The Alabaster Water Board (AWB) is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, genetics, disability, age, or veteran status. Those applicants requiring reasonable accommodation in the application and/or interview process should notify Human Resources.
Date of Application:Position Applied for:
Name:
Last / First / Middle
Address:
Street / City / State / Zip
Telephone: / Mobile / () / Home/Other / ()
If you are under 18, and it is required, can you furnish a work permit? Yes No
If no, please explain:
Do you have any relatives who work for AWB? Yes No
If yes, please provide name and relationship:
Have you ever worked for AWB? Yes No / If yes, when?
Are you legally eligible for employment in this country? Yes No
Date available for work: / Type of employment desired: Select oneFull timePart timeTemporarySeasonal
Are you able to meet the attendance requirements for this position? Yes No
Driver License number (if driving is an essential job function):
Skills & Qualifications: Summarize any training, skills, licenses, and/or certifications that may qualify you as being able to perform job-related functions in the position for which you are applying:
Educational Background:
School / Name & Phone # / Course of Study / Yrs Completed / Diploma/Degree
High School
College
Graduate/Professional
Other (Specify)
Employment History
Provide the following information for your past four (4) employers, assignments of volunteer activities, starting with the most recent.
Employer’s name & address:Length of employment: / From / To
Reason for leaving:
Position (title & classification):
Salary: / Beginning / $ per select onehourmonthyear / Ending / $ per select onehourmonthyear
Duties Performed:
Employer’s name & address:
Length of employment: / From / To
Reason for leaving:
Position (title & classification):
Salary: / Beginning / $ per select onehourmonthyear / Ending / $ per select onehourmonthyear
Duties Performed:
Employer’s name & address:
Length of employment: / From / To
Reason for leaving:
Position (title & classification):
Salary: / Beginning / $ per select onehourmonthyear / Ending / $ per select onehourmonthyear
Duties Performed:
Employer’s name & address:
Length of employment: / From / To
Reason for leaving:
Position (title & classification):
Salary: / Beginning / $ per select onehourmonthyear / Ending / $ per select onehourmonthyear
Duties Performed:
References:
Name & Relationship / Telephone / Years Known()
()
()
APPLICANT’S STATEMENT
I hereby certify that the information contained in the employment application I submit to Alabaster Water Board (AWB) is true and complete to the best of my knowledge. I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration for employment or for dismissal from employment.
I also understand that if I am offered a position with AWB, I must consent to a background check, physical and drug screen, and that the employment offer can be withdrawn if negative results appear from the investigation. I give AWB the right to investigate the information given and to secure additional information if necessary. I authorize my previous employers, educational institutions and all other individuals and organizations listed in this application form to give information about my employment, work habits and character.
I agree that AWB and my previous employers, educational institutions and all other individuals and organizations listed in this application will not be held liable in any respect if an employment offer is not made, is withdrawn, or my employment is terminated because of misrepresentations or omission of requested information.
I understand that AWB is in no way obligated to provide employment and also that I am in no way obligated to accept employment, if offered. This application does not bind either party, and the statements contained herein do not constitute and should not be interpreted to constitute any sort of contract of employment for a specific period of time.
I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause.
The AWB does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing an applicant from consideration from employment on a basis prohibited by local, state, or federal law.
I understand that it is this company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA.
I understand that upon offer and acceptance of a position with AWB I will be required to immediately furnish documentation establishing my identity and eligibility to be legally employed in the United States.
This application and attachments (if any) shall be active for a period not to exceed one (1) year from the date of the original job posting.
Signature of Applicant / Date213 1st Avenue North · Alabaster, AL 35007 · (205) 663-6155