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Instructions: click here to view/print instructions

Position Applying for
Job Title:
If applicable Position not listed in Job Title, please describe.
Position Description:

Select branches you are interested in (by preference).
Branches:
Available To Work At Any Branch?
Select YES for any branch:

How did you learn about us? (use Specify/Description for specifics)
Learned About Us:
Specify/Description:

Last Name:
Suffix:
First Name:
Middle Name:
Address:
City:
State:
ZIP Code:
Area/Phone:
Alternate Area/Phone:
Email Address:

Any other names under which you have been previously employed or under which school records would be located?
Other Names:

Have you ever been employed by us?
Former Employee:
Position:
Location:
Dates From:

Have you ever filed an application with us?
Former Application:
Position:
Location:
Date:

Names of friends or relatives employed with us:

If you are under 18 years of age, can you furnish a work permit?
(leave blank if over 18 years of age)
Work Permit:

Are you legally eligible for employment in the United States?
(Proof of citizenship or immigration status will be required upon employment)
Legally Eligible:

Do you have any restrictions or obligations other than work that would prevent you from working consistently or arriving to work on time?
Other Obligations:
If YES, please explain:

Are there specific times you cannot work?
Work Time Limits:
If YES, please explain:

Can you travel if the job requires it?
Travel OK:
Are there any limitations?
Please explain:

Are you available to work?
Full Time:
Part Time:
Shift Work:
Temporary:
On what date would you be available to begin work?
Date:

Have you ever received any training in the United States military related to the job for which you are applying?
Military Training:
If YES, please describe:

Education:
Please fill out the following information about your educational background. Please be prepared to provide documentation, if necessary.

School Type: HIGH SCHOOL / GED
School Name:
School Location:
Last Year Completed:
Degree Type:
Graduation Date:
Course of Study:
Grade Point Average:

School Type: BUSINESS / TRADE / TECHNICAL SCHOOL
School Name:
School Location:
# Years Completed:
Degree Type:
Graduation Date:
Course of Study:
Grade Point Average:

School Type: UNDERGRADUATE COLLEGE / UNIVERSITY
School Name:
School Location:
# Years Completed:
Degree Type:
Graduation Date:
Course of Study:
Grade Point Average:

School Type: GRADUATE
School Name:
School Location:
# Years Completed:
Degree Type:
Graduation Date:
Course of Study:
Grade Point Average:

School Type: OTHER TRAINING / CERTIFICATIONS
School Name:
School Location:
# Years Completed:
Degree Type:
Graduation Date:
Course of Study:
Grade Point Average:

For verification of certification or degree purposes only for positions that require certifications or degrees.

Additional Information:

Summarize special job-related skills and qualifications acquired from employment or other experience. Describe any specialized training, apprenticeship or other skills acquired. Include any honors you may have received. Those applying for clerical positions, please indicate typing speed and familiarity with word processing and other office equipment.
If applicable, please describe:

State any additional relevent information you feel may be helpful to us in considering your application.
If applicable, please describe:

Employment Experience:
Start with your present or most recent job. Include any job-related military service assignments and voluteer activities. You may exclude voluntary work which indicates race, color, religion, gender, national origin, handicap, or other protected status. Please account for all positions held within the last ten years.

Employer Name:
City:
State:
Job Title:
Reason For
Leaving/Looking:
Dates Employed From:
or Still Employed:
Hourly Rate/Salary Start:
Other Compensation (bonus, profit sharing, commissions, etc).
Other Compensation:
Most Recent Total Annual Compensation Amount.
Last Annual Compensation:

Employer Name:
City:
State:
Job Title:
Reason For
Leaving/Looking:
Dates Employed From:
or Still Employed:
Hourly Rate/Salary Start:
Other Compensation (bonus, profit sharing, commissions, etc).
Other Compensation:
Most Recent Total Annual Compensation Amount.
Last Annual Compensation:

Employer Name:
City:
State:
Job Title:
Reason For
Leaving/Looking:
Dates Employed From:
or Still Employed:
Hourly Rate/Salary Start:
Other Compensation (bonus, profit sharing, commissions, etc).
Other Compensation:
Most Recent Total Annual Compensation Amount.
Last Annual Compensation:

Employer Name:
City:
State:
Job Title:
Reason For
Leaving/Looking:
Dates Employed From:
or Still Employed:
Hourly Rate/Salary Start:
Other Compensation (bonus, profit sharing, commissions, etc).
Other Compensation:
Most Recent Total Annual Compensation Amount.
Last Annual Compensation:

Applicant Statement:
I understand this employment application is not to be construed as a guarantee of employment. I further understand that, should I become employed, my employment with Anderson Equipment Company does not constitute any form of contract, implied or expressed, and such employment may be terminated at will either by myself or my employer upon notice of one party to the other.

I authorize Anderson Equipment Company and its Agents to investigate all statements contained in this Application for Employment as may be necessary in arriving at an employment decision. The Company and its Agents may use this authority to investigate my work and personal history, verify all data given on this application or related papers and in interviews. The Company may check references with any current or previous employers I have listed unless otherwise indicated, as well as any other references I have provided. I authorize all individuals, schools, and firms named therein, except those so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information.

I certify the answers given herin are true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in withdrawal of an offer of employment, or if subsequent to employment, may result in dismissal.

By typing my name in the following box and selecting "Yes" to the "Acknowledgement of the Applicant Statement", I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.

Name:
Acknowledgement of the
Applicant Statement:
Date & Time:

Affirmative Action:
Anderson Equipment Company considers all applicants and employees without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other classification legally protected by federal, state, or local law.

Anderson Equipment Company is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations, In order to comply with these laws, Anderson Equipment Company invites employees and applicants to voluntarily self-identify their race and ethinicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders and regulations, including those that require the information to be summarized and reported to federal government for civil rights enforcement. When reported, data will not indentify any specific individual.

If you choose to complete this report, please know that all information is maintained as CONFIDENTIAL and is not part of your Application for Employment or personnel file.

Do you wish to provide the following OPTIONAL voluntary information?
Affirmative Action:
If YES, please complete the following (Gender to Military Veteran Description).
Gender:
Date of Birth:
Ethinicity:
If applicable Ethinicity not listed, please describe.
Ethinicity Description:
Disabled:
Military Veteran:
If applicable Military Veteran status not listed, please describe.
Military Veteran Description:

Submit forwards the Application for Employment to our Human Resources department.
Once submitted, you will no longer be able to change this Application for Employment, so please review all information before submitting!
To be eligible for submission, all required entries () & any applicable conditional entries () must be filled in and you must agree to the Acknowledgement of the Applicant Statement.