APPLICATION FOR EMPLOYMENT
INSTRUCTIONS
Please complete the application form in its entirety and e-mail your resume, as a MS Word document, to
jobapps@universalweather.com
. Once you reach the end of the application, click the submit button.
*Caution:
Since transmission of this application via the Internet is not secure, Universal Weather and Aviation, Inc. shall have no liability under any circumstances for any disclosure of information contained herein that is submitted electronically.
PERSONAL
Universal Weather and Aviation, Inc. is an equal opportunity employer. Prospective employees will receive consideration without discrimination because of race, color, religion, sex, national origin, citizenship, age, veteran status, or disability.
Last Name
First Name
Middle Name
E-mail Address
Street Address
City,State,Zip)
Home Telephone
Business Phone
Application Date
04-FEB-12
Are you related by blood or marriage to any employee of
Universal Weather and Aviation, Inc.?
No
Yes
IF YES, WHO?
HOW?
Do you or any relative, by blood or marriage, have any association with a competitor of or supplier to Universal Weather and Aviation, Inc.?
No
Yes
Have you been convicted of a felony or misdemeanor within the last five years?*
No
Yes
IF YES, DESCRIBE:
U.S. MILITARY OR NAVAL SERVICE
No
Yes
RANK
PRESENT MEMBERSHIP IN NATIONAL GUARD
No
Yes
RESERVES
No
Yes
EMPLOYMENT DESIRED
Position
Date You Can Start
Desired Salary
ARE YOU EMPLOYED NOW?
No
Yes
IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?
No
Yes
Source of referral to this position
List any special skills and/or training you may have in consideration of this position (i.e. software and/or hardware knowledge, language skills, typing skills, etc.
EDUCATION
Name and Location
of School
Last Year Completed**
Did You Graduate?
Subjects Studied and
Degree(s) Received
High School
0
1
2
3
4
No
Yes
College
0
1
2
3
4
No
Yes
Graduate
0
1
2
3
4
No
Yes
Trade, Business or Correspondence School
0
1
2
3
4
No
Yes
** THE AGE DISCRIMINATION EMPLOYMENT ACT OF 1967 PROHIBITS DISCRIMINATION ON THE BASIS OF AGE WITH RESPECT TO INDIVIDUALS WHO ARE AT LEAST 40 BUT LESS THAN 70 YEARS OF AGE.
REFERENCES
Give the names of three persons not related to you whom you have known at least one year.
NAME
ADDRESS
TELEPHONE
TYPE OF REFERENCE
Reference 1
Reference 2
Reference 3
EMPLOYMENT HISTORY
Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.
Name of Firm
Address (Cty,State,Zip)
Telephone Number
Dates From
Dates To
Final Salary
Mo.
Yr.
Mo.
Yr.
Immediate Supervisor
Your Job Title
Reason for Leaving
Nature of Duties
Name of Firm
Address (City,State,Zip)
Telephone Number
Dates From
Dates To
Final Salary
Mo.
Yr.
Mo.
Yr.
Immediate Supervisor
Your Job Title
Reason for Leaving
Nature of Duties
Name of Firm
Address (City,State,Zip)
Telephone Number
Dates From
Dates To
Final Salary
Mo.
Yr.
Mo.
Yr.
Immediate Supervisor
Your Job Title
Reason for Leaving
Nature of Duties
Name of Firm
Address (City,State,Zip)
Telephone Number
Dates From
Dates To
Final Salary
Mo.
Yr.
Mo.
Yr.
Immediate Supervisor
Your Job Title
Reason for Leaving
Nature of Duties
Please e-mail your resume, in MS Word format, to
jobapps@universalweather.com
.
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