Application for Employement

Please complete all applicable sections and submit page, if you encouter a problem please print and either fax or send by mail.

Personal Information

(*) Full Name :

Phone # :

(*) Address 1 :

Address 2 :

(*) City :

State :

Zip :

Are you legally entitled to work in the USA? :

Have you ever worked for A&J Mechanical Services before? :

If Yes, When and Where? :

(*) Desired Position(s) :

(*) Desired Wage / Salary :

(*) Date available for Employement :

Education Background

(*) Highest Level of education completed :

Name of Education Institutes :

What machines or equipment have you operated which relate to the position you have applied for? :

Are there any skills, experience or other qualifications which you feel would assist you in performing the duties of the position you have applied for? :

Employment Background

(Please list below your last three employers, starting with the most recent)

Employer 1 :

Phone # :

Length of Employment :

Reason for Leaving :

Supervisor's Name :

Position(s) Held :

Duties :

May we Contact this employer :

If not, please state a brief reason why :

Employer 2 :

Phone # :

Length of Employment :

Reason for Leaving :

Supervisor's Name :

Position(s) Held :

Duties :

May we Contact this employer :

If not, please state a brief reason why :

Employer 3 :

Phone # :

Length of Employment :

Reason for Leaving :

Supervisor's Name :

Position(s) Held :

Duties :

May we Contact this employer :

If not, please state a brief reason why :

Extras

Do you have a valid Driver's License? :

License # :

License State :

If there is anything extra you would like us to know or to take into consideration please let us know here :

Note : Fields marked (*) are required

Note : A&J Mechanical Services has a company policy stating a minimum educational level of Grade 12 or equivalent for all positions.

Note : All information obtained within this application will be held in strict confidence, subject to applicable law.

Note : If you are selected for an interview, you are required to present a copy of your driving record that is not more than 4 weeks old.

Note : Before being hired you will be required to authorize A&J Mechanical Services, LLC. to be allowed to gather a background and credit check.

Note : After being hired, a copy of your driving record will be placed into your personnel file and an annual update will be required.

Note : A&J Mechanical Services, LLC. maintains a drug-free workplace and reserves the right to perform drug testing at any given time on any employee at the Company's expense.

Note : A&J Mechanical Services, LLC. prides itself on being an Equal Opportunity Employer. We will not discriminate in employment because of sex, age, race, physical disability, religion, ethnicity, mental disability, marital status, ancestry, or place of origin.

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