AWS On-Line Job Application

Contact Info.How did you hear about AWS?Qualifying Info.AvailabilityGoalsEducationCriminal RecordEmployment ExperienceReferencesPolicy Agreement

Contact Information
*Last Name :	*First Name :	Middle Name :
*Street Address :		Apartment :
*City :	*State :	*Zip Code :
Telephone Number : * (At least one phone or email required)	Mobile / Pager Number :
E-Mail Address:		*Social Security Number :

How did you learn about AWS? (check one)
AWS Employee	List His / Her Name :
Advertisement	Where did you see the ad?
College Placement	List College Office :
Walk-In
Other	Explain :

Qualifying Information

*Are you at least 18 years old? YesNo

*Are you legally authorized to work in the USA? YesNo (You will be required to provide documentation of your eligibility to work in the USA)

*Have you applied for employment with AWS previously? YesNo

If yes, when and where?

*Have you worked for AWS previously? YesNo

If yes, when and where?

*Have you ever been fired or asked to resign from a job? YesNo

If yes, please explain.

Do you have a valid drivers license? YesNo

What salary or rate of pay do you expect to receive if employed? per

Availability
On what date would you be available for work? ,
* Are you available to work : Full Time Part Time Temporary Summer
Hours Available :
Sun :
Mon :
Tue :
Wed :
Thur :
Fri :
Sat :

Goals

briefly state your goals in applying for employment :

Education
High School
Name	Course of Study	City	State	Degree / Diploma	Graduated
					YesNo
Undergraduate College
Name	Course of Study	City	State	Degree / Diploma	Graduated
					YesNo
Graduate / Professional
Name	Course of Study	City	State	Degree / Diploma	Graduated
					YesNo
Other (Specify)
Name	Course of Study	City	State	Degree / Diploma	Graduated
					YesNo

Education

List any specialized courses studied (Vocational, Technical, Business, Secritarial, Other) :

List any experience, certification, special skills or knowledge which you feel may be relevant to the job you are seeking :

List computer software / equipment and other office equipment that you can use proficiently :

Criminal Record

*Have you ever been convicted of a crime or violation other than a minor traffic violation? YesNo

If yes, please explain :

(Certain state laws / regulations applicable to AWS services may disqualify an applicant with a conviction.)

Employment Experience

List all employment (including self-employment, summer and part-time jobs) during the ten (10) years prior to the date of application. If more space is needed, attach additional sheet. Begin with current or most recent employment. Please do not state "see resume" - complete all employment history even if a resume is submitted.

Employer 1

Employer :
Address :
City :
State :	*
Job Title :
Supervisor :

Dates Employed:
	Start Date : ,
	Check here if this is your current employer
	OR select End Date.
	End Date : ,

Work Performed :	Telephone Number(s) :
	Pay Rate :Per Hour Per Year Start : End :
Reason for Leaving :

Additional References
List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.
*Name :	*Telephone :	*No. of Years Known
*Name :	*Telephone :	*No. of Years Known
*Name :	*Telephone :	*No. of Years Known

Important : Read the Policies Below and Put Your Initials in the Box Before Submitting This Application

Alcohol & Drug Screening Policy

It is the policy of AWS to maintain a safe, healthy, and productive work environment for all its employees; to produce quality goods and services for its customers in an efficient manner; to maintain integrity and security of its facility and property, and to perform all these functions in a fashion consistent with the interests and concerns of the communities in which it is located. Pursuant to these goals, AWS requires candidates for employment to pass a drug/alcohol-screening test covering illegal substances and legal substances subject to abuse. This requires the candidate to submit a urine, hair and/or blood specimen and to sign a consent and release statement provided by AWS. Refusal will result in the candidate's disqualification for further employment consideration. I understand that if I am offered employment by AWS, I will be required to submit to a drug/alcohol screening test.

I certify, to the best of my knowledge, that the information submitted is complete and accurate, and I authorize AWS to verify the accuracy of such information and to obtain reference information regarding my work performance. I hereby release AWS from any/all liability of whatever kind and nature, which, at any time, could result from obtaining and basing an employment decision on such information. I understand that, if employed, AWS may terminate my employment if I have made any false statements or misrepresentations in this application or during the interview process.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules, and regulations of employment of AWS. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or AWS may terminate my employment at any time with or without notice or cause.

I declare that I have never committed an act of abuse or fraud in relationship to a dependent person and I have never knowingly violated applicable rules or laws in any previous employment in residential, health care, or related employment.

I have read, understand, and agree to above statements.

*Please initial here :

Note: An application can only be submitted once per position by the same person. Please ensure that you the information you have provided is accurate and that you have provided information on all tabs prior to sumbitting the application. The application cannot be updated later.

If you wish to upload a copy of your resume, copy the text from the resume and paste it in the box below.

Job Application *( Indicates Required Fields)**
*Position Applied For :	*Region Where You Wish To Work :	Date : ,

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