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Employment Application
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Name:__________________________________________________________
Date:____________________ |
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Position(s)
Desired:________________________________________________________________________
Do you have reliable transportation that will allow you to drive to
various jobsite locations? Y / N.
Do you have a current valid AZ Driver’s License? Y /
Are you able to perform the essential functions of this job with or
without accommodation? Y / N
Have you worked for Ashton before? Y / N If so,
when_____________________________________________
Have you ever been convicted of a felony?
(A conviction will not necessarily disqualify you from employment.)
Y / N
If so, please indicate when and the nature of the incident.
_________________________________________ |
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High School Graduate? Y / N
GED Y / N
College _______________________ Degree______________
Have you served in the United States Military? Y / N
Please give dates and describe any training:__________
________________________________________________________________________________________
Describe any other formal training, apprenticeships, licenses,
skills or college courses/degrees.____________
________________________________________________________________________________________
________________________________________________________________________________________
Please list below your employers for the last ten years, beginning
with the most recent.
Use a blank sheet if you need additional space. |
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References:
Give the names of at least three persons not related to you, whom you
have known for at least one year that are familiar with your work.
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Name |
Company & Position or Title |
Telephone Number |
Years Known |
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*PLEASE READ CAREFULLY BEFORE SIGNING – You are authorizing investigation of all statements contained on this form and other application materials.
I hereby certify that all of the information provided by me in this
application (or any other accompanying or required documents) is correct,
accurate and complete to the best of my knowledge. I understand that the
falsification, misrepresentation or omission of any facts in my application
materials will be cause for denial of employment or immediate termination of
employment regardless of the timing or circumstances of discovery.
I understand that submission of an application does not guarantee
employment. I further understand that, should an offer of employment be extended
by The Ashton Company, Inc. that such employment is “AT WILL”, for no
specified duration and may be terminated by either The Ashton Company, Inc. or
myself at any time, with or without cause or notice. I understand that none of
the documents, policies, procedures, actions, statements of The Ashton Company,
Inc. or its representatives used during the employment process is a contract of
employment. I understand that no representative of The Ashton Company, Inc.
except the President has the authority to enter into any agreement guaranteeing
any conditions of employment or any agreement contrary to the foregoing
statements and that any such agreements must be made in writing and signed by
the President of The Ashton Company, Inc.
In consideration for employment with The Ashton Company, Inc., if
employed, I agree to conform to the rules, regulations, policies and procedures
of The Ashton Company, Inc. at all times and understand that such obedience is a
condition of employment. I understand that due to the nature of The Ashton
Company, Inc.’s business, attendance, punctuality and strict adherence to Safe
Workplace Practices are considered essential requirements of every job at The
Ashton Company, Inc. and that poor attendance, tardiness or unsafe behavior will
result in disciplinary action up to and including termination.
I understand that if offered a position with The Ashton Company, Inc., I
will be required to submit to a pre-employment drug screening and background
check as a condition of employment. I understand that unsatisfactory results
from, refusal to cooperate with, or any attempt to affect the results of these
pre-employments tests and checks will result in withdrawal of any employment
offer or termination of employment if already employed.
I hereby authorize any and all schools, former employers, references,
courts and any others who have relevant information about me to provide such
information to The Ashton Company, Inc. and/or any of its representatives or
agents and I release all parties involved from any and all liability for any and
all damage that may result from providing such information.
I understand that this application is considered current for 90 days. If I
wish to be considered for employment after this period I must fill out and
submit a new application.
BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE
READ, UNDERSTOOD AND will abide by
THE ABOVE STATEMENTS.
Name (print) ______________________________________
Signature _________________________________________ Date ____________________
The Ashton Company, Inc.
Attn. Human Resources
2727 S. Country Club Rd.
Tucson, AZ 85713
(520) 624-5500
Confidential Fax (520) 624-8314
Employment Verification / Reference Check / Background Check RELEASE
I, (Printed Name) _____________________________________________________ authorize investigation of all information contained in my application materials. I understand that the misrepresentation or omission of information requested is cause for dismissal at any time without previous notice. I hereby give The Ashton Company, Inc. its representatives or agents permission to contact schools, previous employers (unless otherwise indicated), references and others, and release The Ashton Company, Inc. its representatives or agents from any liability as a result of such contact.
I further release all present and former employers, schools, references and all other sources of information from any liability whatsoever for providing good faith information about my school records, job performance, job duties, and work history including but not limited to compensation, duration of employment, reason(s) for termination and eligibility for rehire.
_______________________________________ ________________________
Signature of Applicant Date
_______________________________________
Witness
The person above has applied with The Ashton Company, Inc. as a ___________________________
Please verify the following information, and correct any missing or inaccurate information.
Former Employer/School: ____________________________________ From: _________ To: ________
Job Duties: ___________________________________________________________________________
If employed as a heavy equipment operator, what type of equipment? _____________________________
Final Pay: _______________ Reason for Leaving: ____________________________________________
Eligible for Rehire: Y/N (explain) ________________________________________________________
Additional comments are greatly appreciated: _______________________________________________
_____________________________________________________________________________________
Print Your Name__________________________ Signature_______________________________
Your Title________________________________ Date __________________________________
Thank you for your prompt attention. Your response will be kept confidential. When finished, please fax back to (520) 624-8314 at your earliest convenience.
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The Ashton Company is an equal opportunity employer and does not discriminate against qualified applicants on the basis of race, religion, sex, national origin, color, age, disability, veteran status and any other status protected under local, state or federal laws. We are required to periodically report to various government agencies on applicants and employees in the specific categories listed below. Completion of this Affirmative Action survey is voluntary. It is used solely for analysis and affirmative action statistics and will not be used for any decision regarding employment. Name:___________________________ Position Applying for:__________________________
Please check all that apply: Male:______
Female:______ Hispanic or Latino:______ White: ______ Black or African American :______ American Indian / Alaskan Native:______ Native Hawaiian or other Pacific Islander:______ Asian:______ Two or more races:______
Newly Separated Veteran:______ Other Protected Veteran:______
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