COME WORK WITH US

RED = REQUIRED

PERSONAL INFORMATION

Computer Experience PCMacBoth
Other Skills:
Legal to work in US? YesNo
Part-timeFull-timeFull or Part-time

EDUCATIONAL INFORMATION

High School Education
College Education
Professional School Education
Other Education
Have you ever been convicted of a crime?YesNo
Do you have a driver's license?YesNo
Have you had any accidents in the past 3 years?YesNo
Do you had any moving violations in the past 3 years?YesNo

Yes, I authorize ATG USA, Inc. to perform a criminal background check with the information provided.
Yes, I authorize ATG USA, Inc. to obtain a personal credit report with the information provided.

PREVIOUS EMPLOYMENT (up to 3)

1.

Start / End Date
Start / End Salary
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
May we contact this employer? YesNo

2.

Start / End Date
Start / End Salary
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
May we contact this employer? YesNo

3.

Start / End Date
Start / End Salary
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
May we contact this employer? YesNo

REFERENCES (LIST TWO)

NAME:
POSITION:
COMPANY:
PHONE:
Use this space to add any additional information necessary to describe your full qualifications for the position which you are applying:

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.

I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize ATG USA, Inc. to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. In accordance with the law and my understanding of this statement, I authorize my current and former employers to give any information regarding my employment, together with all information regarding me, and hereby release from all liability or responsibility all persons, companies, or corporations furnishing such information in good faith. I also authorize the release of my scholastic ratings to ATG USA, Inc. by schools and other education institutions that I have attended. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of ATG USA, Inc. serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off and insurance coverage. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. I understand that the first SIX MONTHS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion and during which I may be terminated without right of appeal.

Yes, I certify and agree that all parts of this application are true, accurate and complete.