Automated Documents Solutions

Employment Application

ADS Secure Online Employment Application You may complete the online application below, or if you prefer, print the application and either fax to 352-589-9389, or mail to: Automated Document Services, Inc., P. O. Box 350288, Grand Island, Fla. 32735.
Personal Information
Title:
Last Name:
First Name:
Middle Name:
Nickname (optional):
Current Street Address:
City:
State:
Zip Code:
Home Phone Number:	- -
*Social Security Number:	--
Email Address:

OTHER INFORMATION
Work Phone Number:	-- - EXT:
Fax Number:	--
How did you hear about this job? :
Upon employment, can you provide proof of your legal right to work in the U.S. ?
Are you at least 18 years of age?
Do you have relatives employed by Automated Document Services?
If Yes, state name, location and relationship:

Is there any reason why you would be unable to perform or to perform safely the essential functions of the position?
If Yes, please explain:	NOTE: Pursuant to the provisions of the Americans with Disabilities Act of 1990, we will provide reasonable accommodation to qualified individuals with a disability if an accommodation is requested.

*Have you ever been convicted of a felony?
*Have you ever plead nolo contendre(no contest) to a felony?
*Have you ever plead guilty to a felony?
*Have you ever been found guilty of a felony?
Please explain: (INCLUDE ANY AND ALL INSTANCES OF THE FOREGOING EVEN IF ADJUDICATION WAS WITHHELD)	NOTE: A "Yes" response does not necessarily disqualify an applicant from employment.

EDUCATION HISTORY
Name of High School:
City and State of High School
Graduated High School? :
Name of College/University/Vocational School:
City and State of College/University/Vocational School:
Graduated College?:
If Graduated, type of Degree/Certificate earned:

PROFESSIONAL LICENSES
Type of License:
Number & State:
Expiration Date:

CERTIFICATIONS
Type:
Expiration Date:
Type:
Expiration Date:
Type:
Expiration Date:

PREVIOUS EMPLOYMENT INFORMATION
Have you applied with ADS in the past? :
Were you ever previously employed with ADS? :

EMPLOYMENT RECORD If you answered YES to being previously employed with ADS, please complete this section, otherwise continue with EMPLOYMENT HISTORY.
Enter Your Previous location:
Begin Date of Previous Employment:
End Date of Previous Employment:
If Last Name was different, enter Former Last Name:
If First Name was different, enter Former First Name:
If Middle Initial was different, enter Middle Initial:
Home Address at time of Previous Employment
Street Address:
Street Address (continued):
City:
State:
Zip:

EMPLOYMENT HISTORY Give a complete record of all employment you have had for the last ten (10) years, including military service. START WITH YOUR MOST RECENT EMPLOYMENT AND LIST YOUR WORK RECORD IN REVERSE ORDER. If more than one position or classification has been held with an employer, list each position or classification as a separate period of employment.
May we contact your present employer?:
Position:
Employed From (date):
Employed To (date):
Hourly Ending Rate:
Company Name:
Company Address:
Telephone:	--
Kind of Business:
Reason For Leaving:
Duties:
Immediate Supervisor:

Position:
Employed From (date):
Employed To (date):
Hourly Ending Rate:
Company Name:
Company Address:
Telephone:	--
Kind of Business:
Reason For Leaving:
Duties:
Immediate Supervisor:

Position:
Employed From (date):
Employed To (date):
Hourly Ending Rate:
Company Name:
Company Address:
Telephone:	--
Kind of Business:
Reason For Leaving:
Duties:
Immediate Supervisor:

Position:
Employed From (date):
Employed To (date):
Hourly Ending Rate:
Company Name:
Company Address:
Telephone:	--
Kind of Business:
Reason For Leaving:
Duties:
Immediate Supervisor:

Position:
Employed From (date):
Employed To (date):
Hourly Ending Rate:
Company Name:
Company Address:
Telephone:	- -
Kind of Business:
Reason For Leaving:
Duties:
Immediate Supervisor:

Other Information:
List all specific skills that would qualify you for a job with our company:
List typing speed:
List all office equipment that you have had experience with, i.e. personal computer, scanner, etc:
Why are you applying for a job with our company?
Desired Work Schedule:
Desired Work Status:
Desired rate of pay expected:
Date Available to Begin Work:(ie: 1/11/04)

MILITARY STATUS
Veteran Status:
Draft Status:
Final Military Rank:
Current Military Status:

CONDITIONS OF EMPLOYMENT

READ CAREFULLY: I certify that all employment information supplied to Automated Document Services, Inc. on this application form is true and complete to the best of my knowledge. I understand that any omissions of facts or incorrect information contained herein may lead to termination of my employment. I also understand that should I become employed by Automated Document Services, Inc., my employment at all times will be at the will and pleasure of Automated Document Services, Inc. I authorize Automated Document Services, Inc. to investigate all statements contained in this application, including my employment records and criminal background with no liability arising there from and I agree, if employed, to abide by all Automated Document Services, Inc. rules and regulations. I understand that my employment shall be on a probationary basis for six months. My employment is also contingent upon successfully completing all portions of a pre-employment physical assessment, drug screen and a consumer report that may contain information regarding my: credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, mode of living, as well as a criminal background check as required by position. In the event of my termination, I authorize Automated Document Services, Inc. to hold my final paycheck until all Automated Document Services property is returned and withhold all monies due Automated Document Services.

By clicking on the Submit Application button below and/or signing the below I am authorizing Automated Document Services, Inc. to be able to perform all require background checks in my name.

In order to properly obtain criminal background information the following Additional Information is required.This information is not used in any way as a part of the employment decision process. The information below is used to obtain background information only.


County of Residence:
Maiden Name if applicable:
Date of Birth:

Automated Document Services, Inc. requires a social security number in order to process your application. If you do not wish to provide your social security number on our website, then we cannot accept this application on-line, however if you would prefer, please print the pdf version of this application, complete all sections including the social security number, and fax it to: 352-589-9389 or mail to Automated Document Services, Inc., P. O. Box 350288, Grand Island, Fla.32735.