All fields are required.
Personal Information

Position Information

Date you would be available for work:


Contact Information

If necessary, what is the best time to call you at home?  



May we contact you at work?



If yes, what time?  


Employment History
Please list chronologically, beginning with most recent experience.

Employer One



Employer Two



Employer Three


Educational Background
Please list chronologically, beginning with most recent school attended.

School One



School Two



School Three



School Four


Computer Skills
Include software titles and years of experience.

Word Processing:



Spreadsheet:



Presentation:



Internet:



Email:



Other:


Member of the Drug-Free Workplace Network.
Pre-Employment Drug Testing is Required.

If you are under 18 and it is required, can you furnish a work permit?


If no, please explain:



Have you submitted an application here before?


If yes, please give date(s) and position(s):



Have you ever been employed here before?


If yes, please give date(s):



Are you legally authorized to work in the U.S.?
(If hired, you will be required to provide proof of work authorization.)



Will you relocate if the job requires it?



Will you travel if the job requires it?



If they have been explained to you, are you able to meet the attendance requirements of the position?



Will you work overtime if required?


If no, please explain:



Have you ever been bonded?



Have you ever been convicted of a crime (felony)?

Answering "Yes" to the question is not an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

If yes, please provide date(s) and details:



Explain any gaps in your employment, other than those due to personal illness, injury or disability:



If not addressed previously, have you ever been fired or asked to resign from a job?


If yes, please provide date(s) and details:



If so, may we contact your present employer?

Summarize any special training, skills, licenses and/or certificates that may assist you in performing the positions for which you are applying:


Employment References
List individuals familiar with your job qualifications (No relatives or personal friends).

Reference One



Reference Two



Please read carefully before submitting your application.

I certify that all information that I have provided in order to apply for and secure work with the employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume' or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer's service, whenever it is discovered.

I agree to allow Lubbock Aero, Inc. to perform any pertinent credit or DMV checks.

I understand that Lubbock Aero, Inc. requires a pre-employment drug screen for the following: TCH, PCP, cocaine, opiates and amphetamines.

I also understand that if necessary, Lubbock Aero, Inc. will do a ten (10) year work history check.

Iunderstand that as a condition of seeking employment with Lubbock Aero, Inc. in a safety sensitive position, I must disclose all prior aviation employers (including air tax/commuters, repair stations, etc.) to which I applied to perform or for which I performed safety sensitive functions since Decemeber 18, 1989 (the date on which FAA mandated drug testing began).

I further understand that, using the form provided by Lubbock Aero, Inc., I must authorize and direct each such employer to release to Lubbock Aero, Inc. any anti-drug and alcohol misuse prevention program records pertaining to me and created and maintained under applicable federal regulations. I agree that the information released canbe used to determine whether I should be employed by Lubbock Aero, inc. in a safety sensitive position.

I have not tested positive or refused to test, on any pre employment drug or alcohol test administered by an employer to which I have applied for, but did not obtain, safety sensitive transportation work covered by DOT agency drug and alcohol rules during the past two years.



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