Apply | Applied Technology Group Inc.

Please complete the application form below. If you have any questions, please call us at 260-482-2844. Please understand that our acceptance of this application does not create an obligation for us to hire you or for you to accept employment from us. All information on this application will be treated confidentially. FEDERAL AND STATE LAWS PROHIBIT DISCRIMINATION FOR VARIOUS REASONS, INCLUDING RACE, COLOR, NATIONAL AND ETHNIC ORIGIN, RELIGION, AGE, GENDER, DISABILITY IN EMPLOYMENT, SEXUAL ORIENTATION OR (AS QUALIFIED HEREIN) RELIGION, STATUS AS A VETERAN IN TERMS OF CONDITIONS OF EMPLOYMENT, GENETIC INFORMATION OR ANY PROTECTED CLASSIFICATION UNDER FEDERAL, STATE OR LOCAL LAW.

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Personal Information

Name *

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Position Details

Position Applying For *

Have you Applied at ATG Before?

Type of Employment Desired

Full Time
Part Time
Internship

Date Available for Work *

What is Your Desired Salary Range?

Do you Have a Valid U.S. Driver's License?

Why are you interested in working at ATG and in this position? *

Why do you feel you are qualified for this position? *

Tell us about a time when you showed integrity

Tell us about someone who is better than you in an area that is very important to you

Employment History - Start with Your Current or Most Recent Job

Employer 1

Company

Start Date

End Date

Position & Duties

Starting Pay

Final Pay

Reason for Leaving

Employer 2

Company

Start Date

End Date

Position & Duties

Starting Pay

Final Pay

Reason for Leaving

Cover Letter, Resume, & References

Click or drag files to this area to upload. You can upload up to 3 files.

Release /Consent/Disclosure

By checking this box, I understand and certify that all information supplied in this application is complete and correct. Any false, misleading or incomplete information furnished by me regarding this application may result in the rejection of this application or if employed, dismissal. I understand that in consideration of my employment, I agree to conform to the rules and regulations of the company, and further agree that my employment and compensation are at the will of the company and can be terminated, with or without cause, and with or without notice at any time at the option of either the company or myself. I understand and hereby authorize all persons, schools, companies, employers and/or their representatives to furnish verification to the company, its representatives or agents, any and all information set forth in this application. In addition, I hereby agree to hold harmless and to release from all liability all said persons, schools, companies, employers and/or their representatives from any and all claims that I may have, or which may arise, against any and/or all of them, including the company as a result of them furnishing information to the company. I authorize the company, should they employ me, to release employment references, if my employment becomes terminated for any reason. I also authorize the company to conduct credit, police, criminal and driving record inquiries, or any other employment related inquiries in compliance with the provisions of the Fair Credit Reporting Act, 15 U.S.C. Section 1681, et. seq. I understand that the decision to hire me and my continued employment will be subject to the results of these inquiries. The company is an equal opportunity employer. No question on this application is used for the purpose of limiting or excluding any applicant's consideration for employment on a basis prohibited by local, state or federal law. The company has a firm commitment to its employees, customers and the public to provide the safest and most competent services possible. The nature of our businesses requires that we promote high standards of employee health. Therefore, any employee sustaining an on-the-job injury that requires medical treatment or that involves damage to company property may be requested to submit to a blood and/or urine test to determine the possible presence of drugs and/or alcohol. Any employee guilty of serious safety infractions, including near-miss situations, or failure to follow established safety procedures may be subject to testing under this policy. I understand this application will be active for employment consideration for 90 days. After 90 days, if I wish to be considered for employment, I must contact the company to determine if applications are being accepted. I understand that if I receive an offer of employment, I will be required to authorize Applied Technology Group to conduct a general back ground investigation. I understand that I will be required to furnish additional names that I have used and former addresses other than the one listed on this application in order to complete a thorough investigation.

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