Applicant Information
Street Address*
E-mail Address*
Are you legally eligible for employment in the U.S.?*(If offered employment, you will be required to provide documentation to verify eligibility) Yes No
Are you over 18 years old?* Yes No
Do you have a valid Driver’s License?* Yes No
Are you willing to relocate if the position requires?* Yes No
Position
Date Available to Begin Work*
Are you able to perform the essential functions of this position, with or without a reasonable accommodation?* Yes No
If no, please explain.
Have you previously worked for AAM before?*
Yes No
If yes, please state department name and dates of employment.
Are you related to anyone currently employed by AAM?* Yes No
If yes, please state name and relationship.
Education
High School
Degree Obtained? Yes No
Type of degree Diploma G.E.D.
College
Degree/Major/Subject
Degree Obtained? Yes No
Graduate
Degree/Major/Subject
Degree Obtained? Yes No
Other
Type of education
Degree/Major/Subject
Degree Obtained? Yes No
List all other special courses, seminars, skills, licenses or memberships related to the position for which you are applying (Omit any that may reveal your race, color, creed, gender, religion, national origin, ancestry, age, disability, marital status, veteran status, or any other protected status)
Military Service
Training Received
Duties Performed
Employment History
Start with your current or most recent position
Employment 1 (Most recent)
Supervisor Name, Title, Phone Number
May we contact this employer for a reference? Yes No
If no, please explain.
Responsibilities
Reason for Leaving
Employment 2
Supervisor Name, Title, Phone Number
May we contact this employer for a reference? Yes No
If no, please explain.
Responsibilities
Reason for Leaving
Employment 3
Supervisor Name, Title, Phone Number
May we contact this employer for a reference? Yes No
If no, please explain.
Responsibilities
Reason for Leaving
References
Please list the names of three professional references not related to you.
Reference 1
Contact Information (Phone or E-mail)*
Reference 2
Contact Information (Phone or E-mail)
Reference 3
Contact Information (Phone or E-mail)
Background Check Authorization Form
By submitting this form, pursuant to the federal Fair Credit Reporting Act, I hereby authorize AAM and its designated agents and representatives to conduct a comprehensive review of my background through a consumer report and/or an investigative consumer report to be generated for employment, promotion, reassignment or retention as an employee. I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to, the following areas: verification of Social Security number; current and previous residences; employment history, including all personnel files; education; references; credit history and reports; criminal history, including records from any criminal justice agency in any or all federal, state or county jurisdictions; birth records; motor vehicle records, including traffic citations and registration; and any other public records.
I,
I understand that, pursuant to the federal Fair Credit Reporting Act, if any adverse action is to be taken based upon the consumer report, a copy of the report and a summary of the consumer's rights will be provided to me.
Supplemental Application - Probation and Court Services
Additional Background Check/Employment Information
Have you ever gone by another name? If yes, please list Last four digits of social security number* Date of birth*
Are you a citizen of the United States?* Yes No
Driver’s license number* If you served in the military, what type of discharge did you receive? If other than honorable military discharge, explain
Have you ever been arrested or convicted of a violation of any criminal law?* Yes No
If yes, explain
Are you currently under investigation for violation of any criminal law?* Yes No
If yes, explain
Drug Test Consent Form
Consent for pre-employment, random, or reasonable suspicion drug test screen and release covenant not to sue and indemnity agreement
By submitting this form, I hereby CONSENT to allow AAM to take a specimen of my urine, and submit it for a pre-employment, random, or reasonable suspicion drug test screen. I FURTHER CONSENT to allow the laboratory testing service to make the results of such screen available to the prospective or current employer, AAM.
In consideration for such services being rendered on my behalf, I hereby RELEASE the laboratory testing service, its officers, agents, and employees, from any and all claims which I might otherwise have due to such results being made so available. I hereby CONSENT NOT TO FILE ANY ACTION at law or in equity against AAM, the laboratory testing service, their respective officers, agents or employees in connection with the results of such screen being made so available, and I hereby agree to INDEMNIFY and SAVE HARMLESS AAM, the laboratory testing service, their respective officers, agents, and employees from all damages, expenses, reasonable attorney's fees, and costs of court which they or any of them may suffer or incur, jointly or severally, due to the results of such screen being made so available.
Applicant's Certification and Agreement
By submitting this form, I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize AAM to verify their accuracy and to obtain reference information on my work performance. I hereby release AAM from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.
I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.
I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.
