American Inventory  Application for Employment

Please fill in while on-line and print out.  Bring application with you to your scheduled appointment.

  Todays Date  //                    S.S.N# --

  Last Name    First  Initial 

  Home Phone  --          Work Phone  --     Ext.

  Cell Phone     --          E-mail address: 

  Person to notify in Emergency  Relationship Ph. --

  PHYSICAL ADDRESS:

  Apt. City  St  Zip 

   MAILING ADDRESS, IF DIFFERENT

  Apt. City  St  Zip    

  How did you hear about us? 

  Seattle Times/PI Today's Careers Other If other, please describe 

  10-Key Experience? 

  Yes No By Touch?  Yes No Typing Speed  WPM

  Computer Experience:

  Describe your working knowledge of computers:
 

  WORK EXPERIENCE- Please list your employment experience with your most recent job information first

  Name of Company

   Address

  Supervisor

  Phone --   ext. 

   Dates Employed: 

From to

  Position

  Salary  monthly yearly

  Duties:

  Reason for leaving:

  Previous Employer:  

  Name of Company

   Address

  Supervisor

  Phone --   ext. 

   Dates Employed: 

From to

  Position

  Salary  monthly yearly

  Duties:

  Reason for leaving:

  Previous Employer

  Name of Company

   Address

  Supervisor

  Phone --   ext. 

   Dates Employed: 

From to

  Position

  Salary  monthly yearly

  Duties:

  Reason for leaving:

   REFERENCES:
   Name two work references we may contact:   

  Company

   Occupation

   Address

   Phone --   ext. 

 

  Company

   Occupation

   Address

  Phone --   ext. 

 

  Are you bondable?       Yes No
  If not, please explain   
 

  EDUCATION

  College or Trade school attended 

  Attended from to Major

  Did you graduate?  Yes No Degree Earned?

  High School  City St.

  Attended from to GPA Did you graduate?  Yes No

  Are you currently attending school?  Yes No Part Time Full Time

  What are you studying? 

  When will you graduate?  Are you over 18 years of age?  Yes No

  PERSONAL INFORMATION
  What are your interests?  Please list any special skills or hobbies you enjoy.

 

  AVAILABILITY
  Please indicate your most likely availability below.  Mark all that apply.

  Any Hours available                          Weekends only

  P.M.'s and Weekends                       Sundays only

  A.M.'s and Weekends                       Saturdays only

  Weekdays only

  TRANSPORTATION     Please indicate how you intend to get to jobs.

  Personal Vehicle              Bus transportation Only

  If you will be driving your personal vehicle to work, please provide the following information:

  Make of Auto Model 

  Year  License  State Licensed 

  We frequently carpool from our office to jobs.  We reimburse the drivers or our carpools 40 cents
  per mile, plus travel time (minimum wage rate)

  Would you be willing to drive your vehicle in carpool situations? Yes No

  If you answered Yes to the previous question, please provide the following information:

  Number of passengers you can carry with seatbelts (including driver) 

  Drivers Lic. # State Exp. Date

  In the event of an accident while driving the carpool, the company is insured, but only if the 
  driver of the vehicle possesses a current drivers license and insurance policy.  This is in
  accordance of the laws.  If these criteria are not met, you are ineligible to drive for carpool.

  PERSONAL LIMITATIONS
  This is a physical job.  It requires frequent kneeling, climbing, stooping, bending and reaching.
  You will be required to operate a hand-held computer with your RIGHT hand.  Do you have
  any limitations, physical or otherwise, that would cause you pain, discomfort or otherwise
  prevent you from performing these tasks?     

         Yes No
  If yes, please explain: 

  The answers I have provided on this application are complete and true to the best of my knowledge.
  I understand that falsification of information on this application, or during my oral interview are 
  grounds for dismissal.    I give my permission for American Inventory to contact my previous employers
  and the work   references named by me herein to verify my employment and/or performance.
  I understand that no current employer(s) will be contacted without my specific written permission.

  Please sign and date at the time of your interview.  

    Signature ______________________________________________  Date ___________________
 
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