Air Center, Inc. Logo
Air Center Online Application


Position Title:

Location:

How did you hear about this position?:


Candidate Information

Last Name:

First Name:

Middle Initial:

Street Address:

City:

State:

Zip:

Telephone:

Alternate Telephone:

Best time to contact you?:

E-mail: (must be accurate for form to send)

 


Education and Background

I am over 18 years of age, or I am under 18 years but can provide proof of my eligibility to work.
Yes    No

Are you currently authorized to work in the United States?
(Proof of eligibility will be required if hired).
Yes    No

Have you ever filed an application with us before?
(If "Yes", please indicate when - MM/DD/YYYY)

Do any of your friends/relatives work for Air Center?
Yes    No

Are you currently employed?
Yes    No

May we contact your present employer?
Yes    No

Date Available:
(MM/DD/YYYY)

Salary Requirements:
$(Gross annual salary or hourly rate)

Can you travel if a job requires it?:
Yes    No

 


School Name
High School

Years Completed:
Degree Obtained:



School Name
Undergraduate

Years Completed:
Degree Obtained:



School Name
Graduate School

Years Completed:
Degree Obtained:



School Name
Business/Trade School

Years Completed:
Degree Obtained:

Please describe any specialized training, apprenticeships, skills, and extra curricular activities you believe should be considered in evaluating your qualifications. Omit any information that would disclose your race, gender, age, marital status, ethnic origin, religious or political affiliation, or disability.

Location/Instituion and Brief Description of Training
Specialized training


Office Skills

Typing/data entry:
Yes    No
Words per minute:

Adding Machine:
Yes    No

Personal Computer
Yes    No

List relevent software skills (Word, Excel, etc.):

Other Office Skills:

 

 


Military Experience

Have you ever been in the armed forces?
Yes    No

If yes, describe any job related training received:


Work Experience

The personal information provided for the purpose of processing this application will be used solely to evaluate your qualifications. This information will not be sold to third parties or used for other purposes. Please begin with your most recent employer.

Employer:

Start Date: MM/DD/YYYY
End Date: MM/DD/YYYY

Job Title and Brief Description of Responsibilities:

Supervisor Name and Title:
Telephone:
Address:
Starting Salary:
Ending Salary:
Reason for Leaving:


 

Employer:

Start Date: MM/DD/YYYY
End Date: MM/DD/YYYY

Job Title and Brief Description of Responsibilities:

Supervisor Name and Title:
Telephone:
Address:
Starting Salary:
Ending Salary:
Reason for Leaving:


Employer:

Start Date: MM/DD/YYYY
End Date: MM/DD/YYYY

Job Title and Brief Description of Responsibilities:

Supervisor Name and Title:
Telephone:
Address:
Starting Salary:
Ending Salary:
Reason for Leaving:


Employer:

Start Date: MM/DD/YYYY
End Date: MM/DD/YYYY

Job Title and Brief Description of Responsibilities:

Supervisor Name and Title:
Telephone:
Address:
Starting Salary:
Ending Salary:
Reason for Leaving:


Please copy and past a Text-Only version of your Resume below (optional)


Driving Record

Do you have a driver's license?
Yes    No

Have you had any moving violations during the past three years?
Yes    No

If yes, how many?



Note to applicant: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Are you capable of performing in a reasonable manner, with or without reasonable accomodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.
Yes    No


REFERENCES: Please provide at least three (3) business/work related references who are not related to you. If not available, please provide three personal references who are not related to you.

 

Name:
Years Known:
Employer and Position Held:
Business relationship to you:
Telephone:
Evening Telephone:

 

Name:
Years Known:
Employer and Position Held:
Business relationship to you:
Telephone:
Evening Telephone:

 

Name:
Years Known:
Employer and Position Held:
Business relationship to you:
Telephone:
Evening Telephone:

 

Name:
Years Known:
Employer and Position Held:
Business relationship to you:
Telephone:
Evening Telephone:

 


Have you ever been convicted of a crime which is substantially related to the functions or qualifications of the job for which your are applying?
Yes    No

 

If yes, explain the number of convictions, nature of offenses leading to convictions, how recently such offenses were committed, sentences imposed and types of rehabilitation:

 

 


Air Center is a Drug-Free Company

Are you willing to submit to a post job offer drug test?
Yes    No