Adams Application Employment PDF Details

The Adams Application Employment form is a comprehensive document designed to gather crucial information from job applicants, ensuring a streamlined and systematic hiring process. Spanning six pages, it calls for meticulous attention to detail, guiding applicants to provide personal and professional details, including general information like name, contact information, date of birth, and social security number. It also asks for educational background, employment history, computer skills, and languages fluently spoken, which helps employers assess the applicant’s qualifications and fit for the position. Significantly, the form addresses equal employment opportunities, underscoring a commitment to fairness by prohibiting discrimination based on sex, race, color, national origin, and other protected characteristics. The application goes beyond basic credentials, urging candidates to reveal any legal records, which will be considered in the context of the job’s requirements. An emphasis on truthfulness and completeness is evident, with a clause that any misrepresentation could lead to disqualification or dismissal if employed. Additionally, it includes a section on compliance with the Immigration Reform and Control Act of 1986, requiring proof of eligibility to work in the U.S. Applicants are informed about the employment-at-will policy, acknowledging that either party can terminate employment at any time. Lastly, it highlights the procedure for drug testing and secures the applicant's consent for a thorough background check, aligning with the Fair Credit Reporting Act, which protects the privacy and rights of applicants. This form, while extensive, is designed to ensure that both the employer and the applicant proceed with a clear understanding of the expectations and legal implications involved.

QuestionAnswer
Form NameAdams Application Employment
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesemployee application adams, application for employment adams 9661, adams application for employment form 9661, adams 9661 pdf

Form Preview Example

Employment Application

Page 1 of 6

Be sure you read all instructions carefully. Please print in dark ink or type. Complete all pages of this application. Incomplete and/or unsolicited applications will not be considered.

Applicant General Information

Name ___________________________________________________________________________

Date ______________

Last

First

MI

 

 

 

 

 

Date of Birth_ _________________________________

 

Social Security Number______________________________________

 

 

 

 

 

Address _ _______________________________________________________________________________________________

Street Address

 

 

City

 

 

 

State

Zip

 

 

 

 

 

 

 

 

 

Home Telephone

 

Work Telephone

 

 

 

Cell/Other Number

 

 

 

 

 

 

 

 

 

 

Preferred Contact Number:

Home Work

Cell

Best Time of day to call:

 

 

 

 

 

 

 

Email Address:___________________________________________________________________________________________

 

 

 

 

 

 

 

 

Position/Placement Information

 

 

 

 

 

 

 

 

 

 

 

 

Position applied for: __________________________________________

 

Desired Salary:_ _____________________

 

 

 

 

 

 

 

 

 

Are You interested in:

 

 

 

What Schedule are you available to work?

 

Full-time Part-time

Temporary

 

Morning

Afternoon Evening

 

 

 

 

 

 

 

 

 

 

What date are you available to start work?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please state specific hours you can work:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you willing to work additional hours/overtime?

Yes No

 

If so, how many?__________________________

What language(s) do you speak or write fluently?_______________________________________________________________

 

Most positions require proficiency in English

 

How were you referred to APG or its affiliated entities?

Employee Referral

____________________________________________________________________________________

 

Name

Newspaper/Radio

____________________________________________________________________________________

 

Name

Internet

____________________________________________________________________________________

 

Website

Other

____________________________________________________________________________________

 

Please Specify

Employment Application

Page 2 of 6

APG Media East is an equal opportunity employer. APG is committed to providing equal employment opportunity to all qualified applicants and employees without regard to sex, race, color, national origin, age, religion, disability, sexual orientation, marital status, or other protected class status.

Additional Information

Have you ever worked for APG or any of its affiliated entities before?: Yes

No

 

 

 

If yes, provide information:

Entity:_____________________________

Location:_ ________________________________

 

 

Dates Worked: _____________

to_ ____________ Reason for leaving:____________________________________________

Name worked under at APG or any of its affiliated entities (if different from current name):_______________________________

Are you 18 years of age or older?

Are you legally authorized to work in the U.S.?

Yes No

Yes No

 

 

Will you now or in the future require sponsorship for an H-1B or other type of employment visa status? Yes No

Educational Background

List all schools (starting with High School) that you have attended:

 

 

 

Diploma/GED

 

Name of School

Location

Year

Degree/Certificate

Major Course of Study

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

Computer Skills:

I use the computer

I think my computer skills are:

 

0-1 times/week

Beginner

 

3 times/week

Intermediate

 

5+ times/week

Advanced

Software Knowledge– Please list (i.e. Word, Excel, PowerPoint, Outlook, industry specific softw are, etc.)

Describe other special knowledge, skills, and/or individual capabilities you have which especially prepare you for the position applied:

Employment Application

Page 3 of 6

Employment History

Please list your work experience beginning with your most recent employer.

If additional positions were held, please attach your resume.

Company Name:

Telephone

Dates Employed (Mo/Yr)

Fromto

Address _ _______________________________________________________________________________________________

Street Address

 

City

State

Zip

 

 

 

 

 

 

 

 

May we contact this employer?

Supervisor:

 

 

Base Pay

 

 

 

Yes No

 

 

 

Starting:

 

Ending:

 

 

 

 

 

 

 

 

Job Title and Responsibilities:

 

 

Reason for leaving:

 

 

 

 

 

 

 

 

 

 

 

Company Name:

Telephone

Dates Employed (Mo/Yr)

Fromto

Address _ _______________________________________________________________________________________________

Street Address

 

City

State

Zip

 

 

 

 

 

 

 

May we contact this employer?

Supervisor:

 

 

Base Pay

 

 

Yes No

 

 

 

Starting:

 

Ending:

 

 

 

 

 

 

 

Job Title and Responsibilities:

 

 

Reason for leaving:

 

 

 

 

 

 

 

 

 

Company Name:

Telephone

Dates Employed (Mo/Yr)

Fromto

Address _ _______________________________________________________________________________________________

 

Street Address

 

City

State

Zip

 

 

 

 

 

 

 

 

 

 

 

May we contact this employer?

Supervisor:

 

 

Base Pay

 

 

 

 

Yes No

 

 

 

Starting:

 

Ending:

 

 

 

 

 

 

 

 

 

 

 

Job Title and Responsibilities:

 

 

Reason for leaving:

 

 

 

 

 

 

 

 

 

 

 

 

Employment Application

Page 4 of 6

References

Please list 3 professional references. (Do not include relatives)

 

Name

Title

Address

Phone

Email

Years Known

 

 

 

 

 

 

 

 

Name

Title

Address

Phone

Email

Years Known

 

 

 

 

 

 

 

 

Name

Title

Address

Phone

Email

Years Known

 

 

 

 

 

 

 

Background Information

Have you ever been discharged from any position? Yes No

If YES, please explain:

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? Some examples include, but are not limited to Underage Drinking, DUI, Reckless and/or Careless Driving, and

Disorderly Conduct.

Yes No

Note that a guilty plea, no contest plea, or conviction of a crime is not an absolute bar to employment with APG. Your answer is looked upon as only one of the factors considered in the employment decision and is evaluated in terms of the nature, severity, and date of the offense and relation to your suitability for the position for which you are applying.

If YES, please explain all (include crime, date(s) and location(s)):

State any additional information you feel may be helpful to us in considering your application:

Employment Application

Page 5 of 6

Please Read Before Signing – Acknowledgment

1.I understand that nothing contained in this form or in the entire application process (including employment interview) is intended to establish an employment contract between me and the company. I have received no verbal promises regarding employment, and recognize that no such guarantee is binding upon the company unless made in writing. I understand that, if employed, my employment is “at will” which means I may terminate my employment at any time, for any reason, with or without cause, and with or without advance notice, and that the company has the same right.

2.If I am offered and accept a position, I understand that I will be required to provide documents that establish my identity and my employment eligibility in accordance with the Immigration Reform and Control Act of 1986.

3.I further understand that the accuracy and completeness of my statements will be relied upon by APG and its affiliated entities. I understand that misrepresentation or omission of facts will be cause for cancellation of consideration for employment or dismissal if employed. I hereby authorize investigation of all statements contained in this application and/or resume and permit ACM and its affiliated entities to obtain any transcripts, records, or documents pertaining to any background and experience referenced herein. I agree to release APG and its affiliated entities and current and past employers or other entities of any liability arising from such investigation.

4.I certify that the information provided on this application (and accompanying resume, if any) is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment, and may result in my dismissal from employment, if discovered at a later date.

5.If I am offered employment, I agree to submit to drug testing, and I understand my becoming employed and/or my continued employment may be subject to my drug testing results in accordance with company policies and procedures.

_________________________________________________________

______________________________

SIGNATURE

DATE

NOTICE TO APPLICANTS AS REQUIRED BY

THE FAIR CREDIT REPORTING ACT

As part of employment process, an investigative consumer report may be prepared regarding an applicant’s character, general reputation, personal characteristics, and mode of living. Additional information as to the nature and scope of such as report, if made, will be provided upon the applicant’s written request.

I authorize investigation of all matters contained in this application which Adams Publishing Group may deem relevant to my employment and authorize my previous employers or other persons having information concerning me or my record to report such information to Adams Publishing Group and such persons are hereby released from all liability for issuing such information. Adams Publishing Group will keep all such information confidential except where such information is required to be released by law or order of a court or other authority. I understand and agree that I will be subject to immediate dismissal if it is subsequently discovered that the information contained herein is untrue or that I have failed to disclose a material fact. I understand that if employed by Adams Publishing Group, such employment will occur at will and no contract of employment, express or implied is created and that no representative of Adams Publishing Group has any authority to enter into any agreement for employment of any specific period of time, or to make any agreement contrary to the foregoing. I understand that if I receive an offer of employment and I accept the position, I will be required to complete additional information necessary for company record keeping requirements.

_________________________________________________________

______________________________

SIGNATURE

DATE

Employment Application

Page 6 of 6

APPLICANT DISCLOSURE FOR DRIVING POSITIONS

You are applying for the position of _______________. One of the essential job duties of the _______________ position is

driving. We believe it is essential for individuals who are required to drive on Company business to have good driving records because of the potential for injury or harm to the employee and/or to other individuals in the event of an automobile accident.

As part of the application process for the position of _______________, we require that you 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.

Violations of traffic laws and regulations will be considered on an individualized, case-by-case basis, and factors to be considered will include the nature and date of the violation(s) and the nature of the job. Where indicated, the Company will conduct

a further individualized assessment that would consist of notice to the applicant for an opportunity to demonstrate that any violations or offenses listed above should not be considered to exclude him/her from consideration. The Company will make the final determination based on the information provided by the individual, the nature of the job and business necessity.

PLEASE SIGN BELOW TO ACKNOWLEDGE YOU HAVE READ AND UNDERSTAND THIS DISCLOSURE REQUIREMENT:

_______________________________________________________________ ______________________________

APPLICANTDATE

_______________________________________________________________

WITNESS

How to Edit Adams Application Employment Online for Free

Completing adams application for employment form 9661 is not difficult. Our experts designed our PDF software to make it user friendly and enable you to fill out any form online. Listed below are steps that you should go through:

Step 1: The first thing would be to select the orange "Get Form Now" button.

Step 2: You're now on the file editing page. You may edit, add text, highlight certain words or phrases, place crosses or checks, and include images.

These areas are what you will have to complete to get the ready PDF document.

entering details in form 9661 part 1

Note the essential data in PositionPlacement Information, Position applied for, Desired Salary, Are You interested in Fulltime, What Schedule are you available to, What date are you available to, Please state specific hours you, Are you willing to work additional, If so how many, What languages do you speak or, Most positions require proficiency, How were you referred to APG or, Employee Referral, Name, and NewspaperRadio segment.

step 2 to filling out form 9661

In the Additional Information, Have you ever worked for APG or, If yes provide information Entity, Location, Dates Worked to Reason for, Name worked under at APG or any of, Are you years of age or older, Are you legally authorized to work, Will you now or in the future, Educational Background, List all schools starting with, Name of School, Location, Year, and DiplomaGED DegreeCertificate segment, point out the relevant information.

Filling in form 9661 stage 3

Feel free to identify the rights and responsibilities of the parties in the Computer Skills, I use the computer timesweek, I think my computer skills are, Software Knowledge Please list ie, and Describe other special knowledge paragraph.

Finishing form 9661 stage 4

Review the fields Company Name, Telephone, Dates Employed MoYr, From to, Address, Street Address, City, State, Zip, May we contact this employer Yes, Supervisor, Base Pay Starting, Ending, Job Title and Responsibilities, and Reason for leaving and then fill them out.

Filling out form 9661 part 5

Step 3: Press "Done". It's now possible to upload your PDF document.

Step 4: You will need to make as many duplicates of your form as possible to remain away from future issues.

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