Job Application EN

Applicant Information

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Date

Employment Position

Position(s) applying for:

How did you hear about this position?

On what date can you start working if you are hired?

Personal Information

Have you ever applied to or worked for AGL Construction before?

Yes
No

If yes, when?

Do you have any friends, relatives, or acquaintances working for AGL Construction?

Yes
No

If yes, state name & relationship:

Are you 18 years of age or older?

Yes
No

Are you a U.S. citizen or approved to work in the United States?

Yes
No

What document can you provide as proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test?

Yes
No

Do you have any condition which would require job accommodations?

Yes
No

If yes, please describe accommodations required below.

Job/Skills Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

(Note: AGL Construction complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Education and Training

High School/Name/Location/Year Graduated

College – University/Name/Location/Year Graduated/Degree

Vocational School/Name/Location/Year Graduated/Degree (copy)

Military Service

Are you a member of the Armed Services?

Yes
No

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous Employment 1

Employer Name

Supervisor Name

Employer Address

City/State/Zip Code

Employer Telephone

Dates Employed

Reason for leaving

Previous Employment 2

Employer Name

Supervisor Name

Employer Address

City/State/Zip Code

Employer Telephone

Dates Employed

Reason for leaving

Refrences

Please provide 3 personal and/or professional references below:

Reference and Contact Information

At-Will Employment

The relationship between you and the AGL Construction is referred to as “employment at will.” This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or AGL Construction. No representative of AGL Construction has authority to enter any

agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will,” and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company’s President.

Name *

First

Last