PAI Employment Application

Take the first step in joining the PAI Team by completing the employment application below! If you encounter any challenges or have questions regarding the application, please let us know by calling the office at (603) 456-3678 or emailing recruitment@pellettieriassoc.com

Tell us about yourself!

First Name *

Last Name *

Address, City, State, Zip Code *

Phone *

Email Address *

Position Applying For *

How did you hear about PAI? *

Are you legally authorized to work in the United States? *

Yes

Have you ever been employed by PAI before? *

Yes

Are you at least 18 years of age? *

Yes

If not, can you provide a New Hampshire Youth Employment Certification?

Yes

Do you have a valid drivers license? *

Yes

When are you available to begin work? *

What is your expected starting wage? *

Were you referred to us by one of our amazing team members? Let us know their name!

Education & Training Experience

High School/GED *

Did you graduate? *

Yes

College

Did you graduate?

Yes

Technical or Trade Programs/Schools

Did you graduate?

Yes

Professional Certifications & Trainings

Work Experience

Company 1

Company Name *

Address, City, State *

Start Date *

End Date *

Ending Wage *

Position & Responsibilities/Duties *

Supervisor & Title *

Reason for Leaving *

May we contact? *

Yes

Phone *

If no, why not?

Company 2

Company Name

Address, City, State

Start Date

End Date

Ending Wage

Position & Responsibilities/Duties

Supervisor & Title

Reason for Leaving

May we contact?

Yes

Phone Number

If no, why not?

Professional References

PAI will make sure to notify you before contacting the references listed below.

Reference 1

Name *

Title/Relationship *

Company *

Years Known *

Phone *

Reference 2

Name *

Title/Relationship *

Company *

Years Known *

Phone *

Driving Information

License Number, State, & Expiration Date *

Has your license ever been suspended or revoked? *

Yes

If yes, explain:

Do you have personal automobile insurance? *

Yes

If no, explain:

Have you ever been denied personal automobile insurance or has it ever been terminated/suspended? *

Yes

If yes, explain:

Additional Application Information

If interested, please submit a copy of your resume, cover letter, portfolio, work samples, or any additional materials you would like to submit.

Applicant Materials

Applicant Certification

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application may be grounds for dismissal. I understand that the information provided herein may be used and that my prior employers may be contacted for the purpose of investigating my background. I further understand and agree that if hired, my employment is "at will" for no definite period, and may be terminated at any time without any prior notice, for any reason, and that it in no way is to be construed as a contract of employment, regardless of the date of payment of my wages or salary.

E-Signature *

clear

Date * +

Thank you!

A member of our team will be in touch after reviewing your application & materials. For any questions, please reach out to recruitment@pellettieriassoc.com