ARS Job application

Questions marked with an * are required

Exit Survey

* First Name :

* Last Name :

* Address 1 :

Address 2 :

* City :

* State :

* Zip :

* Phone :

* Email Address :

Social Security Number :

Select Desired Employment

Full Time

Part Time

Seasonal

Temporary

Position Desired

What day could you start work?

Month	Day	Year

Please Select the days & times you are available to work

High School Information

School Name :
City, State :
Diploma & GPA :

College Education

School Name :

City, State :

Years Attended :

Degree :

GPA :

Did you Graduate? :

Currently Enrolled? :

College Education

School Name :

City, State :

Years Attended :

Degree :

GPA :

Did you Graduate? :

Currently Enrolled? :

Other Education

School Name :

City, State :

Years Attended :

Degree :

GPA :

Did you Graduate? :

Currently Enrolled? :

Special Courses :

Have you ever been convicted of a crime?

Yes

If Yes, Please list crime, number of offence(s), Date(s) of offence(s), and any sentence that may affect your ability to work at ARS. Please note: Answering "Yes" to this question does not automatically bar your employment. Factors such as time of offence and nature of the violation will be taken into account. Please do not include minor traffic violations unless they have lead to a suspension of your driving licence at any time. Please do not include any infractions that have been dismissed or probation has been successfully completed over two years ago as deemed by a Judicial Court System.

Do you have a current Drivers License?

Yes

License Number & Expiration date

Do you have reliable transportation to work?

Yes

Comments

Work History

Business Name :

Dates of Employment :

Job Title :

City :

State :

Zip :

Name of Supervisor :

* Phone :

Reasons for Leaving :

Work History

Business Name :

Dates of Employment :

Job Title :

City :

State :

Zip :

Name of Supervisor :

* Phone :

Reasons for Leaving :

Work History

Business Name :

Dates of Employment :

Job Title :

City :

State :

Zip :

Name of Supervisor :

* Phone :

Reasons for Leaving :

May we contact your current employer?

Yes

If "No" please explain

Please list any special skills, certificates, licences, or training you have

Reference Information

First Name :
Last Name :
Phone :
Relation & Years known :

Reference Information

First Name :
Last Name :
Phone :
Relation & Years known :

Reference Information

First Name :
Last Name :
Phone :
Relation & Years known :

-----------------------APPLICANT’S STATEMENT & AGREEMENT ------------------------------In the event of my employment to a position in this Company, I will comply with all rules and regulations of this Company. I understand that the Company reserves the right to require me to submit to a test for the presence of drugs in my system prior to employment and at any time during my employment, to the extent permitted by law. I also understand that any offer of employment may be contingent upon the passing of a physical examination. I consent to the disclosure of the results of any physical examination and related tests to the Company. I also understand that I may be required to take other tests such as personality and honesty tests, prior to and during my employment. I understand that should I decline to sign this consent or take any of the above tests, my application for employment may be rejected or my employment may be terminated. I understand that bonding may be a condition of hire. If it is, I will be so advised either before or after hiring and a bond application will have to be completed.I further understand that the Company may obtain Public Records about me as part of a background investigation and that I may waive my right to receive a copy of such Public Records by checking the box to the right [ ].I further understand that the Company may contact my previous employers. I authorize those employers to disclose to the Company all records and information pertinent to my employment with them. In addition to authorizing the release of any information regarding my employment, I hereby waive any rights or claims I have or may have against my former employers, their agents, employees, and representatives, as well as other individuals who release information to the Company, and release them from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any such information by any person or party, whether such information is favorable or unfavorable to me. I authorize the persons named herein as personal references to provide the Company with any pertinent information they may have regarding myself.I hereby state that all the information that I have provided on this application or any other documents completed in connection with my employment, and in any interview is true and accurate. I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that if I am employed and any information provided to the Company is found to be false or incomplete in any respect, I may be dismissed. I understand if selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete and I-9 Form in this regard.If hired, I agree as follows: My employment and compensation is terminable at-will, is for no definite period, and my employment and compensation may be terminated by either the Company (employer) or me at any time and for any reason whatsoever, with or without good cause.If hired, employee agrees to be subject to a complete background check within seven (7) days of hiring.This is the entire agreement between the Company and me regarding dispute resolution, the length of my employment, and the reasons for termination of employment, and this agreement supersedes any and all prior agreements regarding these issues. It is further agreed and understood that any agreement contrary to the foregoing must be entered into, in writing, by the President of the Company. No supervisor or representative of the Company, other that its President, has any authority to enter into any agreement for employment for any specified period of time or make any agreement contrary to the foregoing. Oral representations made before or after you are hired do not alter this Agreement.If any term or provision, or portion of this Agreement is declared void or unenforceable it shall be severed and the remainder of this Agreement shall be enforceable.IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK A COMPANY REPRESENTATIVE BEFORE SIGNING. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE SAME.DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT & AGREEMENT.

I Agree