APT Employment Application Form | APT inc. - Advanced Process Technologies

Personal Information

Name*

First Last

Current Address*

Street Address Address Line 2 City State ZIP Code

Permanent Address (if different than above)

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Employment

Position Desired*

Date You Can Start*

MM

DD

YYYY

Desired Wage

Are You Currently Employed?*

May We Contact Your Current Employer?

Contact Name and Number of Current Employer

Have You Ever Applied to or Worked at APT?

When and Where?

Referred By (if applicable)

General Questions

Are you authorized to work in the USA in the position you are applying for?*

Note: If hired, you will be required to show proof of employment authorization.

Are you at least 18 years of age?*

General Information

Do you have any special training or skills?*

Please explain and/or list

Do you have any travel restrictions?*

Please explain and/or list

Do you have previous experience in stainless steel TIG welding or metal finishing?*

Please list and/or explain

Do you have previous experience in installation of process piping?*

Please list and/or explain

Have you served in the US Military?*

Rank

Education History

High School*

Name	City, State	Number of Years Attended	Did you Graduate?	Subjects Studied

College

Name	City, State	Number of Years Attended	Did you Graduate?	Subjects Studied

Trade, Business, or Online School

Name	City, State	Number of Years Attended	Did you Graduate?	Subjects Studied

Former Employers

Start with most current job first.

Current or Last Job

Start Date (M/Y)	End Date (M/Y)	Business Name & Address	Wage Paid	Position	Reason for Leaving

Start Date (M/Y)	End Date (M/Y)	Business Name & Address	Wage Paid	Position	Reason for Leaving

Start Date (M/Y)	End Date (M/Y)	Business Name & Address	Wage Paid	Position	Reason for Leaving

Start Date (M/Y)	End Date (M/Y)	Business Name & Address	Wage Paid	Position	Reason for Leaving

References

Reference #1

Name	Business	City & State	Phone #	Years Known

Reference #2

Name	Business	City & State	Phone #	Years Known

Reference #3

Name	Business	City & State	Phone #	Years Known

File Attachments

Please attach your resumé and any letters of reference here. Employment information above must be filled out in its entirety before attaching your resumé.

Files

Drop files here or

Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. By entering my name below and submitting this form I agree that I have read and understand

Electronic Signature*

First Last

Date*

MM

DD

YYYY