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Name:
Email:
Phone:
Notes:
Key Code:
*Please enter the Key code from the image above



 

Home Careers Employment Application

Employment Application

Applicant Information
  Last First Middle
Full Name:
Date:
  Street Address Apartment/Unit #  
Address:  
  City State ZIP Code
 
Phone: E-mail Address:
Date Available:
Position Applied for: Desired Salary: $
Available for work: Fulltime
Parttime
Temporary
Will you work? Overtime
Weekends
Do you have dependable transportation? Yes
No
Do you have a valid Arizona driver’s license? Yes
No
Are you a citizen of the United States? Yes
No
If no, are you authorized to work in the U.S.? Yes
No
Have you filed an application here before? Yes
No
If so, when?
Have you ever worked for this company? Yes
No
If so, when?
Have you ever been convicted of a felony? Yes
No
Conviction will not necessarily disqualify you from consideration
If yes, explain:
Education
College: Address:
From: To:
Did you graduate? Yes
No
Degree:
High School: Address:
From: To:
Did you graduate? Yes
No
Degree:
Other: Address:
Other qualifications:
References(Please list three professional references.)
Full Name: Relationship:
Company: Phone:
Address:
Full Name: Relationship:
Company: Phone:
Address:
Full Name: Relationship:
Company: Phone:
Address:
Resume Details (you may copy/paste your MS word resume)


Employee Representation
What kind of an employee can we expect you to be regarding the following: (Atmosol will rely on your statement)
Attendance:
Performance:
Work Quality:
Initiative:
Motivation:
Accountability:
Attitude:
Key Code:
*Please enter the Key code from the image above
Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false, misleading or omission of information in my application or interview may result in my dismissal.

I authorize the investigation of all information provided herein and specifically authorize employers and reference to give you any and all information concerning me and, by doing so, release all persons from any liability for any damage that may result from providing information. In consideration for my employment, I agree to adhere to all company policies, procedures, rules, regulations and guidelines. I understand that these may change over the course of time and they will be included in my employment records.

I further agree that my employment (and the terms and benefits provided to me) is not intended, and does not constitute any contractual relationship and is for no definite period of time and is terminable by myself or Atmosphere Solutions with or without notice and without cause. No oral statements or representation made either before or during employment can change or modify this non-contractual agreement and at-will relationship.

Signature/Name:
Date:


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info@atmosol.com
(602) 324-3489