We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, age, physical or mental disability.

 

Name:   Date of application:

                                    LAST                                                                        FIRST                                                MIDDLE

Address: 

        City:    State:    Zip:    Telephone: 


1. GENERAL INFORMATION:

Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation? Yes No

Have you been convicted of any felonies other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.) No Yes

If yes, explain: 


2. EDUCATION & TRAINING:

Grade School

Last grade completed - Grade: Major Course Studied:

Graduated: No Yes                                         Average Grade:

Name & Address of School:

College

 Last grade completed - Grade: Major Course Studied:

Graduated: No Yes                                            Average Grade:

Name & Address of School:

List any scholarships, academic honors, awards or special achievements:


3. SKILLS

Please list any skills you have that are appropriate for the position you are applying for:


If required, will you work?

  • Rotating shifts:  Yes No
  • Saturdays:          Yes No
  • Overtime:           Yes No
  • Sundays:              Yes No

Position applying for:

Salary Requirements, per hour:  $                      per month:  $

State fully why you believe you are qualified for this position:


INTERESTS / ACCOMPLISHMENTS

You may wish to list significant experience, interests & accomplishments gained while working as a volunteer or as a hobbyist that may be useful in the position (s) you are seeking. Names or organizations designating religion, race, etc. need not be mentioned.


Date you can start:  


EMPLOYMENT HISTORY

Starting with your PRESENT or MOST RECENT EMPLOYER list in consecutive order ALL EMPLOYMENT for at least the past FOUR employers.

If currently employed, may we contact your employer?  Yes No


PRESENT OR MOST RECENT EMPLOYER

FULL NAME OF COMPANY (AREA CODE) TELEPHONE

STREET ADDRESS CITY STATE ZIP

NAME & TITLE OF SUPERVISOR

            TITLE OF YOUR POSITION

            LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED,

PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:

SALARY BEGIN END   EMPLOYED FROM TO

REASON FOR LEAVING:


EMPLOYER 2

FULL NAME OF COMPANY (AREA CODE) TELEPHONE

STREET ADDRESS CITY STATE ZIP

NAME & TITLE OF SUPERVISOR

            TITLE OF YOUR POSITION

            LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED,

PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:

SALARY BEGIN END   EMPLOYED FROM TO

REASON FOR LEAVING:


EMPLOYER 3

FULL NAME OF COMPANY (AREA CODE) TELEPHONE

STREET ADDRESS CITY STATE ZIP

NAME & TITLE OF SUPERVISOR

            TITLE OF YOUR POSITION

            LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED,

PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:

SALARY BEGIN END   EMPLOYED FROM TO

REASON FOR LEAVING:


EMPLOYER 4

FULL NAME OF COMPANY (AREA CODE) TELEPHONE

STREET ADDRESS CITY STATE ZIP

NAME & TITLE OF SUPERVISOR

            TITLE OF YOUR POSITION

            LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED,

PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:

SALARY BEGIN END   EMPLOYED FROM TO

REASON FOR LEAVING:


REFERENCES:

Name   Telephone Number  Number of years known

Name   Telephone Number  Number of years known

Name   Telephone Number  Number of years known

Name   Telephone Number  Number of years known

READ CAREFULLY: I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

Signature: By typing your name and date in the following fields you assume a digital signature assuring all data submitted is accurate:

Type your full name: (first, middle initial and last) Today's Date:

Click Submit: when all Information is complete and accurate: once the Submit button is clicked the information cannot be changed.

     

OR

Print and mail this application to: Atlanta International Hydraulic Repair Inc. ~ 2351 Lithonia Industrial Blvd. Lithonia, GA 30058

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