Name *
First Name & Middle Name, Last Name
Date of Application
Date of Application
How Did You Learn About Us? *
Address *
If you are under 18 years of age, can you provide required proof of your eligibility to work? *
The Fair Employment Practices and Hosing Act prohibits discrimination on the basis of age with respect to individuals who are more than 40 years of age.
Have you ever filed an application with us before? *
If Yes, please give date
Have you ever been employed with us before? *
If yes, please give dates.
Are you currently employed? *
May we contact your present employer? *
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? *
Proof of citizenship or immigration status will be required upon employment.
Are you available to work: *
Are you currently on "lay-off' status and subject to recall? *
Can you travel if a job requires it?
Please fill out each section, replacing palceholder text with correct information.
Include whether you are fluent, good or fair at each.
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employment Dates and Work Performed.
Employment Dates and Work Performed.
Employment Dates and Work Performed
If you would like to include additional experience, please do so here.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.
Include a summary of other skills and qualifications acquired from employment and other experience relevant to the position applying for.
Specialized Skills- Check Skills/Equipment Operated
Are you capable of performing in a reasonable manner, with or without accomodation, the activities involved in the job or occupation for which you have applied? A decsription of the activities involved in such an open job or occupation may be found on our website. *
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. The application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide all rules and regulations of the employer.
I, _________, am aware that Advanced Structural Technologies, INC. has requested that DataCheck to perform a background check in connection with my application for employment with this company. Any information obtained as a result of such an investigation is confidential and will be provided only to Advanced Structural Technologies, INC. I have voluntarily provided the information listed. I am fully aware of the purpose for this background check, and therefore request that people, companies, references, current of former employers, school, government agencies, and others contacted provide applicable information to DataCheck. DataCheck is a professional pre-employment background investigation firm performing background checks as its normal course of business. DataCheck may make an investigative report in which information is obtained through business associates, financial sources, credit reporting agencies, criminal courts, educational institutions, law enforcement agencies, or other third parties with whom I may be acquainted. I hereby release personal information about me for the purpose of this investigation. I have the right to request additional disclosures regarding the nature and scope of this investigation
First Name, Middle name, Last Name.
Include state and county.
Please type your name as a verification of the information within.
Consumer Reporting Disclosure and Authorization
As part of our hiring process, Advanced Structural Technologies may request Consumer Reports and/or Investigative Consumer Reports on you from an Investigative Reporting Consumer Reporting Agency solely for your potential/current and or continued employment with this company. The nature and scope of this investigation may include but is not limited to your employment history, education, credit history, criminal history, character, general reputation, personal characteristics and mode of living and may involve a review of criminal records and records of the Department of Motor Vehicles. Advanced Structural Technologies may obtain one or more consumer reports on you, from one or more consumer reporting agencies, for the purpose of evaluating you for employment, and, if the undersigned is already employed by this company, for purposes of promotion, reassignment, or retention as an employee. The name of the Investigative Consumer Reporting Agency conducting this consumer report/investigative consumer report is: Data Check, Inc., 63 Via Pico Plaza PMB #247, San Clemente, CA 92672, PH: 800 253 3394. Their website address is: You many find Data Check's privacy practices, including whether your personal information will be sent outside of the United States or its territories, and information that complies with California Civil Code subsection 1786.20, on their website under Privacy Policies. You are being given a copy of the "Summary of Your Rights Under the Fair Credit Reporting Act" prepared pursuant to 15 U.S.C. Section 181 (g & c). You have the right to request additional disclosures of the nature and scope of the investigation and a statement of your rights. For California Residents: Summary of Section 17185.22 (California Civil Code): You are entitled to find out from an ICRA what is in the ICRA’s file on you with proper identification. An investigative consumer reporting agency shall supply files and information during normal business hours and on reasonable notice. Files maintained on a consumer shall be made for the consumer's inspection as follows: In person, by certified mail, by telephone (with proper identification for disclosure). The consumer reporting agency shall provide trained personnel to explain to the consumer and information furnished him and written explanation of any coded information. The consumer shall be permitted to be accompanied by one other person of his or her written explanation. By signing below you also acknowledge receipt of this notice regarding background investigations pursuant to California Law. Please check this box if you would like to receive a copy of consumer report if one is obtained by Advanced Structural Technologies.
New York applicants or employees only: You have tile right to inspect and receive a free copy of any investigative consumer report requested by Employer by contacting the consumer reporting agency identified above directly.
Minnesota and Oklahoma applicants or employees only: Please check this box if you would like to receive a copy of consumer report if one is obtained by Advanced Structural Technologies
I have read and understand the foregoing and hereby authorize this company to obtain one or more consumer reports on me for the purposes described above. I understand that this authorization covers (1) consumer reports obtained in connection with my application for employment and (2) if I am hired or if I am an existing employee, additional consumer reports may be obtained during my tenure. I authorize that a copy of this authorization may be considered as valid as an original. Please Type your Name to verify as an E-signature, include Today’s Date and the Last 4 Digits of your Social Security Number.