Job Application

Fill out the downloadable PDF form “AC Ice Job Application” and email or drop it off, or fill out the “Employment Application” below.

PDF Form LINK

AC Ice Job Application

OR

Employment Application

Personal Info

First Name, Middle Initial(required)

Last Name(required)

Street Address (Apartment/Unit# if applicable)(required)

City(required)

State(required)

Zipcode(required)

Email

Phone(required)

Check if you are you authorized to work in the U.S.?

Check if you have ever worked for this company before?

If yes, when?

---

Position Info

Location (Working Facility)(required) Brush CO (Main Office) Colorado Springs (Southern Colorado Warehouse) Longmont CO (Northern Colorado Warehouse)

Positions (Select One)(required) Route Helper Route Driver Non-CDL Route Driver Class B CDL

Days Available to Work (Check each applicable option)(required)

Monday Tueday Wednesday Thursday Friday Saturday Sunday

Desired Salary

---

Education

High School

Address

Date (From-To)

Check if you graduated

If yes, with what Degree?

College

Address

Date (From-To)

Check if you graduated

If yes, with what Degree?

Other Education

Address

Date (From-To)

Check if you graduated

If yes, with what Degree?

---

References

Full Name of Reference #1(required)

Relationship(required)

Company(required)

Phone(required)

Address(required)

Full Name of Reference #2(required)

Relationship(required)

Company(required)

Phone(required)

Address(required)

Full Name of Reference #3

Relationship

Company

Phone

Address

---

Previous Employment

Company #1(required)

Phone(required)

Address(required)

Name of Supervisor(required)

Job Title(required)

Responsibilities(required)

Date of Employment (From-To)(required)

Reason for Leaving(required)

Check if we may contact your previous supervisor for a reference.

Company #2(required)

Phone(required)

Address(required)

Name of Supervisor(required)

Job Title(required)

Responsibilities(required)

Date of Employment (From-To)(required)

Reason for Leaving(required)

Check if we may contact your previous supervisor for a reference.

Company #3(required)

Phone(required)

Address(required)

Name of Supervisor(required)

Job Title(required)

Responsibilities(required)

Date of Employment (From-To)(required)

Reason for Leaving(required)

Check if we may contact your previous supervisor for a reference.

---

Military Service

Branch (If applicable)

Date in Service (From-To)

Rank at Discharge

---

Disclaimer & E-Signature

A routine inquiry, to obtain applicable information concerning your qualifications as a candidate may be made during our initial or subsequent processing of your application. Upon written request from you, additional information as to the nature and scope of the inquiry, if one is made, will be provided.

I certify that the answers given by me on the foregoing questions and statements are true and correct and without consequential omission. I agree that the Company shall not be liable if my employment is terminated because of material, false statement(s), answers or omissions made by me completing this Application of Employment.

I authorize the companies, agencies, schools, institutions, or persons named herein to give relevant information regarding my employment or scholastic standing, together with any other information they may have relative to my application for employment. I expressly waive all provisions of law prohibiting any person of school, business or other similar institution from disclosing to the Company, in confidence, any knowledge concerning my employment or scholastic standing relative to my job description.

E-Signature your full name to acknowledge that you have read and agree to the Disclaimer above.(required)

Submit

Δ

Advertisement