Personal
Information *
Required Fields |
*
First Name:
|
|
*
Last Name:
|
|
*
Your E-mail:
|
|
*
Address: |
|
*
Years At
This Address: |
|
*
City: |
|
*
Phone Number:
|
|
Cell
Number: (optional) |
|
*
Referred
By: |
|
*
Contact
Type: |
|
*
18 Years
Or Older: |
|
*
Desired
Employment |
|
Driver
Telephone Reservation Specialist
Ride Attendand
Other / Second Desired |
*
Date You
Can Start: |
|
*
Salary
Desired: |
|
*
Are You
Employed Now ? |
|
Education
|
Grammar
School:
Name
& Location Of School |
|
Years
Attended: |
|
High
School:
Name
& Location Of School |
|
Years
Attended: |
|
College:
Name
& Location Of School |
|
Years
Attended: |
|
Trade,
Business, Other School:
Name
& Location Of School |
|
Years
Attended: |
|
Former
Employers |
1.
Name & Address of Present Employer: |
|
Phone
Number: |
|
May
we contact them: |
|
Starting
Date: |
|
End
Date: |
|
Reason
for leaving: |
|
2.
Name & Address of Past Employer: |
|
Phone
Number: |
|
May
we contact them: |
|
Starting
Date: |
|
End
Date: |
|
Reason
for leaving: |
|
References |
*
Reference
1
Name, Address, Phone |
|
*
Reference
2
Name, Address, Phone |
|
*
Reference
3
Name, Address, Phone |
|
Service
Record |
Military:
Branch of Service and Discharge
Date: |
|
Please
list any Special Skills that would be an asset to our company: |
|
*
Have you
ever been convicted of a Felony within the last
5 Years ? |
|
If
"Yes" Please Explain
( Will not necessarily exclude
you from consideration ) |
|
*
Do you
have any medical conditions that may inhibit your
performing certain duties ?
(i.e.: lifting, standing,etc.) |
|
If
"Yes" Please Explain
( Will not necessarily exclude
you from consideration ) |
|
Additional
Information ( Optional ) |
If
you would like to include any additional information
you may do so here. |
|
APPLICANT'S STATEMENT
AUTHORIZATION
"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
shall be grounds for dismissal.
I
authorize investigation of all statements contained herein
and the references and employees listed above to give you
any and all information concerning my previous employment
and any pertinent information they may have, personal or
otherwise and release the company from all liability for
any damage that may result from utilization of such information.
I
also understand and agree that no representative of the
company has any authority to enter into any agreement for
employment for any specified period of time, or to make
any agreement contrary to the foregoing, unless it is in
writing and signed by authorized company representative."
|
|