AAA Electrical & Communications

Call for more info:
800-892-4784

License #733738

AAA Electrical & Communications, Inc.
AAA Property Services

Employment Application

We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization.

First Name
Middle Name
Last Name
Street Address
City
State
Zip
Home Phone
Cell Phone
Other Phone
Position Applying For
Date Available for Work
Salary Desired

Full Time Part Time

Have you ever been previously employed by our organization?	Yes	No
Would you be available to work on weekends if necessary?	Yes	No
Would you be able to work overtime if necessary?	Yes	No
If hired, would you have a reliable means of transportation to and from work?	Yes	No
If hired, can you travel if required by this position?	Yes	No
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?	Yes	No
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.)	Yes	No
Do you have a valid driver’s license?	Yes	No
Have you ever had your driver’s license suspended?	Yes	No
Have you ever been convicted of a DUI?	Yes	No

What vehicle code violations (if any) are on your record for the past 3 years?

Note: If working in the field and driving is essential to the position applicant is applying for, employment is contingent upon results of the applicant’s DMV report.

Have you ever been convicted of a criminal offense (felony or serious misdemeanor) punishable by law by a year or more in prison in the last seven (7) years?

Yes

If yes, please state the nature of crime(s) when and where convicted, and disposition of the case.

(Note: A conviction will not automatically bar employment. The nature of the offense, date of the offense, the surrounding circumstances, and the relevance of the offense to the position(s) applied for may, however, be considered.)

Are you able to perform the essential functions of the job for which you are applying, either with our without reasonable accommodation?

Yes

If yes, please state the nature of crime(s) when and where convicted, and disposition of the case.

(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)

How were you referred to us?

Education/Training History

School

Name & Address

Years Completed

Did you graduate?

Degree or Diploma

High School

Name
Address
City
State
Zip

Yes No

College / University

Name
Address
City
State
Zip

Yes No

Vocational / Business Name

Name
Address
City
State
Zip

Yes No

Employment History

List below all present and past employment starting with your most recent employer (last five years is sufficient). Account for all periods of unemployment. You must complete this section even if attaching a resume.

Employment 1

Name of Employer
Immediate Supervisor’s Name & Title
Type of Business
Street Address
City
State
Zip
Telephone No.
Dates of Employment	to
Salary	Start: End:
May we contact this employer for reference?	Yes No
Reason for Leaving
Position and Duties

Employment 2

Name of Employer
Immediate Supervisor’s Name & Title
Type of Business
Street Address
City
State
Zip
Telephone No.
Dates of Employment	to
Salary	Start: End:
May we contact this employer for reference?	Yes No
Reason for Leaving
Position and Duties

Employment 3

Name of Employer
Immediate Supervisor’s Name & Title
Type of Business
Street Address
City
State
Zip
Telephone No.
Dates of Employment	to
Salary	Start: End:
May we contact this employer for reference?	Yes No
Reason for Leaving
Position and Duties

Other Skills and Qualifications

Summarize any job-related training, skills, licenses, certificates, and/or other qualifications:

Business References:

Please list three references not related to you who have knowledge of your work performance within the last three (3) years.

Refernce 1

Name		Address & Street
Phone		City
Years Acquainted		State
		Zip

Reference 2

Name		Address & Street
Phone		City
Years Acquainted		State
		Zip

Reference 3

Name		Address & Street
Phone		City
Years Acquainted		State
		Zip

Acknowledgement

Please read carefully and check off the sections as you complete them.

	I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
	I hereby authorize AAA Electrical & Communications, Inc. dba AAA Property Services to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release AAA Electrical & Communications, Inc. dba AAA Property Services, my former employers and all other persons, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
	I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and AAA Electrical & Communications, Inc. dba AAA Property Services. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or AAA Electrical & Communications, Inc. dba AAA Property Services and that no promises or representations contrary to the foregoing are binding on AAA Electrical & Communications, Inc. dba AAA Property Services unless made in writing and signed by me and the Company’s designated representative.
	Should a search for public records (including records documenting arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by internal personnel employed by the Company, I am entitled to copies of any such public records, obtained by the Company unless I mare the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.
	I waive receipt of a copy of any public record described in the paragraph above.

I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.

Name:

Birthday:

/ MM/DD

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