Employment Application

What location are you applying at?


PERSONAL INFORMATION

Last Name, First Name, Middle Name

Present Address, City, State and Zip Code

Permanent Address, City, State, and Zip Code

Phone

18 years or older?

Are you prevented from lawfully becoming employed in this country because of visa or immigration status?


EMPLOYMENT DESIRED

Position

Date you can start

Desired Salary

Are you employed now?

If so may we inquire of your present employer?

Have you ever applied to Truck Equipment Inc. before?

If so, where?

When?

Referred by?


EDUCATION

High School (Name and Location)

No. of years attended

Did you graduate?

College/University (Name and Location)

No. of years attended

Did you graduate?

Trade, Business or Tech School (Name and Location)

No. of years attended

Did you graduate?

GENERAL

Subjects of special study or research work?

Special Skills

Activities: (Civic, Athletic, Etc.)

Exclude Organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin of its members.

U.S. Military or Naval Service

Rank

FORMER EMPLOYERS

Please list the last three employers, starting with the most recent first.

From

To

Name and Address of Employer

Salary

Position

Reason for Leaving

From

To

Name and Address of Employer

Salary

Position

Reason for Leaving

From

To

Name and Address of Employer

Salary

Position

Reason for Leaving

Which of these jobs did you like best?

What did you like the most about this job?

REFERENCES

Give the names of three persons not related to you, whom you have known at least one year.

Name

Phone Number

Business

Name

Phone Number

Business

Name

Phone Number

Business

AUTHENTICATION

In case of Emergency Notify: (Include Name, Address and Phone Number)

"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed with or without cause, and with or without notice at anytime by the company. I understand that no company representative, other than it's president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."

Date

Signature

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