| LAST
NAME |
FIRST
NAME |
MIDDLE |
| _____________________ |
___________________ |
_____________________ |
ADDRESS
|
STREET |
CITY |
STATE |
ZIP
CODE |
| _____________________ |
___________________ |
______________ |
_____________ |
_____________ |
| TELEPHONE
NUMBER (AREA CODE FIRST) |
DATE
OF BIRTH |
SOCIAL
SECURITY NUMBER |
| ___________________________ |
______________ |
____________________ |
Residence: Previous
3 Years: |
____________________________________________________________________________________________________
|
| ADDRESS |
CITY |
STATE |
ZIP
CODE |
____________________________________________________________________________________________________
|
| ADDRESS |
CITY |
STATE |
ZIP
CODE |
____________________________________________________________________________________________________
|
| ADDRESS |
CITY |
STATE |
ZIP
CODE |
|
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EMPLOYMENT
HISTORY |
| Begin
with your present or most recent
employment and work backward in
order, listing your employers
for the last 10 years and including
all full and part time employment.
All time must be accounted for
including military service, school,
self-employment, and periods of
unemployment. WE MUST
HAVE TELEPHONE NUMBERS FOR ALL
EMPLOYERS. |
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EMPLOYMENT QUESTIONNAIRE
|
LimeLite
Coach Works appreciates your interest
and inquiry for employment. As the industry
leader in the Bay Area, we have set,
established and perform to set standards
within the company. This questionnaire
is designed to help us understand your
desires and
capabilities, along with providing information
which allows us to determine the areas
you are best qualified to perform and
advance within.
Answer all of the questions completely
and honestly. If there is any doubt
as to what your answer should be, use
the answer that first
came to mind. If you have any uncertainty
about any of the questions, ask for
clarification from the person who gave
you the application
and questionnaire. Your honestly and
thoroughness in answering these questions
will not only benefit us, but most importantly
you. |
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APPLICANT
CERTIFICATION |
HOW
DID YOU LEARN ABOUT US? |
| |
| |
| I
hereby certify that all questions answered
are correct and authorize LimeLite Coach
Works to contact my former employers,
references furnished, and all other
sources that they see fit in order to
verify the facts and information furnished
with regard to my character and qualifications.
Included in these qualifications will
be the appropriate documents furnished
by me verifying citizenship or valid
authority to work in the United States.
These will be furnished in conjunction
with the immigration reform and control
act of 1986 and/or other applicable
laws. In addition, I understand that
a pre-employment physical, controlled
substance screening, and breath alcohol
tests may or may not be preformed and
will be part of the determination of
my ability to perform in the position
for which I am applying. I understand
that the completion of this form or
any other application form of the company
does not assure me a position with said
company or obligates the company in
any way. 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 notice or 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. I further understand
that this application is not nor is
it intended to be a contract of employment
and that any employment relationship
established between the applicant and
the company may be terminated at the
will of either the applicant or the
company. Should any employment relationship
occur, I understand that I am required
to abide by all the rules and regulations
of the company. I understand that any
misleading, incorrect, or omitted statements
may render this application void, and,
if employed, would be cause of immediate
discharge. I CERTIFY THAT THIS
APPLICATION WAS COMPLETED BY ME, AND
ALL ENTRIES ON IT AND INFORMATION IN
IT ARE TRUE AND COMPLETE TO THE BEST
OF MY KNOWLEDGE. I also understand
and agree that any conduct which would
have been reason for my discharge can
and will be used against me by LimeLite
Coach Works even if it is acquired
after my employment ceases. I agree
to submit to blood testing for controlled
substances and alcohol testing if it
becomes necessary. |
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|
Date: ________________________________ |
|
X ___________________________________ SIGNATURE
OF APPLICANT |
As a prospective employer, we must ask
any applicant for a driving position
with our company whether he/she has
tested positive, or refused to test,
on any pre-employment drug or alcohol
test administered by an employer to
which the applicant applied for, but
did not obtain, “safety-sensitive
transportation work” (driving
a commercial motor vehicle) during the
past two years.
Our
company policy is zero tolerance for
violations of the controlled substance
and/or alcohol regulations. Any positive
tests (pre-employment, random, post-accident)
will result in this application being
denied.
This certifies that all information
therein is true and complete to the
best of my knowledge; I also understand
that misrepresentation or omission
of information or facts may result
in my rejection or dismissal.
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