ADVANCED WIRELESS COMMUNICATIONS
20809 Kensington Boulevard * Lakeville, MN 55044-8353
APPLICATION FOR EMPLOYMENT
Advanced Wireless Communications is an equal employment opportunity employer and will not discriminate against any applicant or employee on any grounds protected under federal, state, or local law, including race, color, creed, religion, age, sex, sexual orientation, sexual harassment, national origin, ancestry, marital status, handicap, disability related to pregnancy or childbirth, membership or activity in any local commission, status regarding public assistance, membership or non-membership in any labor organization, or any other characteristic protected under federal, state or local law. None of the questions in this application are intended to elicit information regarding any protected characteristics, nor imply any limitation, illegal preferences, or discrimination based upon non-job related information or protected characteristics.
If you are hired by Advanced Wireless Communications you will be employed on an at-will basis. As an at-will employee, you may terminate your employment at any time for any reason, without notice. Similarly, if you are hired, Advanced Wireless Communications will have the right to terminate your employment at any time, for any reason, without prior notice. No Advanced Wireless Communications manager has the authority to offer or promise anything other than at-will employment.
(PLEASE PRINT) Date of Application ______
Position(s) Applied For ______
Referral Source: ____ Advertisement ____ Friend ____ Relative ____ Website
____ Walk-In ____ Employment Agency Other ______
Name ______
LAST FIRST MIDDLE
Home Address ______
NUMBER STREET CITY STATE ZIP
Home Telephone _(_____)______Social Security Number ______/______/______
Work Telephone (if you want to be called there) __(______)______
Email Address ______
Have you filed an application here before? ____ Yes ____ No If yes, give date ______
Have you ever been employed here before? ____ Yes ____ No If yes, give date ______
Are you employed now? ____ Yes ____ No May we contact your present employer? ____ Yes ____ No
If hired, can you furnish proof that you are 16 years of age or older? _____ Yes ____ No If no, please explain: ______
If hired, can you furnish proof that you are eligible to work in the United States? _____ Yes _____ No If no, please explain:
______
On what date would you be available for work? ______
Are you available to work _____ Full-Time _____ Part-Time _____ Temporary
Are you on a lay-off and subject to recall? _____ Yes _____ No
Have you ever been convicted of a crime? ____ Yes ____ No If yes, please explain: ______
______
(Please note that a conviction of a crime is not an automatic bar to employment. All circumstances will be considered.)
EMPLOYMENT EXPERIENCE
Start with your present or last job. Include military service assignments and volunteer activities. You may exclude organization names which indicate race, color, religion, gender, national origin, disability, affectional preference, or other protected status.
Name of present
or last employer
Address City State Zip
Starting Date Leaving Date Job Title
Weekly Starting Salary Weekly Final Salary May We Contact
Your Supervisor? Yes No
Name of Supervisor Title Phone
Description of Work
Reason for Leaving
Name of present
or last employer
Address City State Zip
Starting Date Leaving Date Job Title
Weekly Starting Salary Weekly Final Salary May We Contact
Your Supervisor? Yes No
Name of Supervisor Title Phone
Description of Work
Reason for Leaving
Name of present
or last employer
Address City State Zip
Starting Date Leaving Date Job Title
Weekly Starting Salary Weekly Final Salary May We Contact
Your Supervisor? Yes No
Name of Supervisor Title Phone
Description of Work
Reason for Leaving
Education Name and Location of School No. Of Years Did you Graduate? Major
Elementary
High School
College
Professional,
Business or
Correspondence
Have you attended any other short courses or seminars on subjects related to your desired position? Please describe:
Summarize special skills and qualifications acquired from employment or other experience: ______
REFERENCES: Give the names of three persons not related to you, whom you have known for at least one year.
Name Phone Complete Address Type of Business Years
APPLICANT’S STATEMENT
I understand and agree that:
1. Any material misrepresentations or deliberate omission of a fact in my application may be justification for refusal of, or if employed, termination from employment.
2. I agree that my employment may be terminated by Advanced Wireless Communications at any time without liability for wages or salary except such as may have been earned at the date of such termination. If requested by the management at any time, I agree to submit to search of my person or of any desk that may be assigned to me, and I hereby waive all claims for damages on account of such examination.
3. I further understand that this is an application for employment and that no employment contract is being offered.
4. I will make it known if I am under any kind of restriction from any other company.
5. I acknowledge that: a) if I become employed, I will be free to terminate my employment at any time for any reason and Advanced Wireless Communications retains the same rights; b) Advanced Wireless Communications can change wages, benefits and conditions at any time; and
c) no representative of the Advanced Wireless Communications has the authority to make any contrary agreement.
6. I understand that I am required to abide by all rules and regulations of Advanced Wireless Communications.
I have read and understand the above.
Date: ______Signature: ______
AUTHORITY TO RELEASE INFORMATION
I understand that in processing my application with Advanced Wireless Communications, an investigation may be made in which information is obtained through personal interviews, and a review of information held by law enforcement or other government agencies. I authorize you to verify my past employment and education, criminal records, credit history, motor vehicle records, personal references, and other job related data provided on this application, or via the interview process. I authorize the appropriate individuals, companies, institutions or agencies to release information, and I release them from any liability as a result of such inquiries or disclosures. A report may be generated summarizing this information.
I further understand and waive my right of privacy in this investigation and release and hold harmless Advanced Wireless Communications, and its agent VERIFIED CREDENTIALS, INC. from any liability.
I have a right under the “Fair Credit Reporting Act” to obtain a copy of this report by directing a written request to VERIFIED CREDENTIALS INCORPORATED. I may also obtain a copy of this report by checking the “YES” box at the bottom of this disclosure.
I agree that any decision to hire me is contingent upon the results of my report, and certify that all statements and answers on my application, resume, or interview are true and complete to the best of my knowledge. I understand that if any statements are found to be false, or that if information had been omitted, this will be cause for disqualification and immediate termination of my employment.
I would like a copy of my report ______Yes ______No
LAST NAME FIRST NAME MIDDLE NAME
PREVIOUS NAME/MAIDEN NAME/A.K.A.’S DATE OF CHANGE
STREET ADDRESS
CITY STATE ZIP CODE
PLEASE LIST ANY CITIES AND STATES OF RESIDENCE FOR THE PAST 7 YEARS
SOCIAL SECURITY NUMBER DATE OF BIRTH
DRIVER’S LICENSE NUMBER STATE ISSUED
I understand that a photocopy of this authorization would be accepted with the same authority as the original. This release will expire one year after the date of origination.
______
SIGNATURE DATE