Follow @AshlandTech
Application for Employment
Instructions:
Complete all necessary information. You may be asked to provide additional information on another form. This application will be kept on file. It is to your advantage to periodically check to keep it active and current.
Contact Information
First Name:
Last Name:
Email:
Address:
City:
State:
Zip:
Phone#
(xxx) xxx-xxxx
:
Phone 2#
(xxx) xxx-xxxx
:
Applicant Information
Position Applying For:
Administrative
Machinist
1st or 2nd Shift CNC Set up Operator/Programmer
Are you currently employed?
Yes
No
If Yes, May we contact your present employer?
Yes
No
Would You Accept:
Full Time:
Part Time:
Date Available:
01
02
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jan
feb
mar
apr
may
jun
jul
aug
sep
oct
nov
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2017
2018
2019
Can You Work:
Weekends:
Overtime:
Available Shift?
1st Shift
2nd Shift
3rd Shift
Are You Legally Eligible For
Employment In The U.S.
(Age, Credentials)?
Yes
No
What Is Your Primary Reason For Seeking Employment With Ash-Tec?
Why do you feel you would be an asset to this company?
Special Training Or Skills Applicable To Position
Educational Background
School Name
Location
Graduation Date
High School:
College:
Graduate School:
Vocational:
Courses Of Study
Previous Employment
(most recent first)
1.
Company Name:
Contact Name:
Address:
City:
State:
Zip:
Position:
Duties:
Worked:
Salaray:
From:
To:
Start:
Final:
2.
Company Name:
Contact Name:
Address:
City:
State:
Zip:
Position:
Duties:
Worked:
Salaray:
From:
To:
Start:
Final:
3.
Company Name:
Contact Name:
Address:
City:
State:
Zip:
Position:
Duties:
Worked:
Salaray:
From:
To:
Start:
Final:
Employer's Statement
THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT, BUT MERELY IS INTENDED TO EVALUATE SUITABILITY FOR EMPLOYMENT. IT IS OUR POLICY TO CONSIDER ALL QUALIFIED PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGION, CREED, GENDER, NATIONAL ORIGIN OR ANCESTRY, AGE (40 OR OVER), DISABILITY, GENETIC INFORMATION, MARITAL OR VETERAN STATUS, OR ANY OTHER LEGALLY PROTECTED STATUS UNDER LOCAL, STATE, OR FEDERAL LAW.
IF A JOB OFFER IS MADE, EMPLOYMENT MAY BE CONTINGENT UPON THE SUCCESSFUL COMPLETION AND PASSAGE OF A MEDICAL EXAMINATION, WHICH MAY INCLUDE PROVIDING BODY SUBSTANCE (BLOOD, URINE AND/OR HAIR) SAMPLES.
WE ARE AN "AT-WILL", EQUAL OPPORTUNITY EMPLOYER.
THIS APPLICATION WILL REMAIN ACITVE FOR 365 DAYS FROM DATE SIGNED.
Applicant's Statement
I CERTIFY THAT ANSWERS GIVEN HEREIN ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION FOR EMPLOYMENT AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION.
IN THE EVENT OF EMPLOYMENT, I UNDERSTAND AND ACKNOWLEDGE THAT MY EMPLOYMENT RELATIONSHIP WITH THIS COMPANY WOULD BE OF AN "AT-WILL" NATURE. I AM FREE TO RESIGN AT ANY TIME, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE, AND THE EMPLOYER RESERVES THE SAME RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE, EXCEPT AS REQUIRED BY LAW. THIS APPLICATION DOES NOT CONSTITUTE AN AGREEMENT OR CONTRACT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OR DEFINITE DURATION.
I UNDERSTAND THAT IF I AM HIRED, ANY FALSE OR MISLEADING INFORMATION GIVEN IN MY APPLICATIONS OR INTERVIEW(S) MAY RESULT IN DISCHARGE FROM THE COMPANY. I UNDERSTAND, ALSO, THAT I AM REQUIRED TO ADIBE BY ALL CURRENT AND FUTURE RULES AND REGULATIONS OF THE EMPLOYER.
IF HIRED, I ALSO UNDERSTAND THAT I AM REQUIRED TO PROVIDE PROOF OF IDENTITY AND LEGAL WORK AUTHORIZATION.
I AGREE, IF GIVEN A CONDITIONAL JOB OFFER, TO SUBMIT TO A PRE-EMPLOYMENT MEDICAL EXAMINATION AND/OR DRUG TESTING, AND UNDERSTAND THAT I MUST MEET THE QUALIFICATIONS (PHYSICAL AND MENTAL) FOR THE POSITION, WITH OR WITHOUT REASONABLE ACCOMMODATION IN ORDER TO BEGIN EMPLOYMENT.
Full Name:
Initials:
By entering your name and initials above and submitting this form, you are agreeing to the terms listed above.
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