AAR: Association of Alexandria Radiologists, PC

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Application

Name

Address

City

State

Zip

Home phone

Business phone

Email address

Position applying for

Date available for employment

Salary desired

Applying for

	Full-Time
	Part-Time
	Temporary

How were you referred to AAR?

Have you ever been employed by AAR?

If yes, position

If yes, department

Are you willing to provide the necessary documentation to establish your identity and your authorization to work in the United States under the Immigration Reform and Control Act of 1986?

Do you have any commitments to another employer that might affect your employment with us? Please explain.

Since reaching age 18, have you ever been convicted of a misdemeanor or felony? (Note: Convictions will not necessarily bar you from employment but are reviewed as related to the relevancy of the job for which you have applied.

If yes, please explain

Have you ever served in the military?

If yes, please provide your beginning and ending service dates

If yes, branch of service

If yes, highest rank achieved

Please copy and paste your resume into the box below

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date.

I understand that my employment can be terminated, with or without cause, at any time at the discretion of the employer or myself. I understand that no management official of the employer other than the chief executive officer of the employer has any authority to enter into any agreement contrary to the foregoing or to make any oral assurance or promise of continued employment to me.

I authorize persons, schools, my current employer (if applicable), and previous employers and organizations named in this application (and accompanying resume, if any) to provide any relevant information that may be required to arrive at an employment decision.

I agree

I disagree