Employment Application

Applicant Information

Position Applied For:*

Date of Application:*

Applicant Name:*

First Last

Applicant Address:*

Street Address Address Line 2 City State ZIP Code

Applicant Phone:*

Desired Salary: $*

Applicant Email Address:*

Enter Email Confirm Email

Are you over the age of 18?*

Yes

Do you have a valid Driver's License?*

Yes

Are you legally eligible for employment in the United States?*

(If offered employment, you will be required to provide documentation to verify eligibility.)

Yes

Can you perform the essential functions of the position for which you are applying?*

(If you are unsure what the essential functions of the position are, please ask before answering this question.)

Yes

Have you ever plead guilty, no contest, or been convicted of a crime?*

Yes

Please explain:

Availability

Please indicate below the days and times you are available to work:

Mondays From:

Mondays To:

Tuesdays From:

Tuesdays To:

Wednesdays From:

Wednesdays To:

Thursdays From:

Thursdays To:

Fridays From:

Fridays To:

Saturdays From:

Saturdays To:

Sundays From:

Sundays To:

Are you able to work overtime?*

Yes

Are you available to work on short notice?*

Yes

Do you have reliable transportation to and from work?*

Yes

Do you need to give your current employer a resignation notice?*

Yes

When are you available to start work at Acoustical Solutions?*

Professional Licenses or Memberships

Do you belong to any professional, trade, business, or civic organizations that deal with the position for which you are applying? If yes, please list below: (You need not disclose membership in professional organizations that may reveal information regarding race, color, sex, religion, national origin, ancestry, age, disability, marital status or any other protected status.)

License or Certification:

Exp. Date:

License or Certification:

Exp. Date:

License or Certification:

Exp. Date:

Employment History

Please list previous back-to-back work history beginning with the most recent or current position for the past 10 years. If there has been a gap in employment, please list the dates during which you were out of work.

Most Recent or Current Employer

Name of Employer:

Position Held:

Employed From:

Employed To:

Rate of Pay

Supervisor Name:

Supervisor Phone:

May we Contact?

Yes

Duties:

Reason for Leaving:

Previous Employer

Name of Employer:

Position Held:

Employed From:

Employed To:

Rate of Pay

Supervisor Name:

Supervisor Phone:

May we Contact?

Yes

Duties:

Reason for Leaving:

Previous Employer

Name of Employer:

Position Held:

Employed From:

Employed To:

Rate of Pay

Supervisor Name:

Supervisor Phone:

May we Contact?

Yes

Duties:

Reason for Leaving:

Previous Employer

Name of Employer:

Position Held:

Employed From:

Employed To:

Rate of Pay

Supervisor Name:

Supervisor Phone:

May we Contact?

Yes

Duties:

Reason for Leaving:

Education

Please indicate education or training which you believe qualifies you for the position you are seeking.

High School*

Click number of years completed.

Did you receive your diploma?*

Yes

If no, did you receive your G.E.D.?

Yes

College or Vocational School

Click number of years completed.

School

Address

City State

Major:

Degree(s) Earned:

Other Training or Degrees:

School

Address

City State

Major:

Degree(s) Earned:

References

List three (3) persons not related to you, whom you have known at least 3 years

First Reference

Name:*

Occupation*

# of Years Acquainted*

How Acquainted*

Phone*

Email*

Second Reference

Name:*

Occupation*

# of Years Acquainted*

How Acquainted*

Phone*

Email*

Third Reference

Name:*

Occupation*

# of Years Acquainted*

How Acquainted*

Phone*

Email*

Résumé

If you would like to upload a résumé, please do so below.

File Upload

Accepted file types: pdf, doc, docx, Max. file size: 10 MB.

Applicant's Certification and Agreement

Acoustical Solutions, LLC, (the Company) is an equal opportunity employer. The Company does not discriminate in employment on account of race, color, religion, national origin, citizen status, ancestry, age, sex, (including sexual orientation and pregnancy status), marital status, physical or mental disability, military status, or unfavorable discharge from military service.

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and I authorize the Company to verify the accuracy and to obtain reference information on my work history and performance. I hereby release the Company from any and all liability of any nature which at any time, could result from obtaining and having an employment decision based on such information.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules, and regulations of employment set forth by the Company. However, I further understand that neither the policies, rules, regulations of employment, or anything said during the interview process shall be deemed to constitute terms of an implied contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Company may terminate employment at any time with or without cause or notice.

Acceptance of Terms*

I understand and accept these terms

Date of Acceptance:*