1Personal Data2Educational and Professional Training3Personal References4Current and Previous Employment5Background Information6Consent Each inquiry on this application bus be fully answered or completed. Otherwise, you will not be considered for employment.Personal DataName(Required) First Middle Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long have you lived there?(Required)Years, monthsPrevious Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long have you lived there?Years, monthsPhone number(s)(Required)Email(Required) Are you 18 years of age or older?(Required) Yes No What date(s) are you available to begin work?(Required)Position desired:(Required)Placement desired:(Required) Full-time Part-time Temporary Are you willing to work overtime?(Required) Yes No Salary desired:(Required)Please enter a number greater than or equal to 0.Per:(Required)HourWeekBi-weeklyMonthYear Educational and Professional TrainingHigh School(Required) 9 10 11 12 N/A Years completedSchool name and location (city, state)Describe Course of Study or MajorDescribe Diploma or Degree ReceivedDescribe Specialized Experience, Training, Skills, and Extra-Curricular ActivitiesCollege / University(Required) 1 2 3 4 N/A Years completedSchool name and location (city, state)Describe Course of Study or MajorDescribe Diploma or Degree ReceivedDescribe Specialized Experience, Training, Skills, and Extra-Curricular ActivitiesGraduate / Professional(Required) 1 2 3 4 N/A Years completedSchool name and location (city, state)Describe Course of Study or MajorDescribe Diploma or Degree ReceivedDescribe Specialized Experience, Training, Skills, and Extra-Curricular ActivitiesTrade or CorrespondenceSchool name and location (city, state)Describe Course of Study or MajorDescribe Diploma or Degree ReceivedDescribe Specialized Experience, Training, Skills, and Extra-Curricular ActivitiesList any professional designations, certifications, licenses, or courses that are applicable to the position for which you are applying: Personal ReferencesPlease list people who you know well — not previous employers or relatives.Reference 1Name First Last RelationshipAddress Street Address City State / Province / Region Phone NumberNumber of years knownPlease enter a number from 0 to 99.Reference 2Name First Last RelationshipAddress Street Address City State / Province / Region Phone NumberNumber of years knownPlease enter a number from 0 to 99.Reference 3Name First Last RelationshipAddress Street Address City State / Province / Region Phone NumberNumber of years knownPlease enter a number from 0 to 99.Reference 4Name First Last RelationshipAddress Street Address City State / Province / Region Phone NumberNumber of years knownPlease enter a number from 0 to 99. Current and Previous EmploymentPlease list the names of your present or previous employers in chronological order with present or last employer listed first. Include part-time and seasonal employment. If self-employed, give firm name and supply business references. Fill this form out completelyEmployer 1Employer NameEmployed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY Placement Full-time Part-time Temporary Starting Hourly Rate / SalaryFinal Hourly Rate / SalaryTelephone Number(s)Address Street Address City State / Province / Region Job TitleSupervisor Name & TitleWork PerformedIf disciplined, what for?Reason for LeavingEmployer 2Employer NameEmployed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY Placement Full-time Part-time Temporary Starting Hourly Rate / SalaryFinal Hourly Rate / SalaryTelephone Number(s)Address Street Address City State / Province / Region Job TitleSupervisor Name & TitleWork PerformedIf disciplined, what for?Reason for LeavingEmployer 3Employer NameEmployed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY Placement Full-time Part-time Temporary Starting Hourly Rate / SalaryFinal Hourly Rate / SalaryTelephone Number(s)Address Street Address City State / Province / Region Job TitleSupervisor Name & TitleWork PerformedIf disciplined, what for?Reason for LeavingEmployer 4Employer NameEmployed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY Placement Full-time Part-time Temporary Starting Hourly Rate / SalaryFinal Hourly Rate / SalaryTelephone Number(s)Address Street Address City State / Province / Region Job TitleSupervisor Name & TitleWork PerformedIf disciplined, what for?Reason for Leaving Background InformationList any other names which you may have used and will be necessary to verify prior employment:If hired, can you provide proof that you are legally entitled to work in the U.S.?(Required) Yes No If not, what steps must be taken for you to begin employment lawfully?Do you have adequate transportation to and from work?(Required) Yes No Have you ever been terminated or asked to resign from any job?(Required) Yes No If yes, please explain circumstances:May we contact your current employer?(Required) Yes No If no, please explain:Have you ever worked for Aalto Scientific Ltd. or a related company before?(Required) Yes No If yes, please gives dates and position(s):Have you ever applied for a position with Aalto Scientific Ltd. or a related company before?(Required) Yes No If yes, please gives dates and position(s):Do you have any friends and/or relatives who work for Aalto Scientific Ltd. or a related company?(Required) Yes No If yes, who:How were you referred to us?If referred by an employee, who:Do you have any commitments to any other employer, such as a non-compete agreement, which may affect your employment with this Company, if hired?(Required) Yes No If yes, please explain:Please explain fully any gaps in your employment history. Be sure to account for all periods of time, including military service and any period of unemployment.Please describe any other experience that you have which would be relevant to the job for which you are applying.In answering the following two questions, do not include arrests or convictions that were sealed, eradicated, erased, annulled by a court, or expunged or impounded, or convictions that resulted in referral to a diversion program.Have you ever plead no contest, nolo, or guilty to a crime, or been convicted of a crime?(Required) Yes No Are any charges currently pending against you?(Required) Yes No If you answered yes to any of the preceding questions, please give dates and details:Answering "yes" to the above questions does not constitute an automatic bar to employment. The Company will consider the nature of the crime, its seriousness, the substantial relation to the position's functions and qualifications, the number of occurrences, the applicant's age at the time of the crime, the time elapsed since the crime, the applicant's entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by state, local, or federal law. Consent(Required)APPLICANT'S STATEMENT: I understand that the Company is committed to providing equal opportunity in all employment practices, including but not limited to selection, hiring, promotion, transfer, and compensation to all qualified applicants and employees without regard to race, color, national origin, religion, sex, age, disability, genetic information, citizenship status, service member status, or any other category protected by federal, state, or local law. I AGREE THAT ANY DISPUTE BETWEEN ME AND THE COMPANY RELATED TO MY APPLICATION FOR EMPLOYMENT OR MY EMPLOYMENT, IF I AM HIRED, WILL BE RESOLVED THROUGH MUTUALLY BINDING ARBITRATION IN ACCORDANCE WITH THE COMPANY'S ARBITRATION POLICY AND PROCEDURE. I UNDERSTAND THAT I HAVE THE RIGHT TO REVIEW THE POLICY AND PROCEDURE PRIOR TO SIGNING THIS DOCUMENT. I authorize former and present employers, and professional, work, and personal references listed in the application and any other individuals I may name, to give the Company or its designee any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release such parties from all liability for any damages that may result from furnishing same to the Company. I also authorize the Company to provide truthful information concerning my employment with it to future employers, and I agree to hold it harmless for providing such information. I understand that the Company reserves the right, as permitted by law, to require drug and alcohol screening tests of an applicant or an employee either prior to employment or any time during employment and I hereby give my consent to any such tests. I consent to the release of the results of any such tests to the Company or its designee. I release the Company and its designee from any and all liability and damages that may result or arise from any drug test or the provision of information in connection with such a test. I understand that this employment application and any other Company documents are not promises of employment. I further understand that, if I am employed, I can terminate my employment at any time with or without cause and with or without advance notice and that the Company has a similar right. I understand that no manager, representative, or agent of the Company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, except that an authorized executive of the Company may do so in writing. I certify that the information given by me on this application and during the interview process is true and complete in all respects, and I agree that if the information is found to be false, misleading, or unsatisfactory in any respect (in the Company's judgment) that I will be disqualified from consideration for employment or subject to immediate dismissal if discovered after I am hired. THIS APPLICATION WILL BE CONSIDERED "ACTIVE" FOR A MAXIMUM OF THIRTY (30) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTAND THESE STATEMENTS. I have read and understand these statements.Today's Date(Required) MM slash DD slash YYYY CAPTCHA
