(870) 336-0590
info@aim1.us
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EMPLOYMENT APPLICATION

Please fill out our online employment application. If we determine an interview is required, a staff member from AIM will contact you at the telephone number provided on your application.

Full Name

Address

City

State

Zip

Telephone

Social Security Number

Salary Requirements

Type of Employment Desired

Full-time Part-time

Position Applying For

If you are under 18 years of age, can you provide a work permit?

Yes No

If no, please explain:

Have you ever worked for this company or NEA Performance Plus (sister company)?

Yes No

If yes, when?

Are you legally allowed to work in the United States?

Yes No

Have you ever plead guilty, no contest or been convicted of a crime?

Yes No

If yes, please give dates and details

High School Name & Location

Did you graduate?

Yes No

College Name & Location

Number of years attended

Degree completed

Trade School Name & Location

Number of years attended

Degree completed

Please list any special skills, qualifications, certifications that may apply to this position

Previous Employer Name #1

Address

City

State

Zip

Phone Number

Supervisor

Date Hired

Date of Departure

Responsibilities

Reason for leaving

May we contact this employer for a reference?

Yes No

Previous Employer Name #2

Address

City

State

Zip

Phone Number

Supervisor

Date Hired

Date of Departure

Responsibilities

Reason for leaving

May we contact this employer for a reference?

Yes No

Previous Employer Name #3

Address

City

State

Zip

Phone Number

Supervisor

Date Hired

Date of Departure

Responsibilities

Reason for leaving

May we contact this employer for a reference?

Yes No

Upload your resume or any other documentation that may help the decision process

I Agree

I authorize any person, organization, or company listed on this application to furnish you any and all information concerning my previous employment, education, and qualifications for employment. I also authorize you to request and receive such information.

10041 Hwy 63 North
Bono, AR. 72416

T: 870.336.0590
E: info@aim1.us

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