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Employment Application

The document is a 3-page job application for Mike's Trucking Inc. It requests personal information like name, address, and social security number. It asks about employment history, education, references, and availability. The applicant authorizes Mike's Trucking to contact former employers and references, and understands falsified information is grounds for dismissal.

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151 views3 pages

Employment Application

The document is a 3-page job application for Mike's Trucking Inc. It requests personal information like name, address, and social security number. It asks about employment history, education, references, and availability. The applicant authorizes Mike's Trucking to contact former employers and references, and understands falsified information is grounds for dismissal.

Uploaded by

api-175785091
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

Page 1 of 3

Mikes Trucking Inc

.
3302 Pluto Street, Dallas, Texas 75212
office (214) 905.9202 fax (214) 905.1975
AN EQUAL OPPORTUNITY EMPLOYER
APPLICATION FOR EMPLOYMENT

Date: _________

Please Print and fax to (214) 905.1975


PERSONAL

Name: _____________________________________ Soc. Sec. # _____________________________


Present Address : ___________________________________________________________________
No.
Street
City
State
Zip
Previous Address:___________________________________________________________________
Are you 18 years of age or over?
Are you a U.S. citizen?

Yes

Yes

No

Phone No. ___(___)________-___________

No

Do you have a valid operators (drivers) license?

Yes

No

If yes, license number and state ________________________________________________________

EMERGENCY CONTACT
In case of an emergency notify: Name: __________________________________________________
Address: __________________________________________________________________________
Phone:

__(___)____________________________________________________________________

EMPLOYMENT DESIRED
Position: ________________________ Date you can start: ___________ Salary desired: __________

Type of Employment Desired:

Part-time

Full-time

Temporary

Day

Evenings

Weekends

Page 2 of 3

EDUCATION

Name and Location of School

No. of
Years
Attended

Graduated?
Yes / No

Course
Or
Major

High School
College
Other Education

EMPLOYMENT HISTORY
List your record of employment beginning with your present or most recent position.
Dates
From
To

Name and Address of Employer Position

Supervisors
Name
and Title

Reason for
Leaving

Describe the work you did:


__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

EMPLOYMENT HISTORY (continued)

Dates
From
To

Name and Address of Employer Position

Supervisors
Name
and Title

Reason for
Leaving

Describe the work you did:


_________________________________________________________________________________
_________________________________________________________________________________

Page 3 of 3

_________________________________________________________________________________
Dates
From
To

Name and Address of Employer Position

Supervisors
Name
and Title

Reason for
Leaving

Describe the work you did:


__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
May we contact the employers listed above?
one(s) you do not wish us to contact.

Yes

No

If not, indicate which

______________________________________________________________________________

THREE (3) REFERENCES: ______________________________________________________


______________________________________________________
______________________________________________________

I authorize Mikes Trucking Inc. to contact former employers and references. 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.

_________________________________________
Applicants Signature

_____________________________
Date

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