JOB APPLICATION

Application for Employment

As an Equal Opportunity Employer, we comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability, or other protected classifications. We participate in E-Verify. Please complete application. Print or type. Must be fully completed to be considered. You may attach a resume, but completed application is also required.

Personal Information
First Name*
Last Name*
Middle
Prefix/Suffix
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Phone 2
Email*
Position Applying for*
Full Time, Part Time, or Contract*
Desired Wage*
Available Start Date*
MM slash DD slash YYYY
Do you have a high school diploma/ GED? Any higher degrees?
Are you a U.S. veteran?*
- Yes
- No
Are you legally eligible to work in the U.S.?*
- Yes
- No
Are you a member of an organized union?*
- Yes
- No
If selected for employment, are you willing to submit to employment, background, and reference checks, and give permission for drug screening?*
Have you ever been convicted of a felony? If yes, please explain.*
Have you been made aware of the essential job functions that will be required?*
Are you able to perform the essential job functions?*
- Yes
- No
Education, Qualifications, and Skills
*
School/Training Name Location Year(s) Attended Field of Study Degree/ Certificate
Upload your Resume
File
Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 8 MB.
Employment History – most recent first
Employer
Work Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Dates of Employment
MM slash DD slash YYYY
Starting/Ending Pay
Job Title & Duties
Did you supervise other employees? Please describe.
Reason for Leaving
Employer
Work Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Dates of Employment
MM slash DD slash YYYY
Starting/Ending Pay
Job Title & Duties
Did you supervise other employees? Please describe.
Reason for leaving
Employer
Work Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Dates of Employment
MM slash DD slash YYYY
Starting/Ending Pay
Job Title & Duties
Did you supervise other employees? Please describe.
Reason for Leaving
Equal Employment Opportunity Information
Gender
- Male
- Female
Date of Birth
MM slash DD slash YYYY
Ethnic Background
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 omitted information may result in my employment being terminated. I acknowledge that ATG is an “at-will” employer. Any employee (regular, temporary, or other category) may resign at any time, just as ATG may terminate the employment relationship at any time, with or without cause, with or without notice.*
- Agree
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 omitted information may result in my employment being terminated. I acknowledge that ATG is an “at-will” employer. Any employee (regular, temporary, or other category) may resign at any time, just as ATG may terminate the employment relationship at any time, with or without cause, with or without notice.
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JOB APPLICATION

Application for Employment

Personal Information

Education, Qualifications, and Skills

Upload your Resume

Employment History – most recent first

Equal Employment Opportunity Information

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School/Training Name	Location	Year(s) Attended	Field of Study	Degree/ Certificate