Employment Application Position InformationJob Applied For* How did you learn of this position?* Applicant InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long have you lived there?* Former Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long have you lived there? Daytime Phone*Alternate PhoneEmail* Have you ever used another name?*NoYesIf yes, please indicate the name(s)* Are you capable of satisfactorily performing the job duties required of the position for which you are applying?*YesNoAre you at least 18 years old?*YesNoAre you a US Citizen or Permanent Resident?*YesNoDo you have adequate transportation to and from work?*YesNoEducation & TrainingHigh school name and location* Type of diploma/degree earned* Specialized Training, experience, skills, extracurricular activities College/University name and location Type of diploma/degree earned Specialized Training, experience, skills, extracurricular activities Other Higher Education/Training school name and location Type of diploma/degree earned Specialized Training, experience, skills, extracurricular activities Employment HistoryPlease describe your employment for at least the past five years, and any prior experience relevant to this position. Please list the names of your employers in chronological order with present or most recent employer listed first.Employers Employer Name From (month/year) To (month/year) Actions Edit Delete There are no Employers. Add Employer Maximum number of employers reached. Additional InformationHave you been terminated or asked to resign from any job within the past five years?*NoYesIf yes, please explain*How many days of work have you missed in the last three years due to reasons other than paid holidays and vacation?* Please explain any gaps in your employment historyPlease describe your computer skills*Please indicate any experience, training, and qualifications that you have which you feel are relevant to the position for which you are applying, which are not covered above or in your answers to the supplemental questions. Volunteer experience may be included.Do you have any additional interests or hobbies? (optional)ResumeResume (PDF or Word, optional)Accepted file types: pdf, doc, docx, Max. file size: 5 MB.Certification & SignatureI certify that all of the information that I have provided on this application is true and accurate.Signature* Entering your full name above will act as your digital signature.Date* MM slash DD slash YYYY Aviatrix, Inc. reserves the right to terminate any employee at any time if it is discovered that they have lied on this application form. This application will be considered active only for the hiring of position indicated above.
