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