Solutions by Application - Advanced Cable Ties

Application Information

First Name*

Middle Name*

Last Name*

Address*

Street Address City State / Province / Region Postal Code Country

Email*

Day Phone*

Evening Phone*

Are you at least 18 years old?

Are you legally authorized to work in the U.S.?

How did you hear of our company?

Name of person

Tell us where

Job Interest

Shift Preference

Type

Days / Hours preference

How soon could you start?

Are you available to work overtime?

Education and / or Military Training

High School

School Name

City / State

Major Subjects

Years attended

Diploma or Degree Received?

Type

College

School Name

City / State

Major Subjects

Years attended

Diploma or Degree Received?

Type

Graduate

School Name

City / State

Major Subjects

Years attended

Diploma or Degree Received?

Type

Other

School Name

City / State

Major Subjects

Years attended

Diploma or Degree Received?

Type

Training Courses

Describe any relevant training programs you have completed. Include the types of training, the sources of the training, and the dates of the training.

Employment History

List all employment and include any performed on a volunteer basis which can be verified, starting with present or most recent.

Company 1 Name

City / State

Phone

Position Held

Immediate Supervisor

Employed from

Employed to

Reason for leaving

If presently employed, may we contact your employer as a reference?

Add another company?

Company 2 Name

City / State

Phone

Position Held

Immediate Supervisor

Employed from

Employed to

Reason for leaving

If presently employed, may we contact your employer as a reference?

Add another company?

Company 3 Name

City / State

Phone

Position Held

Immediate Supervisor

Employed from

Employed to

Reason for leaving

If presently employed, may we contact your employer as a reference?

Add another company?

Company 4 Name

City / State

Phone

Position Held

Immediate Supervisor

Employed from

Employed to

Reason for leaving

If presently employed, may we contact your employer as a reference?

Qualifications

Briefly describe the type of work for which you are best qualified. Note any details about your qualifications which should be considered. Include special skills such as machines operated, licensed, foreign languages, computer and software knowledge, etc.

What are you career objectives?

List any professional affiliations, honors and awards, publications, patents, etc. (Exclude any memberships which would reveal age, sex, race, religion, color, national origin, or disability.

Statement of understanding

Please read the following statements as they constitute the conditions which would be mandated by our Company should you be accepted for employment: I certify that all information that I have provided on this application is true and complete to the best of my knowledge. I understand that falsification, misrepresentations or omission of facts called for in this application may result in denial of employment or immediate dismissal. I understand that if I am employed by Advanced Cable Ties, my employment is for no definite term and that I can be terminated at any time with or without notice and with or without cause. I further understand that no verbal promises or guarantees are binding on Advanced Cable Ties and that no one, other than the President of the company, has authority to enter into an agreement for employment contrary to the above, and that any such agreement must be in writing. If employed, I agree to abide by all of Advanced Cable Ties' rules and regulations, and any changes thereto. I understand that a job offer may be contingent upon the satisfactory results of a physical examination and/or drug screening. (Note: You will be notified if these are a requirement, and all related expenses are paid by the company). I give Advanced Cable Ties permission to investigate all pertinent information concerning my application in order to determine my qualifications for employment. I understand that any offer of employment may be rescinded if the results of the investigation are unacceptable to Advanced Cable Ties.

I agree