APPLICATION SUBMISSION FORM
Objective
What type of work are looking for?
Full-Time
Part-Time
Seasonal, Temporary
Position applying for
-------
Pay desired
aprox. weekly
Do you have any previous experience or related skill that would pertain to this line of work?
Yes
No
Can you work overtime and/or weekends?
Overtime
Weekends
Is there anything that would prevent you from doing the normal day to day functions of the job you are applying for?
Yes
No
Personal Information
Fields that have a Red Star
*
adjacent to the Name of that field must be submitted. The system will NOT allow you to overlook these inquiries.
First Name
*
---
Last Name
*
Home Number
*
Mobile
*
If you do not currently have a phone that you can be reached at, please type 'need phone' in the Mobile Phone field, if necessary, a Company Issued Phone will be permitted for your use with limitations. You MUST have a phone to recieve information either by text or call.
NOTE: Well equipped candidates make an exceptional impression.
Home Address
*
---
How Long?
City, State & Zip
*
Permenant Address
Temporary Address
Previous Address
*
---
How Long?
City, State & Zip
*
How did you hear about American Eagle?
Newspaper
Internet
Other
Please Specify
Do you currently or have you ever known anyone that has worked for American Eagle, or any of the Companies we trade with?
Yes
No
Name/Title
---
How Long?
What Company
Background
Ever Been Arrested or Detained?
*
Yes
No
HAVE YOU EVER BEEN CONVICTED OF A FELONY?
*
Yes
No
(conviction of a crime is not an automatic bar to employment, all circumstances shall be considered)
FELONY TYPE(S)
(100 Character Limit)
Ever had a Traffic Ticket?
*
Yes
No
Traffic Violations
------
Misdemeanors
-----
Ever been in an Automobile Accident?
*
Yes
No
Ever had a Worker's Comp. Claim?
*
Yes
No
The Federal Motor Carrier Safety Regulation: (49CFR391; 21 b., 2.) requires that driver applicants state their Date of Birth & Social Security Number. You are not required to post your S.S.N. to the internet for this Application Submission, however, you will be required to submit said number at the time of your interview.
Are you a legal citizen of The United States?
*
Yes
No
Have you ever failed a Background Check or Drugscreen?
*
Yes
No
Education
Have you received a Diploma or G.E.D.?
*
Yes
No
Last School Attended
Major
Have you attended a University, College or Trade School?
University
College
No
Name of Institution
Please list any other Special Training or Skills, even if you feel they are not relevant to the type of Job you are applying for.
(200 Character Limit)
Military Information
HAVE YOU EVER SERVED FOR THE U.S. ARMED FORCES?
*
Yes
No
WHICH BRANCH
RANK
CURRENTLY ACTIVE
Yes
No
MILITARY RESERVE
Yes
No
NATIONAL GUARD
Yes
No
Previous Employment
Most Recent Employer
*
---------
Phone
*
-
Address
*
City,State, Zip
*
Supervisor Name
Reason for leaving
Eligible for rehire?
--
Yes
No
Not Sure
Start Date
--------------
End Date
to
Position(s) Held
Salary
$
Aprox. weekly
Responsibilities
100 Character Limit
2nd Most Recent Employer
--- --
Phone
-
Address
City,State, Zip
Supervisor Name
Reason for leaving
Eligible for rehire?
--
Yes
No
Not Sure
Start Date
--------------
End Date
to
Position(s) Held
Salary
$
Aprox. weekly
Responsibilities
100 Character Limit
3rd Most Recent Employer
------
Phone
-
Address
City,State, Zip
Supervisor Name
Reason for leaving
Eligible for rehire?
--
Yes
No
Not Sure
Start Date
--------------
End Date
to
Position(s) Held
Salary
$
Aprox. weekly
Responsibilities
100 Character Limit
Personal References
(Not related to you)
Name
*
Phone Number
*
Address
---
Years Known
City, State & Zip
Name
*
Phone Number
*
Address
---
Years Known
City, State & Zip
Name
*
Phone Number
*
Address
---
Years Known
City, State & Zip
Show Off Your Skills!!!
List a Web-Site or Web-Page showing off your best
Web Building Skills.
Web-Site or Page
Email
Application Complete
Please check your Application Submission before pressing the Submit button for correctness, your signature and other necessary information will be requested upon establishment of an interview session.
APPLICATION SUBMISSION FORM
