Automotive Quality & Logistics, Inc.

EMPLOYMENT APPLICATION

 

	AQL HR Application Process	Date Verified	AQL Personnel Signature
	Personal Interview
	Driver's License Verified and on File
	SSN Verified
	Reference Checks Completed and Attached
	Background Check Completed
	New Hire Reporting Completed
	Drug test (if applicable)

The above checklist is to be completed by AQL personnel only upon hire of above applicant. Anyone found not to be in compliance is subject to termination per AQL policies and procedures.

 

 

PERSONAL INFORMATION
This information will not be the only basis for hiring decisions. You are not required to furnish any information that is prohibited by federal, state, or local law.

Last Name:	First Name:	Middle Name:
Address:	City/State:	Zip Code:
Phone (Primary):( ) -	(Secondary):( ) -	Email:

EMPLOYMENT HISTORY
Please start with your present or most recent position and include all previous full-time jobs in chronological order, attach resume if available.

Current or Last Employer:
Employer Address:
Phone: ( ) -		Type of Business:
Your Position:			Employed from / / to / /

Type of Work:	Starting Base Wage:	Final Base Wage:
What do/did you like about this job?
What do/did you dislike about this job?
Reasons you desire(d) a change in employment:
May we contact your previous employer? Yes No				Contact: ( ) -

Previous Employer:
Employer Address:
Phone: ( ) -		Type of Business:
Your Position:			Employed from / / to / /

Type of Work:	Starting Base Wage:	Final Base Wage:
What do/did you like about this job?
What do/did you dislike about this job?
Reasons you desire(d) a change in employment:
May we contact your previous employer? Yes No				Contact: ( ) -

Previous Employer:
Employer Address:
Phone: ( ) -		Type of Business:
Your Position:			Employed from / / to / /

Type of Work:	Starting Base Wage:	Final Base Wage:
What do/did you like about this job?
What do/did you dislike about this job?
Reasons you desire(d) a change in employment:
May we contact your previous employer? Yes No				Contact: ( ) -

EDUCATION

Please check highest grade completed:	1 2 3 4	1 2 3 4 5 6 7 8
	HIgh School	College

OTHER

1.	Do you have the legal right to work for any employer in the United States? Yes No
2.	Have you ever been convicted of a crime (other than a minor traffic violation)? Yes No
3.	If so, please explain:
4.	Are you willing to take a Drug Test TODAY if hired? Yes No
5.	Do you give AQL the right to require you to take a drug test at any time? Yes No

6.	Are there any challenges that you face (in or out of the workplace) that you would like us to be aware of? Yes No If yes please explain:
7.	Do you have any personal or professional commitments that you would like to tell us about?
8.	Have you ever been employed by AQL in the past? If yes, please list date(s) and position(s):
9.	Is your Driver's License valid, and can you legally drive? Yes No

Driver's License Number:

Issuing State:

Exp. Date: / /

10.	What date are you available to begin work? / /
11.	AQL has client locations throughout the area, and you are expected to drive to our client's sites for your work assignment. Can you personally drive to these locations, without relying upon others? Yes No
12.	Occasionally, you may be asked to drive over 60 miles to a client's location, and you will be paid additional compensation for your Drive Time. Are you willing to accept this type of assignment? Yes No
13.	Are you willing to accept overnight work assignments, including paid hotel? Yes No
14.	After completion of your training as a Quality Inspector, you may be required to work a shift that is longer than 8 hours. Are you willing to accept such an assignment? Yes No
15.	Type of employment desired: Full Time Part Time
16.	How were you referred to AQL? Friend Newspaper Internet Other Please specify the name of the source:
17.	Some AQL locations require participation in a local union; is there any reason why you would be unable to do so? Yes No
18.	If Under 18 Years of Age Only: Can you provide a Work Permit? Yes No If No, please explain:

WORK RELATED REFERENCES
Provide at least 3 work related/professional references. They may be current or former supervisors, employers/business owners, instructors, teachers and/or other professional contacts.

REFERENCE 1		REFERENCE 2
NAME:		NAME:
JOB TITLE:		JOB TITLE:
BUSINESS ADDRESS:		BUSINESS ADDRESS:
BUSINESS PHONE: ( ) -		BUSINESS PHONE: ( ) -
OTHER ADDRESS:		OTHER ADDRESS:
OTHER PHONE: ( ) -		OTHER PHONE: ( ) -
RELATIONSHIP:		RELATIONSHIP:
YEARS AQUAINTED:		YEARS AQUAINTED:

REFERENCE 3		REFERENCE 4
NAME:		NAME:
JOB TITLE:		JOB TITLE:
BUSINESS ADDRESS:		BUSINESS ADDRESS:
BUSINESS PHONE: ( ) -		BUSINESS PHONE: ( ) -
OTHER ADDRESS:		OTHER ADDRESS:
OTHER PHONE: ( ) -		OTHER PHONE: ( ) -
RELATIONSHIP:		RELATIONSHIP:
YEARS AQUAINTED:		YEARS AQUAINTED:

DRUG TEST CONSENT CONSENT FOR THE PRE-EMPLOYMENT, RANDOM, OR REASONABLE SUSPICION DRUG TEST AND RELEASE COVENANT NOT TO SUE AND INDEMNITY AGREEMENTI hereby consent to allow Automotive Quality & Logistics (AQL), Inc. to take a specimen of my hair, urine or blood at any time for drug test screening. I further consent to allow the laboratory testing service to make the results of such screening available to Automotive Quality & Logistics (AQL), Inc.

I also release the laboratory testing service, its officers, agents, and employees, from any and all claims which I might otherwise have due to such results being made so available; and, I hereby consent not to file any action at law or in equity against Automotive Quality & Logistics (AQL), Inc. the laboratory testing service, their respective officers, agents, or employees in connection with the results of such screen being made so available, and I hereby agree to indemnify and save harmless Automotive Quality & Logistics (AQL), Inc., the laboratory testing service, their respective officers, agents, and employees from all damages, expenses, reasonable attorney's fees, and costs of court which they or any of them may suffer or incur, jointly or severally, due to the results of such screening being made so available.

Signed: Date: / /

ACKNOWLEDGEMENT & RELEASE I certify that the answers given in this application for employment are true and complete to the best of my knowledge. I have provided requested information about all my previous jobs, and authorize investigation into all statements I have made on this form as may be necessary for reaching an employment decision.

In the event I am employed by Automotive Quality & Logistics, I understand that any false or misleading information that I knowingly provide in this application for employment or interview(s) may result in discharge or legal action. I also understand that if employed, I will be contacted for work as it becomes available, and that I am guaranteed neither a minimum nor maximum number of hours per week. I am also required to abide by all rules and regulations as set forth by Automotive Quality & Logistics (AQL), Inc. and any special agreements reached between AQL and me.

Signed: Date: / /