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Job Application EN
avick
2021-06-22T15:58:29-07:00
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Applicant Information
Name
*
First
Last
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
Email
*
Date
Employment Position
Position(s) applying for:
Labor
Pipe Layer
Operator
Foreman
Other
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
Reference and Contact Information
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.
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