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Employment Application
Personal Information  
*Full Name:
*Address:
City:
State Zip:
*Email Address:
*Home Phone:
Work Phone:
Best Time & Place
To Call You
:
Birth Date: Month Day Year
What position are you applying for?
Education
High School
High School Name:
High School City, State: ,
Did You Graduate? Yes No
College
College Name:
College City, State: ,
Did You Graduate? Yes No
If YES,
Highest Degree Earned:
Please enter any
further comments
about your Education:
Employment History  
Current Employer
Current Employer:
Phone:
City, State: ,
Job Title:
Hire Date: Month Year
May we contact your
Current Employer:
Yes No
Previous Employer
Previous Employer:
Phone:
City, State: ,
Job Title:
Hire Date: Month Year
Last Date: Month Year
Reason for Leaving:
May we contact your
Previous Employer:
Yes No
References
Business References (Please do not list relatives)
Reference 1
Name:
Phone:
Title:
Number of Years Known:
Reference 2
Name:
Phone:
Title:
Number of Years Known:
Reference 3
Name:
Phone:
Title:
Number of Years Known:
Legal
Citizenship
Are you a U.S. Citizen? Yes No
If no, do you have a legal rigth and necessary documents to work in the U.S.?
  Yes No
Identity and employment of all new hires will be verified as required by the Immigration Reform and Control Act of 1986.
Previous Terminations
Were you ever discharged by any company?
  Yes No
If yes, give name of company:
Give reason for discharge:
Convictions
Have you ever been convicted of a crime other than a minor traffic violation?
  Yes No
If yes, please describe:
In submitting this application, I understand that an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, driving record and or criminal history. I authorize anyone possessing this information to furnish it to AGL Homes or a third party company.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand also that I am required to abide by all rules and regulations of AGL Homes.
I understand and agree that is employed, the employment will be "At Will". This is, either I or AGL Homes may end the employment relationship at any time, for any reason or for no reason. I understand that receipt of this application by AGL Homes does not imply employment and that this application and/or other AGL Homes documents are not contracts for employment.
I Have Read, Understand and Agree wuth the Above!
Yes No
Click the Submit Form Button to complete the process.
The process may take up to 30 Seconds.