Advanced AMW, Metal INC. Works, Inc. APPLICATION FOR EMPLOYMENT PERSONAL INFORMATION Name: Last First Middle Date: Social Security #: Phone #: Referred By: All Names Used In The Past: Present Address: Permanent Address: Street City State Zip Street City State Zip Previous Address: Street City State Zip State Name of Any Relatives Working For.AMW, INC.: EMPLOYMENT DESIRED: Position: Date You Can Start: Expected Rate of Pay? Are You Employed Now? Yes No If So, May We Contact Your Present Employer? Yes No Have You Ever Worked for this Company? Yes No If Yes, When: Have You Ever Applied to this Company? Yes No If Yes, When: Are you available to work: Full-time: Yes No Work Out of Town: Yes No Seasonal Work: Yes No EDUCATIONAL SKILLS: Check highest grade completed: 4 5 6 7 8 9 10 11 12 Did you graduate from High School or receive a GED or High School equivalency diploma? Yes No
Name of College Years Degree Major or Specialty Minor Dates Attended Describe any specialized training, apprenticeship, skills, extra-curricular activities, professional or vocational certificates, licences, or registrations that are relevant to the job for which you are applying: State any additional information you feel may be helpful to us in considering your application: Indicate any foreign languages you can speak, read and/or write: English Spanish Other Fluent Good Fair SPEAK READ WRITE List any job-related professional or technical organizations to which you belong to: U.S. Military or Naval Service? Yes No Rank: Citations/Awards: List any job-related skills that you learned while in the U.S. military or Naval Service: Drivers License Information: State Number Expiration Date Restrictions or Suspensions (respond fully if driving is required by the job for which you are applying): Have you been convicted of a crime? (Convictions will not necessarily disqualify an applicant from employment. Do not provide information about misdemeanor marijuana convictions more than 2 years old). Yes No If yes, please explain: Are you able to perform the duties of the position for which you are applying, including daily attendance? Yes No
FORMER EMPLOYERS Start with your present or last job. Include any job-related military service assignments and volunteer activities. A) Job Title: Phone#: Employer: Name Address City State Zip Code Supervisor Name: Phone#: Salary (start): (finish): Dates (mo/yr): To (mo/yr): Duties: Type of Equipment Used: Reason for leaving: B) Job Title: Phone#: Employer: Name Address City State Zip Code Supervisor Name: Phone#: Salary (start): (finish): Dates (mo/yr): To (mo/yr): Duties: Type of Equipment Used: Reason for leaving: C) Job Title: Phone#: Employer: Name Address City State Zip Code Supervisor Name: Phone#: Salary (start): (finish): Dates (mo/yr): To (mo/yr): Duties: Type of Equipment Used: Reason for leaving: 1. 2. 3. REFERENCES Name Address Telephone Number Years Acquainted
I UNDERSTAND AND ACKNOWLEDGE THE FOLLOWING: 1. I understand that I am entitled to copies of any public records obtained directly by AMW, INC. in connection with my application for employment. Check one: I WAIVE DO NOT WAIVE MY RIGHT TO RECEIVE COPIES OF PUBLIC RECORDS OBTAINED DIRECTLY BY AMW, INC. 2. If I am offered employment, I will, as a condition of employment, be required to submit proof of my identity and legal right to work in the U.S. 3. I understand that, if I am employed, any false statement, misrepresentation, or omission of facts on this application or on any supporting documents, regardless of when discovered to be false or omitted, may result in my immediate dismissal. 4. I understand that I will be required to possess a current and valid California driver s license if my job requires me to drive in the course of my work. 5. I agree that, if I am offered a position, it will be offered on condition that my employment shall be at will and for no definite period, and that my employment may be terminated at any time with or without cause and with or without prior notice. I understand that, except for the President Of AMW, INC., no supervisor or manager may alter or amend the above conditions. Only the President of AMW, INC., has authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing. 6. I understand and agree that, if I am offered a position, it will be a conditional offer based on my successful passing of both a drug and alcohol screen and job related medical examination. 7. I understand and agree that as a condition of my employment I may be required to undergo a medical examination. 8. I understand and agree that as a condition of my employment, I may be required to undergo drug testing, and any other testing to the extent permitted by applicable laws. 9. I agree that I will settle any and all previously unasserted claims, disputes, or controversies arising out of or relating to my employment, my application or candidacy for employment, and/or cessation of employment with AMW, INC., exclusively by final and binding arbitration before a neutral Arbitrator (pursuant to AMW, INC., Alternative Dispute Resolution Policy). By way of example only, such claims include claims under federal, state, and local statutory law, such as the Fair Employment and Housing Act, Age Discrimination in Employment Act, Title VII of the Civil Rights Act of 1964, as amended including the amendments of the Civil Rights Act of 1991, the Americans With Disabilities Act, the law of contract and the law of tort. 10. If I am offered employment, I will, as a condition of employment, furnish proof that I am over 18 years of age. 11. I agree that, if I am offered employment, I will be required to confirm to the rules and regulations of AMW, INC. 12. I authorize investigation of all statements contained in this application and any supporting documents. I authorize AMW, INC., to secure information about my experience from former employers, educational institutions, government agencies, or any references I have provided, and for those parties to provide information concerning my experience and I hereby release all parties from any liability arising from such investigation.
13. I understand that no supervisor or manager may alter or amend the conditions set forth in paragraphs one (1) through eleven (11) above. I understand that the foregoing conditions can only be altered or amended by a written agreement signed by the President of AMW, INC. Signature Date
QUALITY & DEPENDABILITY WITHOUT COMPROMISE ADVANCED METAL WORKS, INC. 1560 "H" Street Fresno CA 93721-1616 Main Phone: 559-237-2332 Main Fax: 559-237-1659 Commercial & Industrial Sheet Metal Fabrication, Architectural Sheet Metal, Custom Stainless Steel, Aluminum Roof-Curbs, Radius Flashing, Certified Welding (Mig and Tig) Name of Job Applicant/Employee Street Address City, State, Zip Code Date Department of Motor Vehicle reports may be obtained as part of the Four C s Service, Inc. s evaluation of my job application/employment. The reports may be procured by Van Beurden Insurance Company, and may include my driving record, to assess my insurability under the Company s insurance coverage s. By signing this disclosure, I hereby authorize the Company to procure such reports about me from time to time, as it deems appropriate, to evaluate my insurability and I give them permission to provide copies to my employer. Signature of Applicant/Employee Print Name License # and Date of Birth ADVANCED METAL WORK, INC. Values You Can Depend On Integrity/Honesty Mutual Trust Mutual Respect Growth
If you have a legal right to work in the United States, there are laws to protect you against discrimination in the workplace. IF YOU HAVE THE RIGHT TO WORK, Don t let anyone take it away. You should know that No employer can deny you a job or fire you because of your national origin or citizenship status. In most cases employers cannot require you to be a U.S. citizen or permanent resident or refuse any legally acceptable documents. If any of these things have happened to you, you may have a valid charge of discrimination that can be filed with the OSC. Contact the OSC for assistance in your own language. Call 1-800-255-7688. TDD for the hearing impaired is 1-800-237-2515. In the Washington, D.C., area, please call 202-616-5594, TDD 202-616-5525 Or write to: The Office of Special Counsel Civil Rights Division U.S. Department of Justice P.O. Box 27728, Washington, DC 20038-7728 U.S. Department of Justice Civil Rights Division Office of Special Counsel for Immigration-Related Unfair Employment Practices
SI USTED TIENE DERECHO A TRABAJAR, no deje que nadie se lo quite. Si tiene derecho a trabajar legalmente en los Estados Unidos, existen leyes para protegerlo contra la discriminación en el trabajo. Debe saber que Ningún patrón puede negarle trabajo, ni puede despedirlo, debido a su país de origen o su condición de inmigrante. En la mayoría de los casos, los patrones no pueden exigir que usted sea ciudadano de los Estados Unidos o residente permanente o negarse a aceptar documentos válidos por ley. Si se ha encontrado en cualquiera de estas situaciones, usted podría tener una queja válida de discriminación. Comuníquese con OSC para obtener ayuda en español. Llame al 1-800-255-7688. Departamento de Justicia La línea telefónica para De los Estados Unidos, personas con problemas División de Derechos Civiles de audición, es 1-800-237-2515. En Oficina del Consejero Especial Washington, D.C., llame al 202-616-5594, o al 202-616-5525 (personas con problemas de audición), o escríba a la Oficina del Consejero Especial, División de Derechos Civiles, P.O. Box 27728, Washington, DC 20038-7728.