Step 1 of 11 9% Employee InformationName* First Last Email* Phone*Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Are you a US Citizen?*YesNoDesired PositionDesired Position*Are you applying for a specific position?Desired Salary*When are you able to start?* Date Format: MM slash DD slash YYYY What are you looking for in a job / career?Are you willing to work overtime or weekends if necessary?*YesNoAre you willing to travel?*YesNoHave you ever worked for ATS Construction before?*YesNoAre you able to perform the duties of the job you are applying for?*YesNo EducationHigh SchoolTrade, Business, or OtherCollegeSpecial Skills or TrainingCraft, Professional LIcenses, Registarations, and/or CertificationsWhat is your primary trade?*CarpenterCDL DriverWelderConcreteCrew OperatorEquipment OperatorSupervisorGeneral LeaderMechanicQC/QASafetySurveyingFlaggingPavingAsphalt PlantRiggerYears experience with primary trade*What is your secondary trade?CarpenterCDL DriverWelderConcreteCrew OperatorEquipment OperatorSupervisorGeneral LeaderMechanicQC/QASafetySurveyingFlaggingPavingAsphalt PlantRiggerYears experience with secondary tradeDriver's License Number*Are you a CDL Driver?*YesNoHave you had a traffic violation in the last 3 years?*YesNoPlease explain:*EquipmentIf applying for Equipment Operator, please list all equipment you have experience operating.Primary Craft State License (if applicable)Date Craft License was issued Date Format: MM slash DD slash YYYY CertificationsWhat certifications do you have? (MSHA, TWIC, refinery training, OSHA, etc...) Previous EmploymentCompany*Phone*Hire Date*Duties Responsibilities*May we contact this employer?*YesNoPlease Explain*Starting Pay*Ending Pay*End Date*Reason for Leaving*Supervisor's Name*Supervisor's Phone Number*Add a second job?YesNoPrevious Employment 2Company*Phone*Hire Date*Duties Responsibilities*May we contact this second employer?*YesNoPlease Explain*Starting Pay*Ending Pay*End Date*Reason for Leaving*Supervisor's Name*Supervisor's Phone Number*Add a third job?YesNoPrevious Employment 3Company*Phone*Hire Date*Duties Responsibilities*May we contact this third employer?*YesNoPlease Explain*Starting Pay*Ending Pay*End Date*Reason for Leaving*Supervisor's Name*Supervisor's Phone Number*Add a fourth job?YesNoPrevious Employment 4Company*Phone*Hire Date*Duties Responsibilities*May we contact this fourth employer?*YesNoPlease Explain*Starting Pay*Ending Pay*End Date*Reason for Leaving*Supervisor's Name*Supervisor's Phone Number*Add a fifth job?YesNoPrevious Employment 5Company*Phone*Hire Date*Duties Responsibilities*May we contact this fifth employer?*YesNoPlease Explain*Starting Pay*Ending Pay*End Date*Reason for Leaving*Supervisor's Name*Supervisor's Phone Number* Personal ReferencesFirst Reference* First Last Phone*AddressSecond Reference* First Last Phone*AddressThird Reference First Last PhoneAddressWork ReferencesFirst Reference* First Last Phone*AddressSecond Reference First Last AddressPhoneThird Reference First Last PhoneAddressEmergency ContactPrimary Contact First Last RelationshipPhoneSecondary Contact First Last RelationshipPhoneService RecordBranch of MilitaryDischarge Date and Rank Workplace Background Check PolicyI 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* Date Format: MM slash DD slash YYYY AuthorizationI 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* Date Format: MM slash DD slash YYYY Drug Screen Authorization and ConsentI 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* Date Format: MM slash DD slash YYYY Policies and Procedures Checklist 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. 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. 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. 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. I am telephone accessible and I have reliable transportation. 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. 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* Date Format: MM slash DD slash YYYY Substance Abuse PolicyIt 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* Date Format: MM slash DD slash YYYY SecurityApplicant 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?YesNoIncident*City/StateCharge*Comments* Upload DocumentsPlease upload your resume below. If you have copies of your driver's license, certificates, etc... then please upload them as well.Relevant Documents Drop files here or EEO ComplianceIt is the policy of ATS Construction not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of ATS Construction to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. The following information is necessary for this company to evaluate its hiring practices and to track its progress and effectiveness in complying with its Affirmative Action Plan and EEO policies. This information is voluntary and will be kept confidential insofar as possible. Information provided will not be negatively considered in ay part of the selection process.SexMaleFemaleI choose not to provide gender information at this time.EthnicityA person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.Hispanic or LatinoRaceAmerican Indian or Alaskan Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races.I choose not to provide race information at this time.Veteran StatusVETERAN OF THE VIETNAM-ERA - A person who: (i) served on active duty in the U.S. military, ground, naval or air service for a period of more than 180 days, and who was discharged or released there from with other than a dishonorable discharge, if any part of such active duty was performed: (A) in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or (B) between August 5, 1964, and May 7, 1975, in all other cases; or (ii) was discharged or released from active duty in the U.S. military, ground, naval or air service for a service-connected disability if any part of such active duty was performed (A) in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or (B) between August 5, 1964, and May 7, 1975, in any other location.SPECIAL DISABLED VETERAN - (i) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans' Affairs for a disability (A) rated at 30 percent or more, or (B) rated at 10 or 20 percent in the case of a veteran who has been determined under Section 38 U.S.C. 3106 to have a serious employment handicap or (ii) a person who was discharged or released from active duty because of a service-connected disability.RECENTLY SEPARATED VETERANS - Any veteran who served on active duty in the U.S. military, ground, naval or air service during the one-year period beginning on the date of such veteran's discharge or release from active duty.OTHER PROTECTED VETERANS - Veterans who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.Disabled StatusDisabled - If you have a physical or mental disability, you must qualify as a disabled person as defined by federal law (e.g., Americans with Disabilities Act).PhoneThis field is for validation purposes and should be left unchanged.