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Employment Opportunities

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Employee Application

APPLICATION FOR EMPLOYMENT

The following information is requested in order to help us make the best placement within the company. All portions of this application pertaining to you must be completed. We appreciate the time you spend in filling in this application form. AEIS, in accordance with the State and Federal laws, does not discriminate on the bases of age, religion, sex, national origin, marital status, physical or mental handicap or arrest record.

PERSONAL INFORMATION

Name(Required)

Last First Middle

Primary Phone(Required)

SS#(Required)

Date of Birth(Required)

Secondary Phone(Required)

Emergency Contact(Required)

Contact's Phone(Required)

Relationship(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

How where you referred to AEIS?

Are you legally eligible for employment in the United States?(Required)

(Proof of citizenship or immigration status is required)

Do you have a (TWIC) Transportation Workers Identification Card?(Required)

Do you have a Passport?(Required)

If no, are you able to get one within 30 days of beginning employment?(Required)

Are you at least 21?(Required)

Do you have a valid driver’s license?(Required)

Have any licenses, permits, or privileges ever been suspended or revoked?(Required)

Have you ever applied for employment at AEIS?(Required)

If yes, When?(Required)

Have you ever been employed at AEIS?(Required)

If yes, When?(Required)

Are you related to any AEIS employee?(Required)

If yes, Give Name(Required)

Department(Required)

Relationship(Required)

Have you been convicted of a felony offense?(Required)

A conviction does not automatically disqualify you from employment. The date, nature and seriousness of the offence will be considered in relation to specific job requirements.

If yes, indicate type(s) and date(s) of conviction(Required)

Job Requirements

Position applied for

Field/Shore

Technician:

Foreman:

Supervisor:

Insulator Mechanic

Insulator Foreman

Insulator Supervisor

Shop

Mechanic

Welder

Shop hand

Vessels

Deckhand

Captain (100 Ton Master License Required)

Admin

Admin Asst

Invoicing

Payroll

House Keeping

Type of Employment

Full Time

Part Time

Summer

Temporary

Are you willing to work additional hours?(Required)

Nights?(Required)

Weekends?(Required)

Holidays?(Required)

Are you able to work away from home for at least two or more weeks at a time?(Required)

Please explain any reason why you would not be able to perform the essential functions of the job for which you are applying.

Salary requirements(Required)

Available employment date

EDUCATION

High school Name

City

State

Honors and achievements

Did you graduate?(Required)

Other Institution Name

City

State

Honors and achievements

Did you graduate?(Required)

Name of Degree

Date degree obtained(Required)

Other Institution Name

City

State

Honors and achievements

Did you graduate?(Required)

Name of Degree

Date degree obtained(Required)

Extracurricular activities

Use the space provided to list additional interests, skills, or qualifications that you possess that you feel qualify you for the position for which you are applying

EMPLOYMENT RECORD

(Required to be filled out completely) Please list experience from the past 10 years, beginning with the most recent. (Please attach additional sheets if required.)

Employed by

Phone

Supervisor

Address

City State ZIP Code

Employed from

Employed to

Salary from

Salary to

Job description

Honors and achievements

Reason for Leaving

May we contact them for references?

Employed by

Phone

Supervisor

Address

City State ZIP Code

Employed from

Employed to

Salary from

Salary to

Job description

Honors and achievements

Reason for Leaving

May we contact them for references?

Employed by

Phone

Supervisor

Address

City State ZIP Code

Employed from

Employed to

Salary from

Salary to

Job description

Honors and achievements

Reason for Leaving

May we contact them for references?

Employed by

Phone

Supervisor

Address

City State ZIP Code

Employed from

Employed to

Salary from

Salary to

Job description

Honors and achievements

Reason for Leaving

May we contact them for references?

Employed by

Phone

Supervisor

Address

City State ZIP Code

Employed from

Employed to

Salary from

Salary to

Job description

Honors and achievements

Reason for Leaving

May we contact them for references?

CERTIFICATION

Read carefully. If you have any questions regarding these statements, please ask the personnel representative before signing.

Signature(Required)

Date

CAPTCHA

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Employment Opportunities

No Opportunities at this time.

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