Employment Application Employment Application Applicant InformationDate* Date Format: MM slash DD slash YYYY Name* First Last Date of birth* MM DD YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Date available* Date Format: MM slash DD slash YYYY Salary Desired*Position Applied for*Driver's license number?*In which state?*Are you a U.S. citizen?* Yes No If not, are you authorized to work in us U.S.? Yes No Have you ever worked for Avco Supply?* Yes No If yes, when? Date Format: MM slash DD slash YYYY Have you ever been convicted of a felony?* Yes No Are you willing to take a mandatory substance abuse test?* Yes No EducationHigh School*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Did you graduate?* Yes No CollegeAddress Street Address Address Line 2 City State / Province / Region Did you graduate? Yes No DegreeReferencesPlease list 3 professional references.Reference 1*Full NameRelationshipCompanyPhone Reference 2*Full NameRelationshipCompanyPhone Reference 3*Full nameRelationshipCompanyPhone Previous EmploymentPlease list your last 3 employers. List the most recent employer first.Employer 1*CompanyPhoneSupervisor *Job TitleStarting SalaryEnding Salary Responsibilities:*Employment start: Date Format: MM slash DD slash YYYY Month and/or yearEmployment End Date Format: MM slash DD slash YYYY Month and/or yearReason for leaving*May we contact your previous supervisor for a reference?* Yes No Employer 2*CompanyPhoneSupervisor *Job TitleStarting SalaryEnding Salary Responsibilities:*Employment start: Date Format: MM slash DD slash YYYY Month and/or yearEmployment End Date Format: MM slash DD slash YYYY Month and/or yearReason for leaving*May we contact your previous supervisor for a reference?* Yes No Employer 3*CompanyPhoneSupervisor *Job TitleStarting SalaryEnding Salary Responsibilities:*Employment start: Date Format: MM slash DD slash YYYY Month and/or yearEmployment End Date Format: MM slash DD slash YYYY Month and/or yearReason for leaving*May we contact your previous supervisor for a reference?* Yes No Military ServiceBranchYearsFrom - ToRank at DischargeType of DischargeIf other than honorable, explain:Disclaimer and E-signaturePlease check this box* I certify that my answers and true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. E-signature* First Last Date* Date Format: MM slash DD slash YYYY Upload your resume
