Employment Application

 

Name:__________________________________________________________ Date:____________________


Address:______________________________City:______________________State:_______ZIP:___________


Home Phone Number:____________________Cell Phone Number:________________ Age 18 or over? Y / N


Social Security Number:___________________________ Email Address:_____________________________


How were you referred to us? _________________________ Are you legally eligible to work in the U.S.? Y / N

 

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 / N     CDL? Y / N    Endorsements___________________

 

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.  _________________________________________

 

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.

Month & Year

Name of Employer

Pay

Job

Reason for Leaving

To:

From:

 

 

 

 

To:

From:

 

 

 

 

To:

From:

 

 

 

 

To:

From:

 

 

 

 


 

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.

Name

Company & Position or Title

Telephone Number

Years Known

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*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.

 

 

 


Affirmative Action

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:______



Veteran Status: Special Disabled Veteran:______ Vietnam Era Veteran:_______

                          Newly Separated Veteran:______  Other Protected Veteran:______