An Equal Opportunity Employer

Date*
Last Name*
First Name*
Middle
Email*
Telephone No.*
Street Address*
City*
State*
Zipcode*

Employment Desired

What position are you applying for?*

Personal Information

Have you ever applied to or worked for AAA Fire Protection Services before?*
YesNo

Do you have any friends or relatives working for AAA Fire Protection Services?*
YesNo

If Yes, state name(s) and relationship:

Name
Relationship
Name
Relationship
Why are you applying for work at AAA Fire Protection Services?*
If hired, would you have a reliable means of transportation to and from work?*
YesNo

Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age)
YesNo

If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?
YesNo

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

If no, describe the functions that cannot be performed.
(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.)

Education, Training and Experience

School
Name and Address
No. of years Completed
Did you Graduate?
Degree or Diploma

High School
Name
Address
City, State and Zipcode
# of years

YesNo

Degree or Diploma
College and/or University
Name
Address
City, State and Zipcode
# of years

YesNo

Degree or Diploma
Vocational and/or Business
Name
Address
City, State and Zipcode
# of years

YesNo

Degree or Diploma

Employment History

Name of Employer
Telephone No.
Type of Business
Your Supervisor’s Name
Street Address
City
State
Zipcode
Date of Employment

Weekly Pay

From
To
Starting
Ending
Your Position and Duties
Reason for Leaving
May we contact this employer for a reference?
YesNo


Name of Employer
Telephone No.
Type of Business
Your Supervisor’s Name
Street Address
City
State
Zipcode
Date of Employment

Weekly Pay

From
To
Starting
Ending
Your Position and Duties
Reason for Leaving
May we contact this employer for a reference?
YesNo

References

List below three persons not related to you who have knowledge of your work performance within the last three years.

First Name
Last Name*
Telephone No.
Street Address
City
State
Zipcode
Occupation
No. of Years Acquainted

First Name
Last Name*
Telephone No.
Street Address
City
State
Zipcode
Occupation
No. of Years Acquainted

First Name
Last Name*
Telephone No.
Street Address
City
State
Zipcode
Occupation
No. of Years Acquainted

Please Read Carefully, Initial Each Paragraph and Sign Below

Initials



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.

Initials



I hereby authorize AAA Fire Protection 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 the Company, 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.

Initials



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 the Company. 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 of the Company and no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company’s designated representative.