Diesel Mechanic Application

APPLICATION FOR EMPLOYMENT

(GARAGE)
In Compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.

First Name(*)
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Middle Initial
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Last Name(*)
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Address(*)
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City(*)
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State(*)
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Zip (*)
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Phone(*)
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E-mail Address(*)
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Have you ever worked for this company before?(*)
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If yes, Please list the from and to, dates.
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Position(s) held?
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Reason For Leaving?
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Can you provide proof of age?
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Do you have the legal right to work in the United States?
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Are you currently employed?
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Are you currently on lay-off or recall?(*)
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How did you hear about A.D. Transport?
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Last School Attended:
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Enter the school name, City and State
Highest grade completed
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Employment Experience
May we contact your previous employers?(*)
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If No, please explain
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Please list current or most recent employer.

Current or most recent Employer:(*)
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Company Address (Street, city, state zip)
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Phone
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Position held?
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Supervisor?
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Employed from?
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Employed to?
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Please list your duties.
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Reason for leaving?
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Please list 2nd most recent employer.

Previous Employer 2:
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Company Address (Street, city, state zip)
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Phone
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Position held?
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Supervisor?
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Employed from?
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Employed to?
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Please list your duties.
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Reason for leaving?
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Please list 3rd most recent employer.

Previous Employer 3:
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Company Address (Street, city, state zip)
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Phone
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Position held?
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Supervisor?
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Employed from?
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Employed to?
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Reason for leaving?
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Please list your duties.
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Please feel free to attach a resume or other documentation.

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Application Disclaimer: Submission of this application certifies that I (the applicant) personally completed this application and all the information contained in it is true and correct. I request that A.D. Transport and their agents review my background for employment purposes. As part of this review, the DOT requires companies to review my background and obtain consumer reports from DAC Services. Your consent for A.D. Transport to obtain a report from DAC is required in order for your application to be reviewed, but you can withhold your consent and A.D Transport will not consider your application. I have read this release agree for A.D. Transport to get consumer reports about me from DAC Services. By hitting the Submit button, you give A.D. Transport permission to obtain any and all reports necessary to verify your employment history.
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You must accept this agreement to proceed.
By selecting the "I accept" button, you are signing this Application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Application.