Application Form

To apply via our website, please use the form below.

General Application Form

General Information

References

Reference 1

Reference 2

Education

  Name and location of school Course of study Years completed Did you graduate? Degree/diploma
High School
College
Vocational/Trade or Apprentice Courses

Employment History

Current Employer

From:
To:
$
per

Second Most Recent Employer

From:
To:
$
per

Third Most Recent Employer

From:
To:
$
per

*Special Employment Notice to Disabled Veterans, Vietnam Era Veterans, and Individuals with Physical or Mental Handicaps*

Government contractors are subject to Section 402 of the Vietnam Era Veterans Readjustment Act of 1974, which requires they take affirmative action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam Era, and Section 503 of the Rehabilitation Act of 1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified handicapped individuals. Additionally, this Company complies with the Americans with Disabilities Act, and is willing to make reasonable accommodations to aid the employment of handicapped or disabled applicants.

Although you are not required to disclose information about physical or mental limitations that you believe will not interfere with your capability to do the job, if you want this Company to consider special arrangement to accommodate a physical or mental impairment, you may identify that impairment in the space provided below and suggest the kind of accommodation that you believe would be appropriate.

If you are a disabled veteran, or have a physical handicap, you are invited to volunteer this information. The purpose is to provide information regarding proper placement and appropriate accommodations to enable you to perform the job in a proper and safe manner. This information will be treated as confidential. Failure to provide this information will not jeopardize or adversely affect any consideration you may receive for employment.

If you wish to be identified, please indicate below

This Company does not require a pre-employment medical examination, but does reserve the right to require a medical examination after an offer of employment is made to an applicant. All offers of employment are conditioned upon the passing of a drug test for the purpose of detecting the use of drugs. Also, if an employment offer is made you may be asked to complete a medical questionnaire. Medical examinations and answers to medical inquiries will be maintained on separate forms, and will be treated as confidential medical records. An applicant will not be excluded from employment unless they have medical conditions that prohibit their ability to perform the essential job functions of the position he or she desires with this Company. The Company will make reasonable accommodations to aid handicapped applicants or employees in fulfillment of essential job functions. Written job descriptions are available and will be furnished to applicant upon request.

This Company does require that all applicants are pre-tested for their electrical knowledge and experience prior to considerations for employment. The testing will be conducted by Amteck of Kentucky, located at 2421 Fortune Drive, Suite 150, P. O. Box 55194, Lexington, Kentucky, or by approved individuals or organizations.

I hereby declare that all information provided in the above application is complete and accurate to the best of my knowledge, and I have read and understand the terms and conditions for employment with Amteck. I also understand that providing false or misleading information on this application may constitute grounds for termination.

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Field Worker Application Form

General Information

Experience

   

Areas of Experience

Skills

References

Reference 1

Reference 2

Employment History

Current Employer

From:
To:
$
per

Second Most Recent Employer

From:
To:
$
per

Third Most Recent Employer

From:
To:
$
per

Self-Survey

scale of 1-5 with 5 being the highest level.

Work Habits

Technical Code & Knowledge

*Special Employment Notice to Disabled Veterans, Vietnam Era Veterans, and Individuals with Physical or Mental Handicaps*

Government contractors are subject to Section 402 of the Vietnam Era Veterans Readjustment Act of 1974, which requires they take affirmative action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam Era, and Section 503 of the Rehabilitation Act of 1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified handicapped individuals. Additionally, this Company complies with the Americans with Disabilities Act, and is willing to make reasonable accommodations to aid the employment of handicapped or disabled applicants.

Although you are not required to disclose information about physical or mental limitations that you believe will not interfere with your capability to do the job, if you want this Company to consider special arrangement to accommodate a physical or mental impairment, you may identify that impairment in the space provided below and suggest the kind of accommodation that you believe would be appropriate.

If you are a disabled veteran, or have a physical handicap, you are invited to volunteer this information. The purpose is to provide information regarding proper placement and appropriate accommodations to enable you to perform the job in a proper and safe manner. This information will be treated as confidential. Failure to provide this information will not jeopardize or adversely affect any consideration you may receive for employment.

If you wish to be identified, please indicate below

This Company does not require a pre-employment medical examination, but does reserve the right to require a medical examination after an offer of employment is made to an applicant. All offers of employment are conditioned upon the passing of a drug test for the purpose of detecting the use of drugs. Also, if an employment offer is made you may be asked to complete a medical questionnaire. Medical examinations and answers to medical inquiries will be maintained on separate forms, and will be treated as confidential medical records. An applicant will not be excluded from employment unless they have medical conditions that prohibit their ability to perform the essential job functions of the position he or she desires with this Company. The Company will make reasonable accommodations to aid handicapped applicants or employees in fulfillment of essential job functions. Written job descriptions are available and will be furnished to applicant upon request.

This Company does require that all applicants are pre-tested for their electrical knowledge and experience prior to considerations for employment. The testing will be conducted by Amteck of Kentucky, located at 2421 Fortune Drive, Suite 150, P. O. Box 55194, Lexington, Kentucky, or by approved individuals or organizations.

I hereby declare that all information provided in the above application is complete and accurate to the best of my knowledge, and I have read and understand the terms and conditions for employment with Amteck. I also understand that providing false or misleading information on this application may constitute grounds for termination.

Upload…