Harper Trucks Inc.

Application for Employment
Equal access to programs, services, and employment opportunities is available to all persons without regard to sex(including pregnancy), race, color, religion, national origin, citizenship, age, disability, genetic information, or any other basis protected by federal, state, and/or local law.

In accordance with Americans with Disabilities Act and/or applicable state and local laws, applicants requiring reasonable accommodations for the application and/or interview process should notify the Human Resources Department. Examples of reasonable accommodations include making change to the application process; providing written materials in an alternate format such as braille, larger print or audio recordings; using a sign language interpreter; using specialized equipment; or modifying testing conditions.
Application for Employment

Please complete the form below to apply for a position with us.
Date of Application *

Month Day Year
Date
Full Name *

First Name Middle Name Last Name
Current Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email Address
Phone Number *

Area Code Phone Number

Job History

Please start with most recent Employer
Employer Name:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
From

Month Day Year
Date
To

Month Day Year
Date
May we contact for reference?

Yes No
Immediate Supervisor
Why did you leave?
Summarize the type of work performed and job responsibilities.
Explain any gaps in your employment, other then those due to personal illness, Injury, or disability.

Application for Employment