* indicates a response is required

Personal Information
*Full Name:
*Date Applying:
*Current Permanent Address:
Previous Address #1:
Previous Address #2:
*Cell Phone:
*Accepts texts?YesNo
Alternate Phone:
*Email:
*Are you over the age of 18?YesNo
 
Referred by:
*How did you hear about this position? (Check or write in)
Walk-inIndeedReferralOther
*I have reliable transportation?YesNo
Do you know any current employees?YesNo
Employment Desired
*Position:
*Start Date:
*$ Rate Desired:
*Preferred Shift(s) (check all that apply):
DayAfternoonMidnightOther
*Ever apply to AML before?YesNo
Estimated Date:
Check days you cannot work: MTWTHFSSU
Education History
Name & Location of School
 
Years Attended
 
Did you
Graduate?
Subjects Studied
 
High School:
YesNo
College:
YesNo
Trade:
YesNo
Other:
YesNo
Degrees or Certificates obtained:
General Information
Special Study/ Research Work:
Special Training, Certifications, Licenses, etc:
Specials Skills, Foreign Languages, etc:
Other Information:
Military Service
*Served in the U.S. Armed Forces:YesNo
 
Military Branch Served:
Years of Service:
Rank:
Work History - Current
Are you CURRENTLY employed? YesNo
 
Who is your current employer?
Do you need a 2-week notice? YesNo
 
Employer Phone No:
May we contact this employer? YesNo
 
Employer Contact Person:
Work History - Previous
Date Worked
Month & Year
Employer Info
 
Rate/Salary
 
Job Title & Job Duties
 
Reason for Leaving
 
Job #1
Start:


 
Business Name:

Phone No:



 



 



 
Stop:


 
Address:

Contact Person:



 



 



 
May we contact this employer? YesNo
 
Job #2
Start:


 
Business Name:

Phone No:



 



 



 
Stop:


 
Address:

Contact Person:



 



 



 
May we contact this employer? YesNo
 
Job #3
Start:


 
Business Name:

Phone No:



 



 



 
Stop:


 
Address:

Contact Person:



 



 



 
May we contact this employer? YesNo
 
References (list of professional references whom we may contact)
#
Name
Relationship
Phone No
*1
*2
*3
Special Purpose Questions (answer all questions, including job function items 1-7)
Please answer the following questions to complete this AML employment application, thereby indicating that the information is required for a bona fide occupational qualification, or dictated by national security laws, or is needed for other legally permissible reasons. The information disclosed will not be used to discriminate against you, the applicant, during the hiring process for any reasons relating to race, color, sex, religious affliction, national origin, gender, or any disability.
*Question 1: Are you legally qualified to work in the United States? YesNo
*Question 2: I understand, agree, and consent that during my pre-employment or probationary period I may be required to take one or more of the following tests: Physical (Vison & Hearing), Respirator Fit Test, Drug/ Alcohol Test, or future tests TBD as a condition of hiring or continued employment. I agree to consent to take such tests at such time as designated by AML Industries, Inc. and to release the company, its directors, officers, agents, or employees from any claim arising in connection with the use of such tests, other than claims related to privacy violations and/or discrimination under applicable federal & state laws. I understand that all potential employees are required to take a physical and/or drug test and that, in compliance with federal law, the records of such tests will be kept confidential, and the information obtained will not be used to discriminate based on disability, health problems, or medical conditions. By signing this application, I agree to consent to all the above. YesNo
*Question 3: I understand, agree, and consent that during my pre-employment process, AML may conduct a background check as a condition of hiring or continued employment. I am willing to discuss and explain any results that may arise from my background check. I understand that all potential employees are required to have a background check and that, in compliance with federal law, the records of such tests will be kept confidential, and the information obtained will not be used to discriminate. Results will be reviewed to determine job suitability and federally compliant, FCRA, steps will be taken to notify you in the event you are not hired, based on results. All communication will be managed through the applicant portal of the consumer reporting company, that supplied the report. By signing this application, I agree to consent to all the above. YesNo
*Question 4: Is English your primary language (speak, read, & write fluently? YesNo

If not, what is?
*Question 5: Are you able to perform each of the following job functions?
Answer all below
*Job Function #1
Are you able to lift 50 lbs?

YesNo
*Job Function #2
Are you able to calculate simple math?

YesNo
*Job Function #3
Are you able to operate a forklift and pallet jack?
Do you have any material handling experience? If yes, please explain:

YesNo
YesNo
*Job Function #4
Are you able to operate industrial equipment?
Example: Scales, Ball or Jet Mills, Mixers, Hand Tools, Power Tools, Etc.
Do you have any experience with Industrial Equipment? If yes, please explain:

YesNo

YesNo
*Job Function #5
Are you able to operate Lab Equipment?
Example: pH meter, Viscometer, Scales, Ovens, Etc.
Do you have any experience with Lab Equipment? If yes, please explain:

YesNo

YesNo
*Job Function #6
Are you able to comply with safety rules, policies, and practices, including PPE?

YesNo
*Job Function #7
Are you able to comply with employee handbook and company policies?

YesNo
Additional Information you'd like to add:
I have provided and completed my Application for Employment accurately, truthfully, honestly and to the best of my knowledge!

Name Printed:
            Date: