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Job Application | Altogas

Application for Employment

Equal acces to programs, services and employment is available to all persons without regard to race, religion, sex, age, national origin, color, disability, veteran status, marital status, or any other status or classification protected by applicable state or federal law. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

Unless otherwise indicated, please fill in all fields.

Referral Source:

Available Positions:

Applicant Information

Personal Information

Have you applied for a position with Altogas before?

Do you have any relatives, family members, or friends employed with Altogas?


Are you currently employed?

May we contact your current emloyer?

Are you legally authorized to work in the U.S.? (Proof of eligibility will be required)

If you are under 18 and it is required, can you furnish a work permit?

Employment Information


Available start date?

Are you available for any shift?

Can you work evenings & weekends?


Have you every pled "guilty" or "no contest" to, or been convicted of a felony?


Driver's license number if driving may be in the job for which you are applying:

Employment History

Starting with your most recent employer, provide the following information. DO NOT INDICATE "SEE RESUME"

Position 1


Hourly Rate/Salary - Starting

Per:

Hourly Rate/Salary - Final

Per:



Dates Employed
May we contact for reference?

Position 2


Hourly Rate/Salary - Starting

Per:

Hourly Rate/Salary - Final

Per:



Dates Employed
May we contact for reference?

Position 3


Hourly Rate/Salary - Starting

Per:

Hourly Rate/Salary - Final

Per:



Dates Employed
May we contact for reference?

Position 4


Hourly Rate/Salary - Starting

Per:

Hourly Rate/Salary - Final

Per:



Dates Employed
May we contact for reference?

Skills and Qualifications

Educational Data (Fill in all that apply)

Please Check the Highest Grade Completed (only select those that apply)

High School

College

Post-Graduate

Other


High School

College

Post Graduate

Other



References

List name and telephone number of three business/work references (former supervisors preferred)

Related Information

To what job-related organizations (professional, trade, etc.) do you belong?

Exclude memberships that would reveal race, color, religion, sex, national origin, citizenship, age, mental, or physical disabilities.

Veteran, reserve, National Guard, or any other similarly protected status.


Organization
Offices Held

Application Statement


I certify that all information I have provided is true, complete, and accurate.

I expressly authorize the employer, its representatives, employees, or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions, and to otherwise verify the accuracy of all information provided by me in this application or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees, or representatives, for seeking, gathering, and using truthful and non-defamatory information, in a lawful manner, in the employment process.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and complete a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration.

I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete at I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (I) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from employment, whenever it is discovered.

PLEASE DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT CAREFULLY



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