Employment Application

ALLIED SYSTEMS COMPANY (ASC) IS A DRUG FREE WORKPLACE. ALL SUCCESSFUL JOB APPLICANTS WILL BE REQUIRED TO TAKE AND PASS A DRUG SCREEN FOR FEDERALLY ILLEGAL SUBSTANCES. PLEASE STOP HERE IF YOU DO NOT WISH TO COMPLETE THIS JOB APPLICATION BECAUSE OF THIS POLICY.

Please review and initial each statement and sign your name below.

If I am employed by ASC, I will comply with all work-related requirements set forth by ASC.
I understand that if I am employed, ASC reserves the right to subject me to drug and alcohol testing if there is reasonable suspicion that I am using drugs or under the influence of alcohol, if I am involved in any accident involving property damage, physical injury, or risk of damage or injury, as well as periodic and unannounced random testing.
I authorize investigation of all information as well as references provided during the application process. I also authorize investigation of all information concerning my previous employment, as well as pertinent information, personal or otherwise. I release ASC and its agents, and all persons, companies, or corporations providing information to ASC about me from any liability or responsibility.
I understand that failure to comply with instructions of supervisors or policies of ASC, including incompetent work performance, unacceptable, immoral, aggressive or criminal conduct, failure to show up for or complete an assignment, and/or the use of, possession of, or being under the influence of drugs or alcohol will result in immediate termination of my employment.
I understand that if hired, I will be an “at will” employee and agree that the employment relationship can be terminated at any time, with or without cause, by ASC or me.
I understand that ASC reserves the right to make changes, to update, to delete, or to add to its policies, rules, procedures, and benefits at any time, with or without notice.
I hereby acknowledge that I have read and understand the above statements. I certify that all information provided by me in this application and any additional information I may have submitted are true and complete to the best of my knowledge. I understand that giving false information, misrepresenting facts and material omissions on this application, during interview(s), or at any time during the hiring process may be grounds for denial of employment or discharge, if hired.

Signature of Acknowledgement Date


Position Applied For:

Last Name: First Name: Middle Name:
Street Address:
City:State:Zip:
Main Phone: Alternate Phone:
Email Address: Are You 18 or Older?YesNo

Are you eligible for employment in the United States? YesNo
(Proof of citizenship or immigration status will be required upon employment.)

Have you ever worked at ASC before? YesNo    If yes, when?
Have you ever applied for work at ASC before? YesNo     If yes, when?
Will you work any shift? YesNo     Will you work overtime and extra days? YesNo
Have you read the job advertisement or had the requirements of the job explained to you? YesNo
Do you understand these requirements? YesNo

Referral Source:
ASC Website Newspaper Ad
School Online Posting
Site:
Staffing Agency
Agency: 		Employee Referral
Name:


Relatives/Friends: Some positions at ASC may not be held by certain individuals in order to avoid the possibility of conflict of interest. Generally, qualified relatives/friends are eligible for employment, except in situations as specified under state law or under the discretion of ASC.

Do you have any relatives or friends who are presently employed by ASC? YesNo


Special Skills (Check Applicable Options)
Type (Words per minute: )     10-Key by touch
Word Processing (If yes, list software: )
Computer-Aided Design/Drafting (If yes, list software: )
FCAW (Flux Core) GMAW (Hard Wire or Mig) SMAW (Stick)
GTAW (Tig) Blue Print Reading Layout
Fitting Airless Paint Conventional Paint
Electrostatic Paint Hand Tools CNC Burning
Shop Math Shear Press Brake
Manual Machining CNC Machining Forklift
Pallet Jack Hydraulics/Pneumatics UPS/Fed-Ex

Do you own your own tools? YesNo     Are you able to read a tape measure? YesNo

Education and Training (List Name & Address of School)
High School:
 Major:
 Grade Completed:
College/University:
 Major:
 Diploma/Degree:
Graduate or Professional School:
 Major:
 Diploma/Degree:
Military Service:
 Specialty:
 Rate/Rank:
Special Courses or Apprenticeships:
Awards, Certificates, or Licenses:
If hired, can you provide proof of educational/professional training/degree(s) received? YesNo



PLEASE LIST YOUR EMPLOYMENT HISTORY. Include periods of unemployment lasting for more than one (1) month. List in order, starting with present or last employer.

Present or Last Employer:
 Phone:
 Dates of Employment:
Address:
 Job Title:
Job Duties:
 Supervisor:
Reason for Leaving:
 Desired Pay Rate:


Previous Employer:
 Phone:
 Dates of Employment:
Address:
 Job Title:
Job Duties:
 Supervisor:
Reason for Leaving:
 Desired Pay Rate:


Previous Employer:
 Phone:
 Dates of Employment:
Address:
 Job Title:
Job Duties:
 Supervisor:
Reason for Leaving:
 Desired Pay Rate:


Previous Employer:
 Phone:
 Dates of Employment:
Address:
 Job Title:
Job Duties:
 Supervisor:
Reason for Leaving:
 Desired Pay Rate:


Previous Employer:
 Phone:
 Dates of Employment:
Address:
 Job Title:
Job Duties:
 Supervisor:
Reason for Leaving:
 Desired Pay Rate:


Previous Employer:
 Phone:
 Dates of Employment:
Address:
 Job Title:
Job Duties:
 Supervisor:
Reason for Leaving:
 Desired Pay Rate:


Previous Employer:
 Phone:
 Dates of Employment:
Address:
 Job Title:
Job Duties:
 Supervisor:
Reason for Leaving:
 Desired Pay Rate:


Previous Employer:
 Phone:
 Dates of Employment:
Address:
 Job Title:
Job Duties:
 Supervisor:
Reason for Leaving:
 Desired Pay Rate:






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