Online Aplication

Online Aplication for Employment Form

If you are interested in being part of our team, please complete this form with your personal information.

POSITION DESIRED

MAJOR

DATE OF AVAILABILITY

NAME: LAST

FIRST

MIDDLE

SOCIAL SECURITY NO.

RESIDENCE ADDRESS (STREET, CITY, STATE, ZIP CODE)

PRIMARY PHONE NUMBER

SECONDARY PHONE NUMBER

EMAIL ADRESS

DATE OF BIRTH:MM/DD/YYYY

NATIONALITY

PASSPORT NUMBER
(Foreign Candidate)

U.S Work Permit (YES - NO)

COLLEGE/UNIVERSITY

DEGREE RECEIVED

MAJOR FIELD

YEAR OF GRADUATION

LIST ANY LICENSES, CERTIFICATIONS, ETC. YOU HOLD WHICH ARE RELEVANT TO THE POSITION FOR WHICH YOU ARE APPLYING

DESIRED SALARY/WAGE:$
(Monthly-Yearly)

EMPLOYER:
1. list last job first
2. list in reverse chronological order
3. explain any periods of unemployment

DESCRIPTION OF POSITION AND DUTIES:
List names of client companies, dates of work, and project descriptions on separate sheet

PERIOD OF EMPLOYMENT
(show month/year)

1. NAME OF EMPLOYER
PHONE NO. ( )

ADDRESS, TYPE OF BUSINESS, DESCRIPTION OF POSITION AND DUTIES

FROM - TO

PART TIME - FULL TIME

NAME AND TITLE OF IMMEDIATE SUPERVISOR

STARTING SALARY $
(Monthly-Yearly)

LEAVING SALARY $
(Monthly-Yearly)

REASON FOR LEAVING

COMMISSION:$/YR

BONUS:$/YR

COMMISSION:$/YR

BONUS:$/YR

2. NAME OF EMPLOYER
PHONE NO. ( )

ADDRESS, TYPE OF BUSINESS, DESCRIPTION OF POSITION AND DUTIES

FROM - TO

PART TIME - FULL TIME

NAME AND TITLE OF IMMEDIATE SUPERVISOR

STARTING SALARY $
(Monthly-Yearly)

LEAVING SALARY $
(Monthly-Yearly)

REASON FOR LEAVING

COMMISSION:$/YR

BONUS:$/YR

COMMISSION:$/YR

BONUS:$/YR

3. NAME OF EMPLOYER
PHONE NO. ( )

ADDRESS, TYPE OF BUSINESS, DESCRIPTION OF POSITION AND DUTIES

FROM - TO

PART TIME - FULL TIME

NAME AND TITLE OF IMMEDIATE SUPERVISOR

STARTING SALARY $
(Monthly-Yearly)

LEAVING SALARY $
(Monthly-Yearly)

REASON FOR LEAVING

COMMISSION:$/YR

BONUS:$/YR

COMMISSION:$/YR

BONUS:$/YR

4. NAME OF EMPLOYER
PHONE NO. ( )

ADDRESS, TYPE OF BUSINESS, DESCRIPTION OF POSITION AND DUTIES

FROM - TO

PART TIME - FULL TIME

NAME AND TITLE OF IMMEDIATE SUPERVISOR

STARTING SALARY $
(Monthly-Yearly)

LEAVING SALARY $
(Monthly-Yearly)

REASON FOR LEAVING

COMMISSION:$/YR

BONUS:$/YR

COMMISSION:$/YR

BONUS:$/YR

PLEASE READ THE FOLLOWING STATEMENT CAREFULLY.

(Please Initial) By submitting this application….

I certify that all information given on this application and in connection with my application for employment is true and correct. I agree that any falsification, misrepresentation or omission of facts supplied by me will result in making this application void; and will, if I become employed, result in the termination of my employment, regardless of when discovered.

I understand that I may request necessary accommodations to participate in the application or testing process, and accommodations determined to be reasonable by the Company will be provided. I hereby acknowledge that I have read, understand and agree to the preceding statements and to the best of my knowledge and belief, the information on the application form is true and correct.

I understand that as part of normal procedure for processing employment applications and employment requests, an inquiry will be made concerning information which may include my work history, education, criminal history, character, credit history and eligibility to work in the United States. I authorize Americas Energy Company, Inc. to make these inquires, to investigate all statements in this application and to secure any necessary information from my employers, references, government entities and academic institutions and I agree to cooperate in this process.

I agree that as a condition of employment I may be required to have a medical examination, including urinalysis or other drug test.

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Disclaimer: AEC is only providing professional staff augmentation for projects located in the State of Louisiana.
All other services will be available in the near future.