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ADM Associates, Inc.
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ADM Associates, Inc. Application for Employment
Thank you for your interest in a career with ADM Associates. Please complete the following application as accurately as possible.
Your name:
*
First
Middle
Last
Your phone number:
*
Your email address:
*
Address
*
Address Line 1
City
--- Select state ---
Alabama
Alaska
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California
Colorado
Connecticut
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District of Columbia
Florida
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Hawaii
Idaho
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Maine
Maryland
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New Hampshire
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New York
North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Estimated date on which you would be available for employment
*
Title of position for which you are applying:
*
Position location (select all that apply):
*
Reno, NV
Sacramento, CA
Portland, OR
Other
Other location (please specify)
Your desired starting salary:
*
If extended an offer of employment, can you provide verification of your right to work in the United States?
*
Yes
No
Will you now or in the future require ADM Associates to commence (“sponsor”) an immigration case in order to employ you (for example, H-1B or other employment-based immigration cases)?
*
Yes
No
Have you previously been employed by ADM Associates?
*
Yes
No
When did you previously work for ADM Associates?
Please list your relevant education.
High School
High School
High School Name
High School Start Date (mm/yyyy)
High School End Date (mm/yyyy)
College #1
College #1
College #1 Institution Name
College #1 Degree Type
College #1 Major
College #1 Start Date (mm/yyyy)
College #1 End Date (mm/yyyy)
College #2
College #2
College #2 Institution Name
College #2 Degree Type
College #2 Major
College #2 Start Date (mm/yyyy)
College #2 End Date (mm/yyyy)
College #3
College #3
College #3 Institution Name
College #3 Degree Type
College #3 Major
College #3 Start Date (mm/yyyy)
College #3 End Date (mm/yyyy)
Trade / Special School
Trade / Special School
Trade / Special School Institution Name
Trade / Special School Degree Type
Trade / Special School Major
Trade / Special School Start Date (mm/yyyy)
Trade / Special School End Date (mm/yyyy)
Please describe any certifications or training you have received pertaining to the position for which you are applying.
Please provide information about your current employer (or most recent employer, if you are not currently employed).
Company Name
City / State
Phone Number
Start Date
End Date
Supervisor Name
May we contact this company for a reference?
Yes
No
Please briefly explain your responsibilities and reason for leaving this company.
Did you leave this job under circumstances that would prevent you from being eligible for rehire, including termination for cause, disciplinary actions, or other similar situations?
Yes
No
Please provide information about your second most recent employer.
Company Name
City / State
Phone Number
Start Date
End Date
Supervisor Name
May we contact this company for a reference?
Yes
No
Please briefly explain your responsibilities and reason for leaving this company.
Did you leave this job under circumstances that would prevent you from being eligible for rehire, including termination for cause, disciplinary actions, or other similar situations?
Yes
No
Please provide information about your third most recent employer.
Company Name
City / State
Phone Number
Start Date
End Date
Supervisor Name
May we contact this company for a reference?
Yes
No
Please briefly explain your responsibilities and reason for leaving this company.
Did you leave this job under circumstances that would prevent you from being eligible for rehire, including termination for cause, disciplinary actions, or other similar situations?
Yes
No
Have you served in the military?
*
Yes
No
Please provide the following information regarding your military service.
Branch
Start Date
End Date
Rank at Discharge
Please describe your military duties and job category.
Were you honorably discharged from military service?
Yes
No
If you were other than honorably discharged, please explain.
How did you hear about the job you are applying for?
Online
Non-Online advertisement
Friend or co-worker
Job fair
Other
What was the online source you used to find this job?
Other (please specify)
Name
Relationship
Phone Number
Name
Relationship
Phone Number
Name
Relationship
Phone Number
File Upload
Click or drag files to this area to upload.
You can upload up to 3 files.
Please attach your resume, cover letter, and any other pertinent document. A maximum of three files may be submitted with a maximum size of 500k. Acceptable file types include: png, gif, jpg, doc, xls, docx, xlsx, pdf, and txt.
I certify that the information contained in this application is true and complete. I attest to the fact that the answers given by me are correct to the best of my knowledge and ability. I certify that I have not knowingly withheld any information that might affect my chances for hiring. I understand that any false information or omission (including any misstatement) on this application or on any document used to secure this employment can be grounds for rejection of my application or, if I am employed by ADM Associates, Inc. ("ADM") can be grounds for my immediate termination from ADM. I authorize ADM to check and verify any and all information listed above, including but not limited to my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such examination or revelation. I understand that this application is not a contract, offer or promise of employment and that if hired, I will be an at-will employee. As such, I will be able to resign at any time for any reason. Likewise, ADM can terminate my employment at any time with or without cause, unless otherwise required by law. I further understand that no one other than ADM has the authority to enter into an employment contract or agreement with me and that my at-will employment can be changed only by a written agreement.
*
I certify that the information contained in this application is true and complete. I attest to the fact that the answers given by me are correct to the best of my knowledge and ability. I certify that I have not knowingly withheld any information that might affect my chances for hiring. I understand that any false information or omission (including any misstatement) on this application or on any document used to secure this employment can be grounds for rejection of my application or, if I am employed by ADM Associates, Inc. ("ADM") can be grounds for my immediate termination from ADM. I authorize ADM to check and verify any and all information listed above, including but not limited to my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such examination or revelation. I understand that this application is not a contract, offer or promise of employment and that if hired, I will be an at-will employee. As such, I will be able to resign at any time for any reason. Likewise, ADM can terminate my employment at any time with or without cause, unless otherwise required by law. I further understand that no one other than ADM has the authority to enter into an employment contract or agreement with me and that my at-will employment can be changed only by a written agreement.
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