General Information:
Date of application:
First name:	MI:	Last name:
Street address:	City:	State: Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA IS IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
ZIP:	Home telephone:	Work telephone:
Type(s) of work desired:	Desired shift: Select One 1st Shift 2nd Shift No preference	Wage/Salary required:
Date available:	How were you referred to API?: Select One Advertisement Walk In Website School By an employee	If referred by employee or website, Please give name:
An Equal Opportunity Employer We are an equal opportunity employer, and we do not and will not discriminate on the basis of race, religion, national origin, sex, age, handicap, marital status, or status as a disabled veteran. Information provided on this application will not be used for any discriminatory purpose. Provide all information requested Your complete application form will be maintained in our active files for six (6) months form the date of application. You man submit a new application at any time.