What year did you graduate from high school?

What kinds of health problems have you had?

Who should we notify in case of an emergency?

What nationality is your last name?

Are you bilingual?

Have you ever been arrested?

Have you ever been a member of a union or labor organization?

At this time, are you taking any prescription drugs?

Will you continue to work once you start a family?

What do you like to do in your spare time?

How many children do you have?

What kind of military discharge did you receive?

Do you have reliable child care?

What does your spouse do for a living?

Have you ever received worker’s compensation?

Are you a citizen of another country?

Can you work on Sundays?

Would you like to be called Miss, Mrs. or Ms?

Have you ever declared bankruptcy?

Are there any other holidays other than the national holidays observed which would require you to be absent from work?

Your Name (optional)

Company Name

E-mail Address (optional)

APS will keep your email address and personal information confidential. We will never give your personal information to any other company or organization.