Employment Application

"*" indicates required fields

Applicant Information

Name:*
Address:*
MM slash DD slash YYYY
Best means of communication:*
Are you authorized to work in the U.S.?*
Have you ever worked for this company?*
MM slash DD slash YYYY

Education

High School Address:*
Did you graduate from High School?

College Address:
Did you graduate from College?

Other Address:
Did you graduate from Other?

(What machines can you operate?)

References

Please list three professional references.

Previous Employment

Address #1:*
MM slash DD slash YYYY
MM slash DD slash YYYY
Still Working? #1

Address #2:
MM slash DD slash YYYY
MM slash DD slash YYYY
Still Working? #2

Address #3:
MM slash DD slash YYYY
MM slash DD slash YYYY
Still Working? #3
Address #4:
MM slash DD slash YYYY
MM slash DD slash YYYY
Still Working? #4

Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 256 MB.

Disclaimer and Signature

If you are hired by American Cap Company you will be required to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with this requirement. The Immigration Reform & Control Act of 1986 prohibits employers from hiring aliens not legally eligible to work in the United States and requires all newly hired employees to present and verify evidence of employment eligibility.

AUTHORIZATION

I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by American Cap. I understand that any employment is conditioned on a background check. I authorize American Cap Co. to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to American Cap Co., without giving me prior notice of such disclosure. In addition, I release American Cap Co., any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure. I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice of either myself or American Cap Co. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon American Cap Co., unless it is made in writing. If I am offered employment I agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination and drug test at any time deemed appropriate to American Cap Co. and as permitted by law. I consent to any such examinations and tests, and I request that the examining doctor disclose to American Cap Co. the results of the examination or test, which results shall remain confidential and separated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law is contingent upon satisfactory medical examinations and drug tests, and if I am hired a condition of my employment will be that I abide by American Cap's Drug and Alcohol Policy. I understand that filling out this form does not indicate there is a position open and does not obligate American Cap Co. to hire. If hired, I agree to abide by all American Cap's work rules, policies and procedures. American Cap retains the right to revise its policies or procedures in whole or in part, at any time.
(Input full name as signature)