Job Application: AA Wind Pros Job Application

Title: AA Wind Pros Job Application

Fields marked with an asterisk (*) must be filled out before submitting.

Applicant Information

Full Name *
Home Address *
City *
State *
Zip *
Number of Years at this Address? *
Daytime Phone *
Evening Phone *
Mobile Phone *
Email Address *
Social Security Number
Drivers License (State/Number)

Emergency Contact

Who should be contacted if you are involved in an Emergency? *
Relationship to you *
Address *
City *
State *
Daytime Phone *
Evening Phone *
Job Position Applied For * Crew Member
Who referred you to the company? *
Do you have friends or relatives who work here? If so please list here.
Have you applied to our company previously? * Yes
No
If Yes, when?
Are you at least 18 years old? * Yes
No
How will you get to work? *
Are you willing to work any shift, including nights and weekends? * Yes
No
If no, please state any limitations:
If applicable, are you available to work overtime? * Yes
No
If you are offered employment, when would you be available to begin work? *
If hired, are you able to submit proof that you are legally eligible for employment in the United States? * Yes
No
Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation? * Yes
No
What reasonable accommodation, if any, would you request?
Have you ever been convicted of a felony or misdemeanor? * Yes
No
If Yes, Please list Offense, Date, City and State

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

Applicant Skill

Put the number of years of Experience next to skill then select your knowledge level for that skill.

OSHA 10 Hour Outreach (Years of Experience) *
OSHA 10 Hour Outreach (Skill Level) * 1
2
3
4
5
Confined Space Training (Years of Experience) *
Confined Space Training (Skill Level) * 1
2
3
4
5
Medic First Aid CPR with AED Certification (Years of Experience) *
Medic First Aid CPR with AED Certification (Skill Level) * 1
2
3
4
5
Tractel and Rollgliss Controlled Descent Certification (Years of Experience) *
Tractel and Rollgliss Controlled Descent Certification (Skill Level) * 1
2
3
4
5
NFPA 70E Arc Flash Safety Certification (Years of Experience) *
NFPA 70E Arc Flash Safety Certification (Skill Level) * 1
2
3
4
5
Lockout/Tagout (LOTO) (Years of Experience) *
Lockout/Tagout (LOTO) (Skill Level) * 1
2
3
4
5
Fire Extinguishers Subparts E & L (Years of Experience) *
Fire Extinguishers Subparts E & L (Skill Level) * 1
2
3
4
5
Hazcom Subpart Z (Years of Experience) *
Hazcom Subpart Z (Skill Level) * 1
2
3
4
5
BBP Subpart Z (Years of Experience) *
BBP Subpart Z (Skill Level) * 1
2
3
4
5
Heat Stress (Years of Experience) *
Heat Stress (Skill Level) * 1
2
3
4
5
Ergonomics (Years of Experience) *
Ergonomics (Skill Level) * 1
2
3
4
5
Electrical Subpart S (Years of Experience) *
Electrical Subpart S (Skill Level) * 1
2
3
4
5
Walking Working Surfaces Subpart D (Years of Experience) *
Walking Working Surfaces Subpart D (Skill Level) * 1
2
3
4
5
PPE (Years of Experience) *
PPE (Skill Level) * 1
2
3
4
5
Avanti Lift Certification (Years of Experience) *
Avanti Lift Certification (Skill Level) * 1
2
3
4
5
40 Hr. Hazardous Waste Operation & Emergency Response (Years of Experience) *
40 Hr. Hazardous Waste Operation & Emergency Response (Skill Level) * 1
2
3
4
5

Applicant Employment History

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.

Employer 1 Name *
Supervisor 1 Name *
Address *
City *
State *
Zipcode *
Job duties *
Reason For Leaving *
Dates of Employment (Month/Year) *
 
Employer 2 Name *
Supervisor 2 Name *
Address *
City *
State *
Zipcode *
Job duties *
Reason for leaeving *
Dates of Employment (Month/Year) *
 
Employer 3 Name *
Supervisor 3 Name *
Address *
City *
State *
Zipcode *
Job Duties *
Reason For Leaving *
Dates of Employment (Month/Year) *

Applicants Education and Training

College/University Name and Address *
Did you receive a degree? * Yes
No
If yes, degree(s) received
High School/GED Name and Address *
Did you receive a degree? * Yes
No
If yes, degree(s) received
High School/GED Name and Address *
Did you receive a degree? * Yes
No
Other Training (graduate, technical, vocational):
Please indicate any current professional licenses or certifications that you hold
Awards, Honors, Special Achievements
Military Service Yes
No
Branch
Specialized Tranining

References

List any two non-relatives who would be willing to provide a reference for you.

Reference 1 Name *
Address *
City *
State *
Zipcode *
Phone *
Relationship *
 
Reference 2 Name *
Address
City
State
Zip
Phone
Relationship
Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:

CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize A & A Wind Pros, Inc. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be “at-will.” In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of A & A Wind Pros, Inc., except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.
  I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.

Applicant Name *
Date *
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