MAINTENANCE TECHNICIAN APPLICATION PERSONAL INFORMATION Full Name(required) Date(required) Address(required) City(required) State(required) Zip Code(required) Email(required) Phone Number(required) Position Applying For Temporary Part Time Full Time Rate of Pay Expected Referred By Name of Any Relatives Employed by Tramcor Are You a Citizen of the US?(required) Yes No If Not, Are You Legal to Work in the US?(required) Yes No Have You Ever Pled "Guilty", "No-Contest" or Been Convicted of a Crime?(required) Yes No If Yes, Please Explain Education Did You Graduate From High School?(required) Yes No College or Trade School City Graduated Yes No EMPLOYMENT HISTORY Company Name (required) Company Address(required) Position Held (required) From(required) To(required) Supervisor Name(required) Valid Phone Number(required) Reason for Leaving(required) Company Name Company Address Position Held From To Supervisor Name Valid Phone Number Reason for Leaving PERSONAL REFERENCES Full Name(required) Phone(required) Address Full Name(required) Phone(required) Address Full Name(required) Phone(required) Address IT IS AGREED AND UNDERSTOOD THAT ANY MISREPRESENTATION GIVEN ON THIS APPLICATION SHALL BE CONSIDERED AN ACT OF DISHONESTY. IT IS AGREED AND UNDERSTOOD THAT THE MOTOR CARRIER OR THEIR AGENTS MAY INVESTIGATE THE APPLICANT’S BACKGROUND TO ASCERTAIN ANY AND ALL INFORMATION OF CONCERN TO APPLICANT’S RECORD, WHETHER SAME IS OF RECORD OR NOT, AND APPLICANT RELEASES EMPLOYERS AND PERSONS NAMED HEREIN FROM ALL LIABILITY FOR ANY DAMAGES ON ACCOUNT OF THEIR FURNISHING SUCH INFORMATION. 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 AGREE TO FURNISH SUCH ADDITIONAL INFORMATION AND COMPLETE SUCH EXAMINATIONS AS MAY BE REQUIRED TO COMPLETE MY APPLICATION FILE. IT IS AGREED AND UNDERSTOOD THAT THIS APPLICATION FOR QUALIFACATION IN NO WAY OBLIGATES THE MOTOR CARRIER TO EMPLOY OR HIRE THE APPLICANT. IT IS AGREED AND UNDERSTOOD THAT IF QUALIFIED AND HIRED, I MAY BE ON A PROBATION PERIOD DURING WHICH TIME I MAY BE DISQUALIFIED WITHOUT RECOURSE. THIS CERTIFIED THAT THIS APPLICATION WAS COMPLETE BY ME, AND THAT ALL ENTRIES ON IT AND INFORMATION IN IT ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. BY PRINTING BELOW I AGREE AND UNDERSTAND THAT ABOVE STATEMENTS. Signature Date Submit Δ Share this:TwitterFacebookLike this:Like Loading...
