Application For Employment

Pre -Employment Questionnaire
Equal Opportunity Employer
Alexander's Machine and Maintenance Service Co.
Personal Information


Date:

 

Name
E-mail
Present Address
City
State
Zip Code
Permanent Address
City
State
Zip Code
Phone No.
Secondary Phone No.
Referred By

Employment Desired
Position
Date You Can Start
Salary Desired
Are you employed now?
If so, may we contact your present employer?
Are you legally authorized to work in the U.S.
Ever applied to this company before?
Where
When

Education History

 
Name and Location
Years
Attended
Did you
Graduate
Subjects Studied
High School
College
Trade School

General Information
Subject of Special Study/Research work
Special Training
Special Skills
U.S. Military Service
Rank
Discharge Type?/Retired?/Active Duty?
Former Employers
Dates
Month / Year 		Name and address of Employer Salary

Position

 Reason for Leaving
From
To
From
To
From
To
From
To


References (Give Below the names of three persons NOT related to you, whom you have known at least 1 year)
Name Address Business Years Known  
 
 
 


Resume -optional (you may cut and paste your resume below... IT MUST be in TEXT FORMAT ONLY! no .doc , .pdf files please. )
Resume

Authorization

"I certify that the facts contained in this application are true and complete to the best of my
knowledge and understand that, if employed, falsified statements on this application shall be
grounds for dismissal.

I authorize investigation of all statemants contained herein and the references and employers
listed above to give you any and all information concerning my previous employment and
any pertinent information thay may have, personal or otherwise, and release the company
from all liability for any damage that may result from utilization of such information.

I also understand agree that no representative for the company has any authority to enter
into any agreement for employment for any specified period of time, or to make any
agreement contrary to the foregoing, unless it is in writing and signed by an authorized
company representative.

This waiver does not permit the release or use of disablity-related or medical information
in a manner prohibited by the Amercan with Disabilities Act(ADA) and other relevant
federal and state laws."

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