APPLICATION FOR ARGENT EMPLOYMENT

Position Applied for: *

Name *

First

Middle

Last

Email *

If you are under 18 years of age, please specify your age:

(This information will be used only for child labor law purposes).

Shifts most interested to work: *

day shift
swing shift
night shift

Click all that apply

As some travel may be required for some positions, will this be an issue? *

We have facilities and projects all over the Continental US (CONUS), as well as outside of the country (OCONUS). Will this be an issue for you?

If yes, please explain: *

Overtime may be required from time to time, especially if working in Transportation or with OCONUS Government Agencies. *

Will this be an issue for you? Note: ft is not necessary for you to identify unavailability for work because of religious observance or practice or any other protected classification. Subsequent to any job offer, we will consider whether a reasonable accommodation can be made.

If yes, please explain: *

Which site or app? *

Which College or University? *

Please explain: *

Have you ever applied or worked at our Company before? *

If yes, provide dates: *

Are you legally authorized to work in the United States? *

Will you now or in the future require sponsorship for employment visa status (e.g.,H-1B visa status)? *

Note: The Federal Immigration and Reform and Control Act of 1986 requires that a OHS Employment Eligibility Verification “Form 1-9” be completed for every new hire and that within 3 business days of beginning work every new hire must present to the employer documentation establishing his/her identity and authorization to work. This federal requirement must be satisfied as a condition of employment.

DRIVING RECORD (Answer only if driving is a requirement of the job for which you are applying). Do you have a valid driver's license?

State Issued:

License No:

Do you have a good driving record?

Yes
No
Unsure

If no or unsure, Explain:

EDUCATION: High School:

Describe any educational degrees, skills, training or experience you believe are relevant to the job applied for:

If no degree, credits earned:

Type of Degree Received or Expected

GED
DIPLOMA

Major

Minor

Grade Point/Overall GPA

EDUCATION College or University:

Describe any educational degrees, skills, training or experience you believe are relevant to the job applied for:

If no degree, credits earned:

Major

Minor

EDUCATION College or University #2 (If pertinent):

Describe any educational degrees, skills, training or experience you believe are relevant to the job applied for:

If no degree, credits earned:

Major

Minor

If no degree, credits earned:

EDUCATION (continued) Licenses / Certifications/ other:

Describe any educational degrees, skills, training or experience you believe are relevant to the job applied for:

If no degree, credits earned or Certificate details:

If no degree, credits earned or Certificate details: (if more than one)

If no degree, credits earned or Certificate details: (if more than two)

If no degree, credits earned or Certificate details: (if more than three)

EMPLOYMENT HISTORY: Company Name:

Please complete for all full-time or part-time employment beginning with most recent employer, You may include as part of your employment history any verified work performed on a volunteer basis. All applicants should start with their most recent job, include military assignments and voluntary employment and provide ten (10) years of history. (A separate sheet may be attached,) You must explain any gaps in your employment history.

Name of Supervisor:

First

Last

May we Contact:

State job titles and describe job duties:

Ending salary at this position

Reason for Leaving:

EMPLOYMENT HISTORY: Company Name 2:

2nd most recent employer

Name of Supervisor:

First

Last

May we Contact:

State job titles and describe job duties:

Ending salary at this position

Reason for Leaving:

EMPLOYMENT HISTORY: Company Name 3:

3rd most recent employer

Name of Supervisor:

First

Last

May we Contact:

State job titles and describe job duties:

Ending salary at this position

Reason for Leaving:

EMPLOYMENT HISTORY: Company Name 4:

4th most recent employer

Name of Supervisor:

First

Last

May we Contact:

State job titles and describe job duties:

Reason for Leaving:

Ending salary at this position

Reason for Leaving:

Have you ever been discharged or asked to resign from employment?

If yes, explain:

Did you receive any discipline in your last 12 months of active employment with your previous employer?

If yes, explain:

Were you given a performance evaluation within the last 12 months of active employment?

If yes, what was the range of scores used and what was your score?

Have you signed any non-competition or non-solicitation agreement or any other kind of agreement with any other employer that might restrict you from working for the Company (you will be required to furnish a copy of the agreement if you are being considered for hire)?

If yes, explain:

PROFESSIONAL REFERENCES: (Please provide Name, Address, phone, and your relationship with this reference)

(Please list three individuals unrelated to you with whom you have worked who know your qualifications for this position.)

MILITARY: (Complete only if you served in the military.)

Describe any military skills, training or experience you believe are relevant to the job you applied for:

Number of Years /Months of Service:

Rank at Discharge:

LIE DETECTOR TESTS:

I have read and acknowledge this notice:

Massachusetts Applicants Note: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Maryland Applicants Note: An employer may not require or demand, as a condition or prospective employment or continued employment, an individual submit to or take a lie detector or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100.

APPLICANT'S ACKNOWLEDGMENT *

I certify that the answers given herein and during the entire application process (including but not limited to information provided in resumes, attachments to this application, interviews or otherwise (if applicable)) are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers during the application process may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts during the application process may be cause for my dismissal at any time without prior notice. I consent to and authorize the Company to contact my former employers, references, and any and all other persons and organizations for information bearing upon my qualifications for employment. I further authorize the listed employers, schools and personal references to give the Company (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have and hereby waive any actions which I may have against either party(ies) for providing a good faith reference. I EXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR THE COMPANY WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT NO ORAL PROMISE, EMPLOYER POLICY, CUSTOM, BUSINESS PRACTICE OR OTHER PROCEDURE (INCLUDING PERSONNEL HANDBOOK OR ANY PERSONNEL MANUALS) CONSTITUTE AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE COMPANY. I ALSO UNDERSTAND THAT MY AT-WILL EMPLOYMENT STATUS WITH THE COMPANY MAY ONLY BE ALTERED IN AN INDIVIDUAL CASE OR GENERALLY IN A WRITING SIGNED BY THE OWNER, PRESIDENT OR CEO OF THE COMPANY. I understand I may be required to qualify for employment based on additional employment criteria. For example, I may be required to take job-related tests; take a driver’s examination or take a pre- employment drug test. If I am offered employment or start work before any required test is completed, I understand that my employment is contingent on a satisfactory result on all required tests. I authorize the release of any drug/alcohol test to any state or federal authority requesting such information and in response to a valid subpoena or other legal document. I agree to sign any additional forms necessary for drug tests to be conducted. CALIFORNIA APPLICANTS ONLY: I understand the Company may obtain, without using the services of a third party investigative consumer reporting agency, public records pertaining to my character, general reputation, personal characteristics or mode of living during its evaluation of my application for employment and, if employed, during my employment. By checking the following box, I waive my right to receive copies of public records obtained by the Company.

Disclaimer

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Applicants for positions in Rhode Island please note that the company is subject to Chapters 29-38 of Title 28 of the General Laws of Rhode Island and is therefore covered by the state’s workers compensation law unless this box is checked

If the box is checked above, the following exemption applies:

Please provide a short description of why you think you might be a great fit for Argent! (Cover Letter) *