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AMERICAN EQUIPMENT MANUFACTURING INC.

Online Application

First name*

Last name*

Email*

Address*

Phone*

Alt. Phone

Position Applying For*

Wage Desired: Hourly/Salary*

Have you ever been convicted of a felony?*

Yes

No

If necessary for the job, I am able to: Work Overtime*

Yes

No

I am legally eligible for employment in the U.S.?*

Yes

No

Do you have reliable transportation?*

Yes

No

Have you ever worked for AEM in the past?*

Yes

No

Do you have any relatives or know anyone that works for AEM?*

Yes

No

If yes, list:

Employment History

Company Name (1)*

Position (1)*

Address of Company (1)*

Supervisor (1)*

Supervisor Phone (1)*

Pay per hour (1)*

Start Date (1)*

End Date (1)*

Reason for Leaving (1)*

Employer 2

Company Name (2)*

Position (2)*

Address of Company (2)*

Supervisor (2)*

Supervisor Phone (2)*

Pay per hour (2)*

Start Date (2)*

End Date (2)*

Reason for Leaving (2)*

Employer 3

Company Name (3)

Position (3)

Address of Company (3)

Supervisor (3)

Supervisor Phone (3)

Pay per hour (3)

Start Date (3)

End Date (3)

Reason for Leaving (3)

Education/Training

High School:

High School

Years at High School

Graduation Year (HS)

College/University:

College

Years at College

Graduation Year (C)

Field of study

Other Skills/Qualifications

References

Reference Name (1)*

Reference Address (1)*

Reference Phone (1)*

Years Known (1)*

Reference 2

Reference Name (2)*

Reference Address (2)*

Reference Phone (2)*

Years Known (2)*

Reference 3

Reference Name (3)*

Reference Address (3)*

Reference Phone (3)*

Years Known (3)*

I authorize American Equipment to conduct a background check.*

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AMERICAN EQUIPMENT MANUFACTURING

Corporate Headquarters:

1000 Troy King Road

Farmington, NM 87401

info@aem-1.com

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