Aging Information Network has career opportunities available for those interested in sales opportunities. If you are interested in a position that allows you to control your income and have flexible hours please complete the application below and click SEND. For more information contact us at HR@ageinfonet.com

Aging Information Network.
Application for Employment

Aging Information Network is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job functions.
PERSONAL INFORMATION
Applicant 1
Last Name: First Name: MI:
Social Security: Phone:


Current Address
STREET
CITY
STATE / ZIP
Permanent Address (if different than above)
(If less than 2 years)
PREVIOUS ADDRESS:
STREET
CITY
STATE / ZIP
Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity Failure to submit such proof prohibits Aging Information Networks, from retaining your services until such time as such proof is presented and verified.
Position Applied For:
  1. Is there any information we would need about your name or use of another name for us to be able to check your work record? Please specify:

  2. Do you have any relatives who are presently (or have formerly been) employed by Aging Information Network.?

  3. How were you referred to Aging Information Network.?

  4. Have you ever been convicted of a felony? Yes No () If yes, please explain:


Educational History
Elementary/Jr. High:Years Completed:Degree/Diploma
High School:Years Completed:Degree/Diploma
Tech Training:Years Completed:Degree/Diploma
Other:Years Completed:Degree/Diploma
Employment Record   (Please include all employment for the last 5 years)
Employer #1
Company Name:Address
Position Held:Dates Employed: From:   To:
Manager/SupervisorPhone:  Wage/Salary:$
Reason For Leaving:
Employer #2
Company Name:Address
Position Held:Dates Employed: From:   To:
Manager/SupervisorPhone:  Wage/Salary:$
Reason For Leaving:
Employer #3
Company Name:Address
Position Held:Dates Employed: From:   To:
Manager/SupervisorPhone:  Wage/Salary:$
Reason For Leaving:


NOTE: We will contact all of the employers listed on this application unless you specifically exclude them below. Please list any employers you do not want us to contact and your reason for the exclusion:
Employer Name:Reason:
Employer Name:Reason:


References   (Please do not include relatives for former employers)
Reference #1
Name:Years Known:
Address:Phone:
Occupation:
Reference #2
Name:Years Known:
Address:Phone:
Occupation:
Reference #3
Name:Years Known:
Address:Phone:
Occupation:


Work Availability
If your application receives favorable consideration, when will you be available to begin work?
Do you have any objection to working overtime?Yes No
Can you work overtime without prior notice?Yes No
Can you work on Saturday?Yes No
Can you work on Sunday?Yes No
Can you travel if required by this position?Yes No


Work Availability
If your application receives favorable consideration, what salary/hourly rate would you require?
$ per

 




Contact AIN @ www.ageinfonet.com or at our mailing address: AIN P.O. Box 1188 Sharon Hill, PA19079