About ASI (Overview)

Education
State the highest level or grade or education completed:

Certificates, diplomas or degrees earned:

List any additional education, including vocational training, certificate courses, and graduate studies you have attended:

Favorite subjects:

Offices, honors and awards:

Extracurricular activities:

Have you attended any type of company sponsored training courses?
YES No
If Yes, describe:

Previous Employment
Please complete this section accurately, beginning with present or last job and covering all full time employment.

Company One/Company Name:

Address of Company:

Starting Date: Title:Starting Rate:

Ending Date: Title: Ending Rate:
Your Supervisor: Nature of Your Work:
List all positions held with this employer:

Reasons for leaving:

What did you like best about this job?

What did you dislike most about this job?

Company Two/Company Name:

Address of Company:

Starting Date: Title:Starting Rate:

Ending Date: Title: Ending Rate:
Your Supervisor: Nature of Your Work:
List all positions held with this employer:

Reasons for leaving:

What did you like best about this job?

What did you dislike most about this job?

Company Three/Company Name:

Address of Company:

Starting Date: Title:Starting Rate:

Ending Date: Title: Ending Rate:
Your Supervisor: Nature of Your Work:
List all positions held with this employer:

Reasons for leaving:

What did you like best about this job?

What did you dislike most about this job?

Company Four/Company Name:

Address of Company:

Starting Date: Title: Starting Rate:

Have you ever served in the U.S. military?
YES No
Date Entered:Date Separated:
Branch of Service:Rank:
Duties performed:

Membership in civic, professional or social organizations, excluding any organization, the name or character of which indicates the race, creed, color, religion or national origin of its members:

Hobbies or interests:

What do you like to do when on vacation?

What are your plans for the future?

Which of your previous jobs did you like most and why?

Which of your previous jobs did you like least and why?

What do you believe qualifies you for the position you are seeking with this company?

I understand that completing this application does not constitute an agreement by Avionics Specialist, Inc. to employ the applicant.

I certify that the information provided on the application (and accompanying resume, if any) is true and complete to the best of my knowledge and agree that falsified information or significant omissions may disqualify me from further consideration for employment at ASI and may be considered justification for dismissal if discovered at a later date.

In making this application, I also understand that all of the information I have furnished may be investigated for verification by contacting former employers (unless otherwise noted), references and any parties or sources who may have information ASI deems relevant to my employment, including criminal and educational records. I authorize ASI and its representatives to conduct such an investigation and release from all liability or damage those individuals, firms or employers who may provide any such information.

I understand that if I am offered employment with Avionics Specialist, Inc., a pre-employment drug test must indicate that my urine is free of illegal drugs. Drugs tested for are marijuana, cocaine, opiates, PCP and amphetamines. I certify that I am not permanently disqualified from performing any safety-sensitive duties by the FAA due to any violation of a previous employers Anti-Drug or Alcohol Misuse Program. I further agree that if I attain employment with ASI I will (as required by the FAA) participate in the random Drug and Alcohol Testing programs.

I understand that if I obtain employment with ASI, my employment will not be for a fixed period of time and that it can be terminated by ASI, or me, with or without notice for any reason or no reason, and without liability for wages, salary or other compensation or benefits except what I have earned as of the date of termination, or specified by federal, state or local law.

Submitting this application via the Internet affirms that I have read, understand, consent to, and will comply with the conditions herein.

An acknowledgment will be sent to you that will allow you to attach your resume if you wish to do so.

Today's Date:
Your Name:
Your E-mail:
Street Address:
City:
State:
ZIP:
Your Telephone Number:
Your Social Security #:

Are you over the age of 18?	YES No
Are you legally eligible to work in the United States Of America?	YES No
Have you applied to an aviation company in the last two years?	YES No
In the last two years, have you refused a drug test, including verified adulterated or substituted drug test results?	YES No
In the last two years, have you had a positive result from a drug test?	YES No
In the last two years, have you had an alcohol test result of 0.04 or higher alcohol concentration?	YES No
In the last two years, have you had any other violations of D.O.T. agency drug or alcohol testing regulations?	YES No
Have you ever worked for this company before?	YES No
If Yes, where and when?
Have you any relatives (by blood or by marriage) working for this company?	YES No
If Yes, who and when?
What is your transportation to work?
Are you able to work overtime hours if required to do so?	YES No
Have you ever been convicted of any criminal offenses other than minor traffic violations?	YES No
If Yes, when and what?(please explain) Convictions are not necessarily a bar to employment:
Which vacancy are you applying for?
Are you able to perform all the requirements of the job or jobs for which you are applying as described in the vacancy listing?	YES No
If not, which requirements are you unable to perform and why?
What is the approximate number of working days you have lost through illness or accidents during the past two years? (Describe the cause)
What are your salary requirements?


FAA Repair Station PK4R443M EASA Approval EASA.145.4220 Avionics Specialist, Inc. 3833 Premier Avenue Memphis, Tennessee 38118 USA (901) 362-9700 Fax (901) 794-8276		Send Comments to WebMaster: Laurie D. Bailey, CNE Last Update: April 10, 2008 ©Copyright 1998-2008 by Avionics Specialist, Inc. All rights reserved. Use of this site indicates that you accept the Terms of Use.