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*All fields are mandatory. If field is non-applicable please insert N/A.

**We only accept PDF file formats for uploaded resumes.

Position Applying For
Name:
Last
 
First
 
Middle Initial
Current Address:
Street
 
City
 
State
  Zip
How Long at current address:
Less than 2 years list former address(s)
Street
 
City
 
State
 
Zip
Street
 
City
 
State
 
Zip
Street
 
City
 
State
 
Zip
Phone:
 
Cell Phone:
 
Email:
EDUCATION
NAME OF SCHOOL LOCATION YEAR GRADUATED YEARS COMPLETED DEGREE & MAJOR
High School
College
MBA, JD, OTHER
MILITARY
Have you ever been in the Armed Forces?
         
Are you now a member of the Armed Forces?
         
Speciality:
 
Date Entered:
 
Discharge Date:
Rank upon discharge:
ARREST RECORD
Have you ever been arrested?
         
(An arrest record will not necessarily disqualify you from employment.)
If yes, explain number of arrests(s), nature of offense(s) leading to the arrest(s), how recently such offense(s) was/were committed. If convicted, sentence(s) imposed, and type(s) of rehabilitation.
DRIVING RECORD
Do you have a valid driver’s license?
         
Driver’s license number:
 
State of Issue:
 
Expiration Date:
DRIVING RECORD
Have you had your license suspended?
         
If yes, reason for suspension and for how long:
Do you have automobile insurance?
         
Name of insurance company, coverage dates and policy limits:
Do you have an all-wheel or four-wheel drive vehicle?
         
Resume (PDF only)
ALCOHOL / DRUG FREE ENVIRONMENT
American Integrated Resources, LLC is an alcohol/drug free workplace. This includes any project locations you may be assigned to if employed.
Do you engage in excess use of alcohol ?
         
How often do you drink alcohol:
Do you use drugs, of any kind, not prescribed by a physician?
         
Do you use prescription drugs not directed by a physician?
         
PLEASE READ CAREFULLY
I understand that any misrepresentation(s) or material omission(s) made by me on this application will be sufficient cause for cancellation of this application, or immediate termination of employment if I am employed, whenever it may be discovered.
If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment.
American Integrated Resources, LLC is an equal employment opportunity employer. We adhere to all governing laws and/or statutes in making employment decisions.
Electronic Signature
Date

904-495-6111

1621 Central Avenue | Cheyenne, WY 82001