Automation Technician Careers | Advanced Automation

First Name

Last Name

Address

Address Line 2

City

State

Zip Code

Home Phone

Mobile Phone

Email Address

Position Applying For

Emergency Contact Person

Phone

Relationship

Address

Are you a citizen of the United States?

Yes

No

Have you ever worked for this company?

Yes

No

Have you ever been convicted of a felony?

No

Yes

Highest Level of Education

Education History

Have you ever been in the Armed Forces?

No

Yes

References Section

References

References Description

In each field, please list a Personal or Professional Reference including

Name
Phone Number
Relationship

Reference 1

Reference 2

Reference 3

Employment History

Employment History

Last or Current Employer

Last Employer Phone Number

Last or Current Employer Address

Reason for Leaving Instructions

Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.

May we contact your current employer?

Yes

No

Previous Employer 1

Previous Employer 1 Phone Number

Previous Employer 1 Address

Previous Employer 1 Reason for Leaving

Reason for Leaving Instructions

Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.

Previous Employer 2

Previous Employer 2 Phone Number

Previous Employer 2 Address

Previous Employer 2 Reason for Leaving

Reason for Leaving Employer 2

Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.

Which of the jobs did you like the best?

How did you hear about Advanced Automation?

New Field

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Additional Info (Optional)

Certify Agreement

BY CLICKING SUBMIT, I CERTIFY THAT MY ANSWERS ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. IF THIS APPLICATION LEADS TO EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION IN MY APPLICATION OR INTERVIEW MAY RESULT IN MY RELEASE.

Equal Opportunity Employer Verbiage

ADVANCED AUTOMATION IS AN EQUAL OPPORTUNITY EMPLOYER.

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