Job Application – Double L Management

Name(Required)

First Last

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you 18 years or older?(Required)

YES

DO YOU HAVE THE AUTHORIZATION TO WORK IN THE U.S.?(Required)

YES

DO YOU HAVE THE RIGHT TO REMAIN PERMANENTLY IN THE U.S.?(Required)

YES

HAVE YOU EVER WORKED UNDER A DIFFERENT NAME?(Required)

YES

If YES please explain

COMPANY/S TO WHICH YOU ARE APPLYING?(Required)

select one - "other" if unsure

POSITION IN WHICH YOU ARE APPLYING?(Required)

select one - "other" if unsure

EDUCATION:(Required)

Highest Level of Completed Education - select only one

OTHER FORMAL EDUCATION, TRAINING OR EXPERIENCE RELEVANT TO THE POSITION YOU ARE APPLYING:

Are you currently employed?(Required)

YES

If YES, what company are you working for now?

If YES, how long have you worked for them?

Please enter a number from 1 to 240.

In Months, please (1-240)

WORK HISTORY - Most Recent Employer(Required)

company name

Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor Name

First Last

Company Phone(Required)

Job Title under Employer most recent Employer(Required)

highest position achieved

How long were you employed that the above company?(Required)

In months (1-240)

WORK HISTORY - Next Prior Employer

company name

Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor Name

First Last

Company Phone

Job Title under Employer most recent Employer

highest position achieved

How long were you employed that the above company?

In months (1-240)

WORK HISTORY - Next Prior Employer

company name

Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor Name

First Last

Company Phone

Job Title under Employer most recent Employer

highest position achieved

How long were you employed that the above company?

In months (1-240)

REFERENCE #1(Required)

First Last

Reference #1 Phone

Reference #1 Email

Relationship with Reference #1

REFERENCE #2(Required)

First Last

Reference #2 Phone

Reference #2 Email

Relationship with Reference #2

REFERENCE #3(Required)

First Last

Reference #3 Phone

Reference #3 Email

Relationship with Reference #3

Have you ever been injured on the job?(Required)

YES

where you had to leave work that day

ACP's attendance policy states that you must be at work on time every day. Are you able to abide by this policy if hired by ACP?(Required)

YES

Will you consent to a drug screening?(Required)

YES

Do you have a valid Driver's License?(Required)

YES

Do you have reliable transportation?(Required)

YES

Will you travel nationally, if required?(Required)

YES

Today's Date(Required)

OPTIONAL Upload Resume (PDF ONLY)

Accepted file types: pdf, Max. file size: 8 MB.

Please Read the following Statements Carefully before clicking SUBMIT

I certify that all information provided in this employment application is true and complete. I understand that any false information may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I understand that I will be required to pass a drug screening examination. I hereby consent to a pre-employment drug screen as a condition of my employment. I understand that if I am extended employment it may be conditioned upon my successfully passing a complete physical examination. I consent to the release of any and all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.

I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AN AGREEMENT MUST BE IN WRITING AND SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE. I have read, understand, and by my submitting consent to these statements.

Employment Application: