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Name
First
Middle
Last
Phone
Email
Present Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Previous Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
HAVE YOU WORKED FOR AAA SIGNS BEFORE?
NO
YES
Previous Employment (If yes)
FROM
MM slash DD slash YYYY
TO
MM slash DD slash YYYY
WHERE
POSITION
REASON FOR LEAVING
GENERAL INFORMATION
POSITION APPLYING FOR
WHO REFERRED YOU?
RATE OF PAY EXPECTED
INTERESTED IN THE FOLLOWING (SELECT ALL THAT APPLY)
Full Time
Part Time
Temporary
Seasonal
Select All
EDUCATION HISTORY
High School
Technical School
College
Other
Select All
(SELECT ALL THAT APPLY)
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High School Background
Name
City
Course or Major
Did you graduate?
First Choice
Second Choice
Third Choice
Tech School Background
Name
City
Course or Major
Did you graduate?
First Choice
Second Choice
Third Choice
College Background
Name
City
Course or Major
Did you graduate?
First Choice
Second Choice
Third Choice
Previous Employer (1)
Company Name
FROM
MM slash DD slash YYYY
TO
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Type of Business
DUTIES AND RESPONSIBILITIES
NAME OF SUPERVISOR
STARTING WAGE
ENDING WAGE
Previous Employer (2)
Company Name
FROM
MM slash DD slash YYYY
TO
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Type of Business
DUTIES AND RESPONSIBILITIES
NAME OF SUPERVISOR
STARTING WAGE
ENDING WAGE
Previous Employer (3)
Company Name
FROM
MM slash DD slash YYYY
TO
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Type of Business
DUTIES AND RESPONSIBILITIES
NAME OF SUPERVISOR
STARTING WAGE
ENDING WAGE
Reference 1
Name
Company
Relationship and Title
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Years Known
Phone
Reference 2
Name
Company
Relationship and Title
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Years Known
Phone
Reference 3
Name
Company
Relationship and Title
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Years Known
Phone
PLEASE CHECK THE SKILLS FOR WHICH YOU HAVE RECEIVED TRAINING:
Word Processing
Software Packages
Programming Languages
Database
Manufacturing Equipment
Other
WORD PROCESSING DETAILS
SOFTWARE PACKAGES DETAILS
DATABASE DETAILS
MANUFACTURING EQUIPMENT DETAILS
OTHER DETAILS
DO YOU HAVE A VALID DRIVER'S LICENSE?
YES
NO
DO YOU HAVE A CDL?
YES
NO
STEEL WELDING EXPERIENCE?
Mig
Tig
Both
None
HOW MANY YEARS OF STEEL WELDING EXPERIENCE?
ALUMINUM WELDING EXPERIENCE?
Mig
Tig
Both
None
HOW MANY YEARS OF STEEL WELDING EXPERIENCE?
EXPLAIN ANY ELECTRICAL KNOWLEDGE YOU MAY HAVE:
HAVE YOU EVER WIRED A BALLAST OR TRANSFORMER?
Yes
No
IF YES, EXPLAIN TO WHAT EXTENT?
HAVE YOU WORKED WITH LOW VOLTAGE LIGHTING (LED’S)?
Yes
No
EXPLAIN YOUR SHEET METAL EXPERIENCE, IF ANY:
EXPLAIN YOUR SPRAY PAINTING EXPERIENCE, IF ANY:
ARE YOU AFRAID OF HEIGHTS?
Yes
No
COULD YOU WORK OUT OF TOWN UP TO 20 DAYS A MONTH IF ASSIGNED? TYPICALLY, MONDAY- FRIDAY WORK SCHEDULE, HOME ON THE WEEKENDS.
Yes
No
DO YOU HAVE ANY PHYSICAL DISABILITIES THAT WOULD BRING DANGER TO YOU OR YOURSELF WHILE PERFORMING A JOB ENTAILING BEING ON A LADDER OR SCAFFOLDING, SQUATTING DOWN, OR STANDING IN ON PLACE FOR TIME?
IS THERE ANYTHING THAT YOU ARE AWARE OF THAT WOULD CAUSE YOU TO NOT BE ABLE TO PERFORM IN A INTENSIVE/MANUFACTURING ENVIRONMENT?
APPLICANT NAME
Date
MM slash DD slash YYYY
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