API Employment Form An Equal Opportunity EmployerWe 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 requestedYour complete application form will be maintained in our active files for six (6) months from the date of application. You may submit a new application at any time.Date of ApplicationName *Street AddressCityStateZIP Home PhoneCell PhoneEmailType(s) of work desiredHow were you referred to API? (Pick Only One)AdvertisementWalk InSchoolBy an employeeIf so, give namePick a ShiftDesire 1st ShiftDesire 2nd ShiftNo Shift PreferenceEmployment RecordStarting with present or most recent, list all previous employers. Include self-employment and summer and part-time jobs. If more space is required, please continue on a separate sheet. You may attach a resume, but complete this application as well.Last or Present CompanyType of BusinessType or Classification of JobStreet AddressCityStateZIP Supervisor’s NamePhone NumberBrief Description of Job DutiesBase SalaryDates WorkedFromToReason for LeavingLast or Present CompanyType of BusinessType or Classification of JobStreet AddressCityStateZIP Supervisor’s NamePhone NumberBrief Description of Job DutiesBase SalaryDates WorkedFromToReason for LeavingEducational HistoryHigh SchoolCityStateMajor Course or SubjectDates AttendedFromToGraduatedYesNoDegreeTechnical/Trade (After High School)CityStateMajor Course or SubjectDates AttendedFromToGraduatedYesNoDegreeCollegeCityStateMajor Course or SubjectDates AttendedFromToGraduatedYesNoDegreeOther Education/TrainingCityStateMajor Course or SubjectDates AttendedFromToGraduatedYesNoDegreeOutside Activities(Exclude those indicating race, color, religion, sex, national origin, age, or handicap.)Professional Memberships, Certificates, or Licenses HeldPast and Present Civic or Cultural Activities — Include Offices HeldPrincipal HobbiesSpecial SkillsTo be completed by applicant for office/clerical workTypingYesNoWords Per MinuteDictationYesNoTypingYesNoWords Per MinuteComputer SkillsHardwareSoftwarePlease list other skills and/or equipment/language experience you have acquiredType of Machines OperatedYears ExperienceList other shop/production skillsServed ApprenticeshipYesNoTypeMilitary RecordBranch of ServiceFromToPresent Military AffiliationNoneReserve (Active)Reserve (Inactive)Kinds of training and duty while in serviceProfessional/Work ReferencesList two past supervisors and one person who is not related to you who have knowledge of your qualifications for the position for which you are applyingNameTitle/RelationshipStreet AddressCityStateZIPPhone Number (Include Area Code)OccupationNameTitle/RelationshipStreet AddressCityStateZIPPhone Number (Include Area Code)OccupationNameTitle/RelationshipStreet AddressCityStateZIPPhone Number (Include Area Code)OccupationMay we contact your present employer?YesNoWage or Salary Required *Date Available *Submit
