Atlas Evaluation & Inspection Services

801 Montrose Ave, South Plainfield, NJ 07080
Ph: 732 388 7711 Fax: 732 388 7767 Website: www.aeis.com

EMPLOYMENT APPLICATION FORM

Feel free to add any information which will help to place you. Please be aware that misrepresentation may be cause for removal.

 



Proof of Age, Education, Military Status, and Citizenship may be required upon employment offer

9. EDUCATION HISTORY: Please list all vocational, technical, correspondence schools, colleges and universities you have attended. Upon employment be prepared to provide supporting documentation of schools attended.

14. List previous employment starting with present or last position and work back, including military experience.

15. List three people unrelated to you whom we may contact for information concerning your qualifications.

16. Are you engaged in any business activity or employment which you plan to continue if employed by AEIS LLC? If yes, your outside employment will be subject to further review regarding conflicts of interest.

Project Information. List all employment starting with present or last position and work back. ONLY when applying for technical positions.






I understand that if I plan to engage in other business or employment while working at AEIS LLC prior approval will be necessary before accepting employment since there may be restrictions in accordance with the New Jersey Conflicts of Interest Law and/or the State, Department or Agency Code of Ethics. I authorize my former employers to release any information they may have concerning my employment record and I release AEIS LLC and all previous employers listed above from all liability whatsoever that may issue from securing this information. I further authorize representatives of this agency to verify any and all information contained in this application, including education, and to review any and all criminal history, military and disciplinary records of any source.
I CERTIFY that the information on this application is complete and accurate, to the best of my knowledge. I understand that any misleading or incorrect information may render this application void and be just cause for immediate termination if employed.


AFFIRMATIVE ACTION INFORMATION FORM - To Be Completed By Applicant Not For Interview Purposes
AEIS LLC seeks to increase the richness and diversity of its workforce and in doing so become the employer of choice for all people seeking to work in our company. In order to judge the effectiveness of our efforts to attract and employ a diverse workforce, as well as comply with Federal and State reporting requirements, we ask that you take the time to answer a few brief questions. This form is not part of your application for employment and will not be considered in any hiring decision. Any information submitted on this form will be considered confidential.
AEIS LLC is an equal opportunity employer. The New Jersey State Policy Prohibiting Discrimination in the Workplace provides that applicants for employment are considered without regard to race, creed, color, national origin, nationality, ancestry, sex/gender, affectional or sexual orientation, gender identity or expression, age, marital status, civil union status, domestic partnership status, familial status, religion, atypical heredity cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States or disability.


APPLICATION FORM WAIVER

In exchange for the consideration of my job application by AEIS LLC (hereinafter called "the Company"), I agree that:
I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.