Applicaton for Employment
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion or national origin.
PERSONAL INFORMATION
Social Security Number:
First Name:
Last Name:
Middle Name:
Current Address
Street:
City:
State:
Zip:
Phone No.:
Email:
State Name and Department of Any Relatives, Other Than Spouse, Already Employed By This Company:
Referred By:
EMPLOYMENT DESIRED
Position:
Date You Can Start:
Salary Desired:
Are You Employed Now?
If So, May We Inquire of Your Present Employer:
Ever Applied to This Company Before?:
Where:
When:
EDUCATION
Name and Location
Last Year Completed
Did You Graduate?
Subjects Studied and Degreee(s) Received
Grammer School

High School

College

Trade, Business or Correspondence

Subjects of Special Study or Research Work:(100 character max limit)
What Foreign Languages Do You Speak Fluently?:(100 character max limit)
Activities Other Than Religious(Civic, Athletic, ect):
Exclude organizations, the name or character of which indicated the race, creed or national origin of its members.(100 character max limit)
FORMER EMPLOYERS: List Below Last Four Employers, Starting With Last One First
Date
Month and Year
Name and Address of Employer
Salary
Postion
Reason of Leaving
From:
To:

From:
To:

From:
To:

From:
To:

REFERENCES: Give below the names of three persons not related to you, whom you have known at least one year.
Name
Address
Business
Years Acquainted
GENERAL
If employment is offered, can you submit verification of your legal right to work in the United States?
Except for minor traffic violations (i.e. speeding or parking tickets), are there currently pending, before any law enforcement official or court, any charges alleging involvement by you in any criminal conduct, including alcohol or drug related violations?
If yes, please identify the charge and the official or court before which it is pending, and any other information you wish to have considered.(200 character max limit)
(Existence of a pending criminal charge in not an automatic bar to consideration for your application. Pending criminal charges are considered only to the extent that they substantially relate to the job(s) you are applying for.)
Except for minor traffic offenses (i.e speeding or parking tickets), have you ever been convicted of, pled guilty or no contest to any misdemeanor, felony or other crime, including but not limited to drug and/or alcohol ordinance violations?
If yes, state the date of the conduct, the date and court of the conviction/plea.(200 character max limit)
Email a description of the circumstances of the offence to submitresume@adpress.com
(Existence of criminal record does not constitute an automatic bar to employment. Your record(s) will be considered only as it may substantially relate to the job(s) for which you are applying.)
Have you ever been discharged from employment for theft or alleged theft of money, merchandise, property, ect.?
If yes, provide an explanation, if you wish. (200 character max limit)
ADDITIONAL INFORMATION
In addition to your work history, list any other job-related experiences, skills or qualifications you would like us to consider.(200 character max limit)
Advertisers Press, Inc. is an Equal Opportunity Employer and does not discriminate on the basis of race, gender, age, disability, religion, sexual orientation, national origin, or other status covered by applicable local, state, or federal employment laws or regulations.
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.
Date:
4/28/2024
Signature:
Affirmative Action Questionnaire
We are asking all applicants to complete this form on a voluntary basis in order to assist us to comply with government equal employment opportunity requirements and to measure the effect of our own Affimative Action program. The information which you provide will be used only in accordance with the law and will be kept separate from your other application materials. This information will remain confidential. You will not be penalized in any way if you choose not to complete this form.
Name:
Position applied for:
Sex
Age: Are you at least 40 but less than 70 years of age?
Handicap Status
Do you have a physically or mentally handicapping condition?
Do you need any accommodations in order for you to perform the job for which you are applying?
Ethnic Origin
Black, (Not of Hispanic orgin) - All persons having origins in any of the Black racial groups
Asian or Pacific Islanders - All persons having origins in any of the peoples of the Far East, Southeast Asia, the Indian Subcontinent or the Pacific Islands. This area includes, for example, China, Japan, Korea, the Philippine Islands and Samoa.
American Indian or Alaskan Native - All persons having origins in any of the original peoples of North America.
Hispanic - All persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race.
White (Not of Hispanic origin) - All persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Veteran Status
Are you a Veteran and released with other than a dishonorable discharge?
Are you a Disabled Veteran (entitled to V.A. disability compensation for disability rated 30% or more; or discharged from active duty due to disability incurred or aggravated in the line of duty?
Thank you for submitting an Application. We will review your Application and get back to you shorty.
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