Last Name: First Name: MI: Last 4 SSN:
List any aliases or other names, other than a legal name change:
Street Address: City: State: Zip:
Main Phone: Secondary Phone: Daytime Phone: Email:
Check the highest level of equivalent completed: Elementary 8 (or less) High School: 1 2 3 4 College/Tech: 1 2 3 4 Graduate: 1 2 Doctorate: 1 2 Currently a student? Yes No
Name of college, university or vo-tech attended: Mailing address: City: State: Degree type:
List of all positions for which you would like to be considered:
Rate of pay expected: Date you can start work: / /
Type of employment you are seeking: Full-time Part-time Temporary
Are you 18 years of age or older? If you are under 18, applicant will be required to submit a birth certificate or a work certificate as required by state or federal laws. Yes No Can you, after employment, submit verification of your legal right to work in the United States i.e. US Passport or Social Security Card and Valid Drivers Licence? Yes No
Availability - To help us consider you for a job that matches your availability, please tell us the earliest time and the latest time you can work each day. Sunday: to Monday: to Tuesday: to Wednesday: to Thursday: to Friday: to Saturday: to
Check if you are available to work: Days Morning Nights Saturday Sunday
Are you currently on layoff and subject to recall? Yes No
Special Skills, Qualifications or Knowledge - Please summarize any special skills, qualifications or knowledge not shown elsewhere on this form. (Exclude information indicative of race, sex, religion, color, age, disability, national origin, or veteran status.)
Extra Curricular Activities - List offices, clubs, athletics, honorary societies, and other activities you consider pertinent:
List three (3) people (no relatives), preferably a manager, supervisor or lead person that you have worked with and whom we may contact for references.
Name: Occupation: Phone: Length of Acquaintance:
How were you referred to us:
Employment History - List entire employment history, starting with your present employer. For any unemployed, self employed and military periods show dates and location.
If currently employed, may we contact your employer? Yes No
Company Name: Phone: Address: City: State: Zip: Position: Salary: Accountabilities: Reason for Leaving: Supervisor's Name: Dates of Employment: From: / / To: / /
Please account for any gaps in employment:
Have you ever been convicted of a felony/misdemeanor? Yes No
Have you ever been convicted of any type of theft or fraud or a violent crime? Yes No
Do you currently have pending charges against you? Yes No
Please list Date, Offense, Circumstances, Location, Disposition:
IMPORTANT: We are glad you are considering joining the Aristo Cast team. Please read the following statement carefully before you sign and return this application. Aristo Cast, in considering my application for employment, may verify the information set forth on this application and obtain additional background information relating to my background. I authorize all persons, schools, companies, corporations, credit bureaus and law enforcement agencies to supply any information concerning my background. I have read, understand and agree to this statement.
Please Initial Here:
I understand that Aristo Cast has a commitment to maintain an alcohol/drug-free workplace and that Aristo Cast, unless prohibited by state law, requires a drug screening test as part of its selection and hiring process. I understand that such drug screening will consist of the testing of a urine sample or other medically recognized test designed to detect traceable amounts of a controlled substance in my blood. If it is determined that my specimen contains a controlled substance or was altered or substituted, I will be disqualified from consideration for employment and any offer of employment will be withdrawn. I further understand and agree that if I am employed, I may be required to submit to alcohol/drug-testing at any time during my employment. I have read, understand, and agree to this statement.
I certify that the information on this application is correct and I understand that any misrepresentation or omission of any information will result in my disqualification from consideration for employment or, if employed, my dismissal. I understand that this application is not a contract, offer, or promise of employment and that if hired, I will be able to resign at any time for any reason. Likewise, the company can terminate my employment at any time with or without cause, unless otherwise required law. I further understand that no one other than Aristo Cast has the authority to enter into an employment contract or agreement with me, and that my at-will employment can be changed only by a written agreement signed by Aristo Cast. I have read, understand and agree to this statement.
Date of Application: / /
I, the applicant for this employment application, warrant the truthfulness of the information provided in this application. Electronic Signature: * Please type your First and Last Name I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.