AQUA ENGINEERS
3560 Koloa Road, Kalaheo, HI 96741
Phone: (808) 332-7381, Fax: (808) 332-7561
 

APPLICATION FOR EMPLOYMENT

 

INSTRUCTIONS: Please complete all portions of this employment application to be considered for employment. If you require accommodation during the employment application process, including assistance in the completion of this employment application, please let us know. We are an Equal Opportunity Employer. We do not discriminate in employment opportunities or practices on the basis of race, color, religion, sex or gender, national origin, citizenship, age, disability, ancestry, sexual orientation, arrest and court record except as provided by H.R.S. 378-2.5, marital status, military/, veteran status, genetic information, credit history, status as a domestic or sexual violence victim if notice is given to us or we have actual knowledge of such status, or any other characteristic protected by law. Consideration for employment after a six-month period requires completion and submission of a new application.

  PERSONAL DETAILS
 
LAST NAME*
FIRST NAME*
HAVE YOU EVER USED ANY OTHER NAMES? IF SO, PLEASE PRINT. (For background and criminal conviction check)
PRESENT ADDRESS*
APT NO.
CITY*
STATE*
ZIP*
PHONE*
SOCIAL SECURITY NUMBER (OPTIONAL)
CELLULAR
E-MAIL*
 
  DESIRED EMPLOYMENT
DESIRED POSITION*
DATE YOU CAN START*
SALARY DESIRED (per year)*
HAVE YOU EVER APPLIED FOR EMPLOYMENT AT THIS COMPANY BEFORE?*
WHERE?
WHEN?
HAVE YOU EVER WORKED FOR THIS COMPANY BEFORE?*
WHERE?
WHEN?
WHO REFERRED YOU TO THIS COMPANY?*
APART FROM RELIGIOUS OBSERVANCES, WILL YOU BE ABLE TO WORK AT ALL OTHER TIMES?*
  *NOTE: if hired, you will be required to perform work as required by the Company
 
  FORMER EMPLOYERS
  Please account for the last ten years of employment.
FOR EACH EMPLOYER, YOU MUST ANSWER ALL QUESTIONS. CLICK ADD EMPLOYER FOR ADDING MORE EMPLOYERS.
In case you have no prior experience, please click "Remove the last added employer" and remove the former employers section before submitting.
  Add employer >>     Remove the last added employer >>    
EMPLOYER 1
NAME OF PRESENT OR LAST EMPLOYER*
ADDRESS*
CITY*
STATE*
ZIP*
STARTING DATE*
DATE LAST WORKED*
JOB TITLES*
MAY WE CONTACT YOUR SUPERVISOR?

IF NO, WHY?
NAME OF SUPERVISOR*
TITLE*
EMPLOYER’S PHONE NUMBER*
DESCRIPTION OF WORK:
REASON(S) FOR LEAVING, IF YOU WERE TERMINATED OR ASKED TO RESIGN, PLEASE EXPLAIN:*
EMPLOYER 2
NAME OF PRESENT OR LAST EMPLOYER*
ADDRESS*
CITY*
STATE*
ZIP*
STARTING DATE*
DATE LAST WORKED*
JOB TITLES*
MAY WE CONTACT YOUR SUPERVISOR?

IF NO, WHY?
NAME OF SUPERVISOR*
TITLE*
EMPLOYER’S PHONE NUMBER*
DESCRIPTION OF WORK:
REASON(S) FOR LEAVING, IF YOU WERE TERMINATED OR ASKED TO RESIGN, PLEASE EXPLAIN:*
EMPLOYER 3
NAME OF PRESENT OR LAST EMPLOYER*
ADDRESS*
CITY*
STATE*
ZIP*
STARTING DATE*
DATE LAST WORKED*
JOB TITLES*
MAY WE CONTACT YOUR SUPERVISOR?

IF NO, WHY?
NAME OF SUPERVISOR*
TITLE*
EMPLOYER’S PHONE NUMBER*
DESCRIPTION OF WORK:
REASON(S) FOR LEAVING, IF YOU WERE TERMINATED OR ASKED TO RESIGN, PLEASE EXPLAIN:*
EMPLOYER 4
NAME OF PRESENT OR LAST EMPLOYER*
ADDRESS*
CITY*
STATE*
ZIP*
STARTING DATE*
DATE LAST WORKED*
JOB TITLES*
MAY WE CONTACT YOUR SUPERVISOR?

IF NO, WHY?
NAME OF SUPERVISOR*
TITLE*
EMPLOYER’S PHONE NUMBER*
DESCRIPTION OF WORK:
REASON(S) FOR LEAVING, IF YOU WERE TERMINATED OR ASKED TO RESIGN, PLEASE EXPLAIN:*
 
  EDUCATION
SCHOOL LEVEL NAME AND LOCATION OF SCHOOL DID YOU GRADUATE? SUBJECTS STUDIED
 
  REFERENCES
  GIVE THE NAMES OF THREE PERSONS YOU ARE NOT RELATED TO,
WHOM YOU HAVE KNOWN AT LEAST ONE YEAR AND WHOM WE CAN CONTACT.
NAME ADDRESS YEARS KNOWN PHONE NUMBER
1
2
3
 
  JOB SKILLS, QUALIFICATIONS AND EMPLOYMENT GAPS
  SUMMARIZE YOUR JOB SKILLS, TRAINING AND/OR STUDY THAT ARE RELEVANT FOR THE DESIRED POSITION. ALSO, EXPLAIN ANY PERIODS THAT YOU WERE NOT WORKING.
 
  RESUME
 
Resume (Word, Text, PDF)
 
 
By typing my name below, I certify that I have read, fully understand and accept all terms of the Certification Statement.(Opens a new window)
DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT
Signature (Type your full name):*
Date of Signature:
You may wish to print this page for your records before submitting.