Employment Application

Truck Center Employment Application
We consider applicants for all positions without regard for race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.
 
Today's Date 
Position(s) Applied For
How did you hear about us?
Ad Agency Friend Relative
Internet Other
Full Name 
Address 
City-State-ZIP 
Phone Number 
S.S. Number 
If you are under 18, can you provide proof of your eligibility to work? No Yes
Have you ever filed an application with us before? No Yes
Are you currently employed? No Yes
May we contact your present employer? No Yes
Are you prevented from lawfully becoming employed in this country because of VISA or Immigration Status? No Yes
On what date would you be available for work?
Are you available to work:
Full Time Part Time Shift Work Temporary
Are you currently on "lay-off" status and subject to recall? No Yes
Can you travel if a job requires it? No Yes
Have you been convicted of a felony within the last 7 years? No Yes
If yes, please explain
 
EDUCATION
 
Elementary School
Address
Course Study
Years Completed
Diploma/Degree
 
High School
Address
Course Study
Years Completed
Diploma/Degree
 
Undergraduate College
Address
Course Study
Years Completed
Diploma/Degree
 
Graduate Professional
Address
Course Study
Years Completed
Diploma/Degree
 
Indicate any foreign languages you can speak, read and or write:
 
Describe any specialized training, apprenticeship, skills and extra-curricular activities:
 
Describe any job-related training received in the United States Military:
 
EMPLOYMENT EXPERIENCE
 
Present and Past Employment for Five Years (Present or Last Employer First)
Company 
Address 
City-State-ZIP 
Phone Number 
Position Held 
How long?  Years & Months
 
Former Company 
Address 
City-State-ZIP 
Phone Number 
Position Held 
How long?  Years & Months
 
Former Company 
Address 
City-State-ZIP 
Phone Number 
Position Held 
How long?  Years & Months
 
List professional, trade, business or civic activities and offices held:
 
ADDITIONAL INFORMATION
 
Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience:
 
State any additional information you feel may be helpful to us in considering your application:
References
Name 
City-State 
Phone Number 
 
Name 
City-State 
Phone Number 
 
Name 
City-State 
Phone Number 
 
SIGN AND DATE
 
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be neccesary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Signature
Date
Email Address   




 

 

 

 

 

 

Truck Center, Inc.
120 Universal Drive
North Haven, CT 06473
Phone: 203.785.8322
Fax: 203.773.5046
 

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Truck Center, Inc.