Careers

Fill Out All Fields!!! A & J Flow Testing, Inc. - Application for Employees (Please send us a resume with your application)
First Name: *
Last Name: *
Address 1: *
Address 2:
City: *
State: *
Zip: *
Cell Phone: *
(This number will be used for scheduling out in the field)
SSN: *
Emergency Contact Information
Who should we contact in the event of an emergency?
First Name: *
Last Name: *
Relationship: *
Address 1: *
Address 2:
City: *
State: *
Zip: *
Daytime Phone: *
Evening Phone: *
Job Position Information
Job Position Applying For: *
Desired Salary: *
Who Referred You?
How will you get to work? *
Drivers License Number: *
Drivers License State: *
When can you start?
Are you able to perform the essential functions of the job position with or without reasonable accommodation?: *	Yes No
What reasonable accommodation, if any, would you require?
Have you ever been convicted of any crime, including traffic violations? *	Yes No
if yes, please describe:
THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR OF EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.
Applicants Education and Training
List your education and training
High School Name and Address: *
Last Grade Completed: *
Diploma? *	Yes No
College Name and Address: *
Did you receive a degree? *	Yes No
If yes, what degree?:
Other Training (Graduate, Technical, Vocational):
Awards, Honors, Specials Achievements:
Applicant Skills
List any skills that may be useful for the job you are seeking. Enter the number of years of experience, and select the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)
Skill: *
Experience, in years: *
Ability or Rating: *
Skill: *
Experience, in years: *
Ability or Rating: *
References
Reference 1:
First Name: *
Last Name: *
Address 1: *
Address 2:
City: *
State: *
Zip: *
Phone: *
Reference 2:
First Name: *
Last Name: *
Address 1: *
Address 2:
City: *
State: *
Zip: *
Phone: *
Reference 3:
First Name: *
Last Name: *
Address 1: *
Address 2:
City: *
State: *
Zip: *
Phone: *
Applicant Employment History
List your current or most recent employment first.
Employer 1:
Employer Name: *
Address 1: *
Adress 2:
City: *
State: *
Zip:
Job Duties: *
Reason for Leaving: *
Start Date:
End Date:
Employer 2:
Employer Name: *
Address 1: *
Address 2:
City: *
State: *
Zip:
Job Duties: *
Reason for leaving: *
Start Date:
End Date:
Employer 3:
Employer Name: *
Address 1: *
Address 2:
City: *
State: *
Zip: *
Job Duties: *
Reason for leaving: *
Start Date:
End Date:
Attach Resume:
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 & J Flow Testing, 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 entirely voluntary in nature. In other words, 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 would have the same right. Moreover, no agent, representative, or employee of A & J Flow Testing, 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 FULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.
Full Name: *