form

Looking to apply for a position with ASI?

Please fill out the form below and someone will contact you as soon as possible.

In addition to supplying the information below, to submit your resume via email, simply click here: careers@asibiz.com

GENERAL INFORMATION
*Position Desired	(please select from the drop down menu)
*First Name
*Last Name
*Street Address
Apt. (If applicable)
*City, State Zip Code
*Contact Phone Number
*Email Address
*Are you legally eligible to work in the US?	Yes No
*Are you willing to provide auto liability insurance that meets company requirements? (100/300/100)	Yes No
Wage or Salary Required:
Date available for employment:
Do you have relatives employed by ASI Business Solutions? (If yes, please list)
*Have you ever applied for employment with ASI Business Solutions?	Yes No
If you answered yes to the previous question, please provide the date on which you applied:
*Have you ever worked for ASI Business Solutions?	Yes No
If you answered yes to the previous question, please list your former start date:
*Have you ever been convicted of a felony?	Yes No
How were you referred to ASI Business Solutions?
EDUCATION: List below all schools attended including Business, Vocational, Night, Military, College, etc. Attach transcripts of academic records if readily available.
* School(s) attended (select all that apply):	High School College Technical or Vocational Graduate Other
List any achievements, certifications and degrees received along with the corresponding school:
EMPLOYMENT HISTORY List below all employment starting with your present or most recent position. You may attach a resume for additional information.
1 Company Name
1 Physical Address
1 Telephone
1 Start Date	(ex. 12/03/1976)
1 End Date	(ex. 12/03/1976)
1 Job Title
1 Description of Duties	(Please be specific)
1 Total Monthly Earnings (Beginning)
1 Total Monthly Earnings (Ending)
1 Supervisor's Name and Title
1 Reason for Leaving

2 Company Name
2 Physical Address
2 Telephone
2 Start Date	(ex. 12/03/1976)
2 End Date	(ex. 12/03/1976)
2 Job Title
2 Description of Duties	(Please be specific)
2 Total Monthly Earnings (Beginning)
2 Total Monthly Earnings (Ending)
2 Supervisor's Name and Title
2 Reason for Leaving

3 Company Name
3 Physical Address
3 Telephone
3 Start Date	(ex. 12/03/1976)
3 End Date	(ex. 12/03/1976)
3 Job Title
3 Description of Duties	(Please be specific)
3 Total Monthly Earnings (Beginning)
3 Total Monthly Earnings (Ending)
3 Supervisor's Name and Title
3 Reason for Leaving
Which of your jobs did you like the best, and why?
Which of your jobs did you like the least, and why?
* May we contact your previous employers for reference? (Satisfactory reference verifications are required for employment)	Yes No
May we contact your current employer?	Yes No
OUTSIDE ACTIVITIES - Exclude any information which may indicate race, color, religion, sex, national origin, age, handicap, or veteran status
List all Professional memberships, certificates or licenses held
In what extracurricular or cultural activities have you been or are you currently active?	(Include offices held)
PERSONAL/PROFESSIONAL REFERENCES WHICH WE MAY CONTACT - Please include area codes with phone numbers
1. Reference Name
1. Reference Type
1. Employed by	(Name of Business)
1. Primary phone number
1. Alternate phone number

2. Reference Name
2. Reference Type
2. Employed by	(Name of Business)
2. Primary phone number
2. Alternate phone number

3. Reference Name
3. Reference Type
3. Employed by	(Name of Business)
3. Primary phone number
3. Alternate phone number

ADDITIONAL INFORMATION - Exclude any information which may indicate race, color, religion, sex, national origin, age, handicap, or veteran status
What is your ultimate vocational goal?
What are your plans for the future?
What are you doing to improve yourself?
Do you wish to start in business for yourself?	Yes No
If you answered yes to the question above, what type of business and when?
What hobbies or recreational activities do you enjoy?
What motivates you?
What qualities do you possess which will make you a superior employee?

SECURITY INFORMATION - Persons employed by ASI have access to confidential company information and are required to sign a nondisclosure of business information form. Applicants must notify ASI of any employment restrictions with former employers. EEOC STATEMENT - ASI is an Equal Opportunity/Affirmative Action Employer and complies with Federal, State and Municipal Laws prohibiting discrimination in employment based on race, color, religion, sex, national origin, age, handicap or veteran status. ALCOHOL/DRUG ABUSE POLICY - The possession, use, distribution, or being under the influence of alcohol or an illegal controlled substance in any ASI property is prohibited.I understand passing a drug test is a condition of employment. NO-SMOKING POLICY - It is the policy of ASI Business Solutions to provide our employees with a work area free of potential health hazards. This includes protecting nonsmokers from the potential risks created by tobacco smoke. AFFIRMATION - I certify that the answers given by me are true and correct to the best of my knowledge and agree that falsification and/or omission of material facts in this application may be cause for dismissal or disqualification.

*I agree with the AFFIRMATION STATEMENT:	Yes No

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