Aqua Power Inc.

Power in Water

(218) 744-1144

TOLL FREE: (877) 477-1144

After 4pm call (218) 410-1110

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Aqua Power Inc
800 Park Avenue
Eveleth, MN 55734

Toll Free: 1-877-477-1144
Local: (218) 744-1144
Fax: (218) 744-5555
info@aquapower.us

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Your Email (required)

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Tony Bernard
President/Owner
Mobile: (218) 290-0745
tony@aquapower.us

Bobbi Ersbo
CEO
Mobile: (218) 750-7269
bobbi@aquapower.us

Debby Thompson
Customer Service
Direct: (218) 744-1144
debby@aquapower.us

Application for Employment

1Applicant Details

2Eligibility

3Education/Training

4Skills/Abilities

5Work Experience

6Personal References

7Submit

Applicant Details
Position Applied For:*
Referral Source
Last Name, First Name Middle Initial*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*

Eligibility
Are you at least 18 years of age?*
- Yes
- No
Are you a U.S. Citizen or legally authorized to work in the U.S.?*
- Yes
- No
Date you are able to start work:*
MM slash DD slash YYYY
May we contact your current employer?*
- Yes
- No
Are you on layoff status or subject to recall elsewhere?*
- Yes
- No
Pay Expected $:*
If hired, how long do you plan to continue working for the company?*
Do you have a valid driver’s license?*
- Yes
- No
What is your driver’s license class?*
Do you have an MSHA Certificate?*
- Yes
- No
Do you have an OSHA Card?*
- Yes
- No
Have you previously applied with us?*
- Yes
- No
When*
MM slash DD slash YYYY
Have you previously worked with us?*
- Yes
- No
When*
MM slash DD slash YYYY
Do you have any relatives working for us?*
- Yes
- No
If so, who?*

Education/Training
High School
Name and Location Did you Graduate? Subjects Studied
College
Name and Location Did you Graduate? Subjects Studied
Other Training
Name and Location Did you Graduate? Subjects Studied

Skills/Abilities
Do you have any mechanical experience? If so, what?
Do you have any truck driving experience?
List any machines you are skilled in using:
List any skills or abilities you have which are pertinent to the position, including hobbies or related interests:

Please List Work Experience, Including Military and/or Volunteer Experience
Present or Last Employer
Employer Phone
Employer Address
Street Address Address Line 2 City State ZIP Code
Start Date
MM slash DD slash YYYY
Leaving Date
MM slash DD slash YYYY
Supervisor
Rate of Pay $:
Job Title & Duties:
Why Did You Leave?
Previous Employer
Employer Phone
Employer Address
Street Address Address Line 2 City State ZIP Code
Start Date
MM slash DD slash YYYY
Leaving Date
MM slash DD slash YYYY
Supervisor
Rate of Pay $:
Job Title & Duties:
Why Did You Leave?
Previous Employer
Employer Phone
Employer Address
Street Address Address Line 2 City State ZIP Code
Start Date
MM slash DD slash YYYY
Leaving Date
MM slash DD slash YYYY
Supervisor
Rate of Pay $:
Job Title & Duties:
Why Did You Leave?

Personal Reference (not a relative)
Name
Phone
Address
Street Address Address Line 2 City State ZIP Code
Occupation:
How Long Known?

Please Read Each of the Following Items Before Signing This Application
1. As a final step in the hiring process, you will be subject to drug screening for illegal drugs and a criminal background check. Applicants who confirm positive on drug screening or fail the criminal background check will not be considered for employment. If a job offer is made, it may be made contingent upon the successful passing of a physical.
2. I CERTIFY that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, false, misleading or incomplete statements on this application shall be grounds for dismissal.
3. I AUTHORIZE the company to investigate information concerning my previous employment, education and background. I further release all parties from all liability for any damage that may result from furnishing or receiving such information.
4. I UNDERSTAND and agree that my employment and compensation may be terminated at any time without prior notice, with or without cause, at the option of the company or myself.
5. I UNDERSTAND that all company property must be returned and any indebtedness to the company must be paid on or before my last day of work. I authorize the company to deduct from my final paycheck an amount necessary to satisfy any unpaid obligation.
By checking this box, you agree to the proceeding statements.*
- I agree
Today's Date*
MM slash DD slash YYYY
Full Name*
Email
This field is for validation purposes and should be left unchanged.

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