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Employee Information
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Are you a US Citizen?*
Desired Position
Desired Position*
Are you applying for a specific position?
Desired Salary*
When are you able to start?*
MM slash DD slash YYYY
What are you looking for in a job / career?
Are you willing to work overtime or weekends if necessary?*
Are you willing to travel?*
Have you ever worked for ATS Construction before?*
Are you able to perform the duties of the job you are applying for?*

Education
High School
Trade, Business, or Other
College
Special Skills or Training
Craft, Professional LIcenses, Registarations, and/or Certifications
What is your primary trade?*
Years experience with primary trade*
What is your secondary trade?
Years experience with secondary trade
Driver's License Number*
Are you a CDL Driver?*
Have you had a traffic violation in the last 3 years?*
Please explain:*
Equipment
If applying for Equipment Operator, please list all equipment you have experience operating.
Primary Craft State License (if applicable)
Date Craft License was issued
MM slash DD slash YYYY
Certifications
What certifications do you have? (MSHA, TWIC, refinery training, OSHA, etc...)

Previous Employment
Company*
Phone*
Hire Date*
Duties Responsibilities*
May we contact this employer?*
Please Explain*
Starting Pay*
Ending Pay*
End Date*
Reason for Leaving*
Supervisor's Name*
Supervisor's Phone Number*
Add a second job?
Previous Employment 2
Company*
Phone*
Hire Date*
Duties Responsibilities*
May we contact this second employer?*
Please Explain*
Starting Pay*
Ending Pay*
End Date*
Reason for Leaving*
Supervisor's Name*
Supervisor's Phone Number*
Add a third job?
Previous Employment 3
Company*
Phone*
Hire Date*
Duties Responsibilities*
May we contact this third employer?*
Please Explain*
Starting Pay*
Ending Pay*
End Date*
Reason for Leaving*
Supervisor's Name*
Supervisor's Phone Number*
Add a fourth job?
Previous Employment 4
Company*
Phone*
Hire Date*
Duties Responsibilities*
May we contact this fourth employer?*
Please Explain*
Starting Pay*
Ending Pay*
End Date*
Reason for Leaving*
Supervisor's Name*
Supervisor's Phone Number*
Add a fifth job?
Previous Employment 5
Company*
Phone*
Hire Date*
Duties Responsibilities*
May we contact this fifth employer?*
Please Explain*
Starting Pay*
Ending Pay*
End Date*
Reason for Leaving*
Supervisor's Name*
Supervisor's Phone Number*

Personal References
First Reference*
First Last
Phone*
Address
Second Reference*
First Last
Phone*
Address
Third Reference
First Last
Phone
Address
Work References
First Reference*
First Last
Phone*
Address
Second Reference
First Last
Address
Phone
Third Reference
First Last
Phone
Address
Emergency Contact
Primary Contact
First Last
Relationship
Phone
Secondary Contact
First Last
Relationship
Phone
Service Record
Branch of Military
Discharge Date and Rank

Workplace Background Check Policy
I hereby give my informed consent to the designated ATS Construction Representative and/or its partner companies to conduct a background check. I understand that refusal to submit to a background check may disqualify me from consideration for employment or, if employed, subject me to immediate disciplinary action up to and including immediate discharge.
Digital Signature*
By typing your name below, you are agreeing to the above listed points.
Date*
MM slash DD slash YYYY
Authorization
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statement on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

I also authorize ATS Construction to release the information contained herein and its findings and work history of my employment to other firms or persons upon request. I also understand and agree that I may be expected to work on a wide variety of job assignments and agree to accept assignments for which I am qualified as they become available. I also understand my failure to report to ATS Construction for work will indicate I have quit. I also agree to submit to a drug screen upon request or as specified in ATS Construction's substance abuse policy.

We are an equal opportunity employer and drug-free workplace.
Digital Signature*
By typing your name below, you are agreeing to the above listed points.
Date*
MM slash DD slash YYYY

Drug Screen Authorization and Consent
I hereby authorize and give full permission to have ATS Construction and/or their medical company physician send a specimen of my urine and/or blood to a laboratory for screening tests using Substance Abuse & Mental Health Services (S.A.M.H.S.A.) (www.samhsa.gov) standards for the presence of illegal drugs, alcohol, or prescription medication taken without a prescription.

I will hold all parties concerned harmless, meaning I will not sue nor hold responsible for any alleged harm to me or interfering with my obtaining a job or continuing employment due to not submitting to the tests or as a result of the report of the tests. This includes, but not limited to, possible clerical or laboratory error.

This policy and authorization has been explained to me in a language I understand and told if I have any questions they will be answered about the test. I understand this is a legal and binding document, which is binding because ATS Construction is sending me for the examinations and paying for it.

I UNDERSTAND ATS CONSTRUCTION WILL REQUIRE A DRUG SCREEN TEST WHENEVER AN ON THE JOB ACCIDENT OR INJURY IS REPORTED IN ACCORDING WITH THIS STAFFING COMPANY POLICY AND THIS AUTHORIZATION AND CONSENT. MY REFUSAL TO SUBMIT TO DRUG TESTING WILL BE GROUNDS FOR TERMINATION.
Digital Signature*
By typing your name below, you are agreeing to the above listed points.
Date*
MM slash DD slash YYYY

Policies and Procedures Checklist
1. I understand ATS Construction takes their responsibility as my employer very seriously, and that they have gone to great lengths to provide a safe work environment. If I am injured on the job, ATS Construction will deal promptly with legitimate claims and has workers compensation insurance that will pay medical expenses and wages. I also understand that ATS Construction has extensive experience investigating claims and will fight fraudulent claims with all available resources.
2. If I sustain an injury on the job, I will inform the ATS Construction immediately who will coordinate with the proper procedures for treatment and reporting of the accident.
3. ATS Construction has a strict Substance Abuse Policy, and I have signed a consent form to submit to drug testing. I understand that my failure to comply with this agreement will be grounds for my immediate termination.
4. I understand and will comply with ATS Construction safety rules and regulations and hazardous communication program explained to me in ATS Construction orientation and in the employee handbook.
5. I am telephone accessible and I have reliable transportation.
6. Applicants must meet the job description requirements that will be supplied at the new hire class which will include the following; physical, job demand physical, hearing, and drug screening.
7. New hires will be on a probationary period for a determined period of time once hired.
Digital Signature*
By typing your name below, you are agreeing to the above listed points.
Date*
MM slash DD slash YYYY

Substance Abuse Policy
It is the purpose of ATS Construction to help provide a drug free environment for our employees. With this goal and because of the serious drug abuse problem in today's workplace, we are establishing the following policy for existing and future employees of ATS Construction:

ATS Construction explicitly prohibits:

The use, possession, solicitation for or sale of narcotics or other illegal drugs, alcohol, or prescription medication without a prescription on company or customer premise or while performing an assignment.

Being impaired or under the influence of legal or illegal drugs or alcohol off the company or customer premises that adversely affects the employee's work performance, his or her own or other's safety at the workplace, or the employer's reputation.

ATS Construction may drug test using Substance Abuse & Mental Health Services Administration (S.A.M.H.S.A.) (www.samhsa.gov) standards by three methods:

Pre-Employment: As may be required by client.

Randomly: A random selection of some employees for testing will be done unannounced.

For Cause: When it is the company's belief that a drug problem exists (such as evidence of drugs, accidents, injuries in the workplace fights or other behavioral symptoms of drug abuse, negative performance patterns, excessive absenteeism or tardiness) for-cause testing will be utilized. Additional testing outlined in employee handbook.

Employees of ATS Construction who refuse to submit to drug testing, test positive or admit to substance abuse will be subject to termination.

The results of all drug testing will be treated confidentially, and for no purpose other than for ATS Construction to make employment related decisions.
Digital Signature*
By typing your name below, you are agreeing to the above listed points.
Date*
MM slash DD slash YYYY

Security
Applicant is not obligated to disclose any reference to a pre or post trial diversion program, any conviction which has been sealed, expunged, or erased by the court system. (Conviction may not necessarily be a bar to employment, In accordance with company policy, job description, job requirements, and applicable state and federal laws.)
Have you been convicted of a crime in the past seven years?
Incident*
City/State
Charge*
Comments*

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Step 1 of 11

Employee Information

Desired Position

Education

Craft, Professional LIcenses, Registarations, and/or Certifications

Previous Employment

Previous Employment 2

Previous Employment 3

Previous Employment 4

Previous Employment 5

Personal References

Work References

Emergency Contact

Service Record

Workplace Background Check Policy

Authorization

Drug Screen Authorization and Consent

Policies and Procedures Checklist

Substance Abuse Policy

Security

Upload Documents

EEO Compliance

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