Application for Employment

Date
Full Name*
First Last
Address
Street Address City State ZIP Code
Best Contact Phone Number*
Email
Are you 18 years of age or older?*
- Yes
- No
When will you be able to begin work?*
Position interested in*
Shift preference
- 6 a.m. to 2:20 p.m.
- 2:20 p.m. to 12:40 a.m. (Monday-Thursday)
- 12 hours Friday, Saturday, and Sunday

Are you legally authorized to work in the United States*
- Yes
- No
Have you ever worked for LINDAR/Avantech/Tri-Ven before?*
- Yes
- No
If yes, please provide dates of employment*
Where did you hear about Avantech?*
- Newspaper
- Friend/Family
- Referral from current employee
- Avantech website
Current employee's name
Please upload your resume and/or additional documents here:
Drop files here or

Please be sure your employment record accounts for all positions in the past 10 years, including current employment, U.S Military Service, and any periods of unemployment.
Current or Most Recent Employer
Name
Company Address
City State
Starting Date
Ending Date
Supervisor's Name
Phone
Email
May we contact
- Yes
- No
Previous Employment 1
Name
Company Address
City State
Starting Date
Ending Date
Supervisor's Name
Phone
Email
May we contact
- Yes
- No
Previous Employment 2
Name
Company Address
City State
Starting Date
Ending Date
Supervisor's Name
Phone
Email
May we contact
- Yes
- No

Personal References
Please list 3 non-relative references that you have known for at least 1 year.
Reference 1
Name
First Last
Occupation
Address
City State / Province / Region
Phone
Email
Years known
Reference 2
Name
First Last
Occupation
Address
City State / Province / Region
Phone
Email
Years known
Reference 3
Name
First Last
Occupation
Address
City State / Province / Region
Phone
Email
Years known

I certify that the statements I have made in this application are true, accurate and complete to the best of my knowledge. I understand that falsification or misrepresentation of any information I have provided Avantech, Baxter, MN may be cause for dismissal at any time during my employment. I authorize Avantech, Baxter, MN to secure and review reports from previous employers, and motor vehicle records (if job requires driving a vehicle) acknowledging that the company has no liability whatsoever for such review or utilization of such reports. I agree to submit proof of my age and legal right to work before beginning employment with Avantech, Baxter, MN. I understand that my filling out this application does not indicate that there is a current job opening and does not obligate Avantech, Baxter, MN to hire me. I further understand that, if hired, my employment is for no definite period and may be terminated by Avantech, Baxter, MN at any time, for any reason, or no reason, without prior notice.*
- Yes
- No