORIZA TION TO OBTA IN CONS UMER A ND/ OR INVESTIGA TE CONSUM ER REPORT

I, the undersigned, hereby consent and release AM- Rail Construct ion, Inc., its affiliated companies, its subcontr actors, and/or its agents (collectively, herein
after referred to as the “Company”) to procure consumer reports on me including, but not limited to information concerning my character and general reputation.
These reports may be obtaine d through, but not limited to the following sources: motor vehicle reports, social security number verifications, present and former
addresses, criminal and civil history/records, and any other public records.

I hereby release any and all persons, business entities, third party agencies, and gover nmental agencies providing information, w hether public or private, from
any and all liability, claims and/or demands, by me, my heirs or others making such claim or demand on my behalf for providin g consumer report(s) and/or
investigative consumer report(s) authorized therein.

I authorize without reservation the Railroads and other Businesses, for which the Company provides services, to access my inf ormation in order to determine if I
am eligible to perform wor k on their property.

Further, if I am selected as an employee, or an employee of an independent contractor, for the Company, I understand and auth orize that periodic investigations
may be requested for the duration of my association with the Company. I under stand that this release and authorization shall remain in effect for the duration of
my association with the Company. Additionally, I hereby authorize the Company to investigate any incidents of wor kplace misco nduct made against or involving
me both during and after the term of my association with the Company.

I understand and agree that any information provided by me that is found to be false, incomplete or misrepresented in any res pect in the Company’s sole
judgment, will be cause to cancel fur ther consideration of my application for employment and/or contracting services whenever such discrepancies are discovered.
Further, I understand that by requesting this information that no promise of employment is being made. I am willing that a ph otocopy of this a uthorization will be
accepted with the same authority as the original.

I HEREBY CERTIFY THAT THIS FORM WAS COMPLETED BY ME, A ND THA T THE INFORMA TION PROVIDED IS TRUE A ND CORRECT AS OF THE
DAY HEREOF.

Signature: ___________________________________________________                      Date: _________________________
Please Print:
Name: _______________________________________________________                      *Date of Bir th: __________________
              First        Middle        Last

Social Security Number: _________ - ________ - _________                Gender (check one): [ ] Male [ ] Female

Drivers License #: ___________________________________                  Issuing State: _________

Daytime Phone Number: ________________________                 Alternate Phone Num ber: ________________________

Other Names Used (alias, maiden, nickname): _________________________________________________________

Current Address: __________________________________________________________________________ _________
                      Street Number and Name         City          State        -ZIP         Dates

Are you applying for a position in California, Minnesota, or Oklahoma?                         []   Yes        []   No
    (if yes) Would you like a copy of any consumer reports requested sent to you?              []   Yes        []   No

* Note: Date of Birth information is required for identification purposes only, and is in no manner used as qualifying for jo ining the Company. The Company does not discriminate
on the basis of sex, religion, veteran status, age, or disability.

								
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