APPLICATION FOR AT-WILL EMPLOYMENT

* Bold fields are required

Check all that Apply
Name
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Have you ever filed an application with us?
Have you ever been employed with us?
Are you currently employed?
May we contact your present employer?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment.
On what date are you available to begin work?
Work Availability
Shift Availability
Are you currently on “lay off” status and subject to recall?
Can you travel if required?
Desired Hourly Wage or Salary

Education

High School
Undergraduate College
Graduate Professional
Other (Specify)

Employment Experience

Start with your present or last job. Include any job-related military service, assignments and volunteer activities. Please exclude organizations that indicate race, religion, gender, disabilities or any other protected status. Please list employment for past 7 or more years.

Please exclude memberships that would reveal gender, race, religion, national origin, age, ancestry, disability or any other protected status.
Additional Information
Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.
Specialized Skills
Check Skills/Equipment Operated
Production/Mobile
Machinery (list)
Other (list)
References
To attach your resume in PDF or MS Word, select choose file

Applicant's Statement

I certify that the answers given herein and on any attachments are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in making an employment decision.

This application for employment shall be considered active for a period of 90 days. Any applicant wishing to be considered for employment beyond this time should inquire as to whether or not applications are being accepted at that time.

I HEREBY UNDERSTAND AND ACKNOWLEDGE THAT, IF HIRED, MY EMPLOYMENT RELATIONSHIP WITH THIS ORGANIZATION WOULD BE “AT-WILL,” WHICH MEANS THAT THE EMPLOYEE MAY RESIGN AT ANY TIME AND FOR ANY OR NO REASON, AND THE EMPLOYER MAY DISMISS THE EMPLOYEE AT ANY TIME AND FOR ANY OR NO REASON. IT IS FURTHER UNDERSTOOD THAT THIS “AT-WILL” EMPLOYMENT RELATIONSHIP MAY NOT BE CHANGED BY ANY WRITTEN DOCUMENT OR BY CONDUCT UNLESS SUCH CHANGE IS SPECIFICALLY ACKNOWLEDGED IN WRITING BY AN AUTHORIZED EXECUTIVE OF THIS ORGANIZATION.

I understand that it is the policy of Avalign Technologies to conduct drug/alcohol tests of job applicants and that a satisfactory passing of these tests is a requirement for employment. I agree to submit to a drug/alcohol test and background screening. I understand that favorable results will not guarantee that I will be employed by Avalign Technologies. I give consent to the testing agency to release the results of the test to Avalign Technologies.

In the event of my employment, I understand that falsification, misrepresentation or omission of information given in my application, resume or any attachments or interview(s) may result in denial of employment or immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of the employer.

*WE ARE AN AT-WILL, EQUAL OPPORTUNITY EMPLOYER*