ONLINE JOB APPLICATION
Hiring Policy
We do not discriminate on the basis of race, color, religion, nationality, sex, age, or disability. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related fields.
Each question should be fully and accurately answered. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.
ASSURA Maintains a drug free workplace policy. All employment candidates will be subject to drug screening and a full background check prior to being offered employment.
You will be working in a Factory environment equipped with fans and air circulation devices. There are days that building temperatures can become uncomfortable to some. Employees are asked to wear proper attire for the job. Shorts, skirts and open toed shoes are unacceptable due to safety concerns.
Most positions require standing for an extended period of time and lifting up to 70lbs repetitively.
You will be working with various types of chemical and sealants used in the manufacturing of windows and doors and related products. We will be supplying Personal Protection devices and training as needed.
Employees are expected to report any accidents or near misses or unsafe conditions to their supervisors immediately.
Employees are expected to be in their work areas at the start of the shift and remain in their respective areas until their shift ends except during breaks or upon requests of your immediate supervisor. If for some reason an employee is going to be late, or unable to report to work, their supervisor or human resources must be notified as soon as possible so arrangements for cover can be made.
Employees are expected to maintain a safe and clean work area. Employees who fail to follow company guidelines will be subject to disciplinary action.
Job Needed / Resume Upload Section
Job Applied for.. (If you want to be considered for any job, please type, ANY)
What kind of employment are you seeking
Please select...
Full Time Job
Part Time Job
Temporary or Seasonal
Date
If you have a Resume, Please Upload The Resume Here. Completion of the Application is still required
Contact Information
First Name
Middle Name
Telephone #
Last Name
Home Street Address
City
Zip Code
State
Background Search Information
Are you 18 years of age or older?
Please select...
YES
NO
Have you ever worked for ASSURA, TM, or AWP windows & Doors?
Please select...
YES
NO
Have you ever been convicted of any law violation (Except minor traffic infractions)
Please select...
YES
NO
What was the conviction for and what was the penalty for conviction
Are you applying for a Driving position?
Please select...
YES
NO
Your Driver's License Number is needed to check your driving record
Social Security Number
EDUCATION HISTORY
High School / Subject Studied
Graduated?
Please select...
YES
NO
College / Subject Studied
Graduated?
Please select...
YES
NO
Vocational - Apprenticeship / Subject Studied
Graduated?
Please select...
YES
NO
WORK EXPERIENCE / JOB 1
Name of Employer
Supervisor
Address
City / State / Zip Code
Dates of Employment
Telephone Number
Start Pay
End Pay
Job Title / Duties / Role
Reason For Leaving
Have you worked anywhere else in the last 10 years?
Please select...
YES
NO
WORK EXPERIENCE / JOB 2
Name of Employer
Supervisor
Address
City / State / Zip Code
Dates of Employment
Telephone #
Start Pay
End Pay
Job Title / Duties / Roles
Duties
Reason For Leaving
Have you worked anywhere else in the last 10 years?
Please select...
YES
NO
WORK EXPERIENCE / JOB 3
Name of Employer
Supervisor
Address
City / State / Zip Code
Dates of Employment
Telephone #
End Pay
Start Pay
Job Title / Role / Duties
Reason For Leaving
PERSONAL REFERENCES
Name - First, Last
Years Known
Phone Number
Name - First, Last
Years Known
Phone Number
Name - First, Last
Years Known
Phone Number
PLEASE READ THE FOLLOWING STATEMENT CAREFULLY BEFORE SIGNING; I certify that the information contained in this application is correct to the best of my knowledge and I understand that any misstatement or omission of information is grounds for dismissal in accordance with Company policy. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have personal or otherwise and release all parties for any damages that may result from furnishing same to you. In consideration from my employment and compensation can be terminated with or without cause, and with or without notice, at any time, at the option of either the company or myself. I understand that no person or other representative of the company has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. Florida requires that the company has my written permission before obtaining consumer reports or police records on me, and I hereby authorize the company to obtain such records. Applicants Name / Initial
Contact Information
