Mechanic Job Application

APPLICANT INFORMATION

Date

Position Applying For

Mechanic

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First Name *

Middle Name *

Last Name *

Phone *

Email *

Emergency Phone *

Age

(The Age Discrimination of Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.)

Social Security #

Date of Birth

Drivers License #

DL State

DL Exp. Date

Current & 3 Years Previous Addresses:

Current Address

From

To

Add Address Remove Address

STI History

Have You Worked For STI Before? *

Yes

No

From

If Yes, provide dates.

To

Reason For Leaving

If it was an Employee who?

Education History

Please Select The Highest Grade Completed

Employment History

Give a COMPLETE RECORD of all employment for the past three (3) years, including any unemployment or self-employment periods, and all commercial driving experience for the past ten (10) years.

From

To

Present or Last Employer Name

Position Held

Reason For Leaving

Company Phone

Address

City

State/Province

Zip/Postal

Add More Remove

Job References

List three (3) persons for references, other than family members, who have knowledge of your safety habits.

Name

Address

Phone

Name

Address

Phone

Names

Address

Phone

I have read and agree

It is agreed and understood that any misrepresentation given on this application shall be considered an act of dishonesty.

I have read and agree

It is agreed and understood that the Signature Transport, Inc. or his agents may investigate the applicant’s background to obtain any and all information of concern to applicant’s record, whether same is of record or not, and applicant releases employers and person named herein from all liability for any damages on account of his furnishing such information.

I have read and agree

It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigating Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living.

I have read and agree

I agree to furnish such additional information and complete such examinations as may be required to complete my application file.

I have read and agree

It is agreed and understood that this Application in no way obligates the Signature Transport, Inc. to employ or hire the applicant.

I have read and agree

It is agreed and understood that if qualified and hired, I may be on a probationary period during which time I may be disqualified without recourse.

I have read and agree

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge

Signature

Clear

Today's Date

Work for Signature Transport Inc.

APPLICANT INFORMATION

Current & 3 Years Previous Addresses:

STI History

Education History

Employment History

Job References