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Name *
First First
Last Last
Email *
Phone *
Address *
Address
Address
City City
State/Province State/Province
Country Country
Type of employment desired:
Full-time
Part-time
Temporary
Seasonal Shift Desired
Do you need any accommodation to participate in the application or interview process? *
Yes
No
Are you legally eligible for employment in the United States? *
Yes
No
Name of High School
If you did not complete high school, do you have a GED?
Yes
No
Education beyond high school
Date Completed
Major
Vocational Training
Skills and Qualification. Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.
“Have you ever pled guilty or “no contest” to, or been convicted of a serious misdemeanor or felony? *
Yes
No
Date of offense
Details of offense
Company Name
Company Address
Company Address
Company Address
City City
State/Province State/Province
Country Country
Employment Start Date
Employment End Date
Phone
Name of Contact
Reason for leaving
Were you subject to the Federal Motor Carrier Service Regulations (FMCSRs) while employed by this employer?
Yes
No
I don’t know
Was the job designated as safety sensitive function any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?
Yes
No
I don’t know
Company Name
Company Address
Company Address
Company Address
City City
State/Province State/Province
Country Country
Employment Start Date
Employment End Date
Phone
Name of Contact
Reason for leaving
Were you subject to the Federal Motor Carrier Service Regulations (FMCSRs) while employed by this employer?
Yes
No
I don’t know
Was the job designated as safety sensitive function any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?
Yes
No
I don’t know
Company Name
Company Address
Company Address
Company Address
City City
State/Province State/Province
Country Country
Employment Start Date
Employment End Date
Phone
Name of Contact
Reason for leaving
Were you subject to the Federal Motor Carrier Service Regulations (FMCSRs) while employed by this employer?
Yes
No
I don’t know
Was the job designated as safety sensitive function any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?
Yes
No
I don’t know
I certify that all information I have provided in order to apply for and secure work with Hanser’s Towing & Semi Truck Heavy Wrecker & Wrecker Company is true, complete and correct. If any information provided by me is found to be false, incomplete or misrepresented in any respect, it will be sufficient cause to cancel further consideration of this application, or immediately discharge me from Hanser’s Towing & Semi Truck Heavy Wrecker & Wrecker Company, whenever it is discovered.
I expressly authorize Hanser’s Towing & Semi Truck Heavy Wrecker & Wrecker Company, without reservation, to contact and obtain information from all references, employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information regarding me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding Hanser’s Towing & Semi Truck Heavy Wrecker & Wrecker Company or its agents for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.
I understand that Hanser’s Towing & Semi Truck Heavy Wrecker & Wrecker Company, does not unlawfully discriminate in employment, and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.
I understand that a pre-employment drug screen will be required by Hanser’s Towing & Semi Truck Heavy Wrecker & Wrecker Company due to working in a hazardous environment.
I understand that this Employment Application will remain active for a 30 days and I must renew my application after that time period to be considered for other job openings.
I understand that any offer of employment can be withdrawn with or without cause at any time at the option of Hanser’s Towing & Semi Truck Heavy Wrecker & Wrecker Company.
I certify that I have read, fully understand and accept all terms of the foregoing Application Statement.
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