Employment Application at a glance
What it is: Employment Application: read all instructions carefully, print in dark ink or type, and complete all pages of this application. Incomplete and/or unsolicited applications will not be considered.
Who signs: Sign on the SIGNATURE line and enter the DATE.
A filled-in Employment Application example: a full-time applicant fills in page 1
How to fill out Employment Application, box by box
Applicant General Information
Under Applicant General Information, enter your Name (Last, First, MI) and the Date.
Enter your Date of Birth and Social Security Number.
Enter your Address: Street Address, City, State and Zip.
Contact numbers and email
Enter your Home Telephone, Work Telephone and Cell/Other Number.
For Preferred Contact Number, mark Home, Work or Cell, and enter the Best Time of day to call.
Enter your Email Address.
Position/Placement Information
Under Position/Placement Information, enter the Position applied for and your Desired Salary.
Under Are You interested in, mark Full-time, Part-time or Temporary, and under What Schedule are you available to work, mark Morning, Afternoon or Evening.
Enter the date you are available to start work.
Under Please state specific hours you can work, enter the hours.
Additional hours/overtime and language
Mark Yes or No under Are you willing to work additional hours/overtime? If so, enter how many.
Under What language(s) do you speak or write fluently?, enter the language(s). Most positions require proficiency in English.
How you were referred
Under How were you referred to APG or its affiliated entities?, mark Employee Referral, Newspaper/Radio, Internet or Other, and enter the Name, Website or Please Specify.
More rules for Employment Application
Mark Yes or No: Have you ever worked for APG or any of its affiliated entities before?
If yes, enter the Entity and Location.
If yes, enter Dates Worked and the Reason for leaving.
If yes, enter the name you worked under at APG or any of its affiliated entities, if different from your current name.
Mark Yes or No for Are you 18 years of age or older? and for Are you legally authorized to work in the U.S.?
Mark Yes or No: Will you now or in the future require sponsorship for an H-1B or other type of employment visa status?
List all schools (starting with High School) that you have attended, with Diploma/GED, Name of School, Location, Year, Degree/Certificate and Major Course of Study.
For Computer Skills, mark I use the computer 0-1 times/week, 3 times/week or 5+ times/week, and mark I think my computer skills are Beginner, Intermediate or Advanced.
Under Software Knowledge, list your software, such as Word, Excel, PowerPoint, Outlook or industry specific software.
Describe other special knowledge, skills, and/or individual capabilities you have which especially prepare you for the position applied.
Under Employment History, list your work experience beginning with your most recent employer.
If additional positions were held, attach your resume.
For each employer, enter the Company Name, Telephone and Dates Employed (Mo/Yr).
Enter the Address: Street Address, City, State and Zip.
Mark Yes or No to contact this employer, and enter the Supervisor and Base Pay, Starting and Ending.
Enter your Job Title and Responsibilities and your Reason for leaving.
Under References, list 3 professional references.
Do not include relatives.
Enter the Name, Title, Address, Phone, Email and Years Known.
Mark Yes or No: Have you ever been discharged from any position? If YES, please explain.
Mark Yes or No: Have you pled guilty to, pled no contest to, or been convicted of any crime, including but not limited to any summary offenses, misdemeanors, or felonies in the last 7 years for which the record has not been sealed or expunged, including driving violations?
A guilty plea, no contest plea, or conviction of a crime is not an absolute bar to employment with APG.
If YES, explain all (include crime, date(s) and location(s)).
State any additional information you feel may be helpful in considering your application.
Under APPLICANT DISCLOSURE FOR DRIVING POSITIONS, disclose any moving driving violations (other than minor non-moving violations, such as parking tickets).
This includes speeding tickets, driving while intoxicated (DWI), driving under the influence (DUI), reckless driving, or other moving violations.
Failure to disclose a violation may be considered falsification and misrepresentation of facts on your application and if later discovered, may result in your termination from employment.
If you are unsure of your driving record, you may request and obtain a driving history (Motor Vehicle Record) from the Department of Motor Vehicles.
Sign to acknowledge you have read and understand this disclosure requirement, on the APPLICANT line with the DATE; there is also a WITNESS line.
Common questions about Employment Application
Who signs it?
Sign on the SIGNATURE line and enter the DATE.
What am I certifying when I sign?
By signing, you certify that the information provided on this application (and accompanying resume, if any) is true and complete, and you understand that any false information or significant omissions may disqualify you from further consideration for employment, and may result in your dismissal from employment, if discovered at a later date.
Sources
[1] Employment Application (APG Media East), served form, no issuer file (the Official source link on this page).
