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

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Personal Information

1) Are you authorized to work in the U.S. for any employer?
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2) Indicate preferred work schedule
3) Are you 18 years old or older? (if under 18,you will be requried to submit working papers if offered employment.)
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4) Do you possess a driver’s license that is valid.
5) Social Media Profile
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Education Details

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.

Name and Address of School Did you graduate? Major Subject
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EXPERIENCE

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

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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.

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Certifications *

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Code Experience

Code Experience * (for technical positions only)

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References *

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2) Maywe contact all employer/supervisors listed?
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3) 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.
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EEo Data

1) Gender *
(Please check one of the options below)

2) Race/Ethnicity *
(Please check one of the descriptions below corresponding to the ethnic group with which you identify.)

3) Military Status *
(check boxes for the below)

4) Disability *

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Waiver, signature, date

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.

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