* Name: 

* Date of Application: 

* Position Applied For? 

* Desired Salary: 

* Address: 

* City: 

* State: 

* Zip: 

* Telephone: 

* Email Address: 

* Date Available to Start: 

* Hours Available: 

Full Time: 

Part Time: 

Temporary:  

Contract: 

* Are You At Least 18 or Older:  

* If under 18 years of age, do you have a work permit? 

* If hired, can you provide evidence of legal eligibility to work in the U.S.? 

* Are You able to perform the essential job functions of the position for which you are applying without reasonable accommodation? 

* Highest Level of Education Completed: 

* Last High School Attended:  

* Major of Study: 

* Graduated or Degree: 

College or University: 

Major of Study: 

Graduated or Degree: 

Other School: 

List any Certifications: 

* Please list any skills you have that are appropriate to the position you are applying for: 

* Current Employer: Company Name, Phone Number, Street Address, City, State, Zip, Name & Title of Supervisor, Title of Your Position, Jobs Held, Duties Performed, Skills Used, Promotions or Acknowledgements, Beginning Salary, Ending Salary, Reason For Leaving, Date of Employment 

* Next Most Recent Employer: Company Name, Phone Number, Street Address, City, State, Zip, Name & Title of Supervisor, Title of Your Position, Jobs Held, Duties Performed, Skills Used, Promotions or Acknowledgements, Beginning Salary, Ending Salary, Reason For Leaving, Date of Employment 

* Next Most Recent Employer: Company Name, Phone Number, Street Address, City, State, Zip, Name & Title of Supervisor, Title of Your Position, Jobs Held, Duties Performed, Skills Used, Promotions or Acknowledgements, Beginning Salary, Ending Salary, Reason For Leaving, Date of Employment 

* Work References: Name, Employer, Job Title, Telephone Number, Email 

* Work References: Name, Employer, Job Title, Telephone Number, Email 

* Work References: Name, Employer, Job Title, Telephone Number, Email 

* Background Authorization: Have you been convicted of any felonies or misdemeanors other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.)  

If yes, explain below: 

* PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR UNDERSTANDING AND ACCEPTANCE BY SIGNING IN THE SPACE PROVIDED: I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background, credit history check, and drug test, as applicable and where permitted by law. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date. I understand and acknowledge that unless otherwise defined by applicable law or written agreement with AFC, any employment relationship with the AFC will be “employment at will.” This means that I may resign at any time and you, the Employer, may discharge me at any time, with or without cause, and with or without advance notice. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I have read, understand, and agree to the above statements.