Harper Trucks Inc.

Application for Employment

Please complete the form below to apply for a position with us.
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.
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
Position (s) applied for:
Type of employment desired *

Full-Time Part-Time Temporary
Referral Source: Walk-in, Job Posting, Website, Employee
Are you lawfully authorized to work in the United States? *

Yes No
If you are under 18 and it is required can you furnish a work permit? *

Yes No
Have you ever been employed here before?

Yes No
Dates Employed From:

Month Day Year
Date
Dates Employed To:

Month Day Year
Date
What is your desired salary range or hourly rate of pay?
Will you work overtime if required?

Yes No
Date available for work?

Month Day Year
Date
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.

Skills and Qualifications
Summarize any special training, skills, languages, licenses, or certifications.
Do you have any certifications

Yes No
Please upload them here.

Browse Files

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Educational Background

Starting with your most recent school attended
School
Years Completed
Major
Degree or Diploma

Yes No
School
Years Completed
Major
Degree or Diploma

Yes No

References
Name
Title
Phone Number

Area Code Phone Number
Email
example@example.com
Relationship to You
Years known

Application Instructions
Signature

Clear
Attach Resume

Browse Files

Cancel of

You will be notified by one of our hiring agencies, either Top Notch Personnel, or Advanced Personnel to complete the process. Thank You and have a great day!
Should be Empty:

Application for Employment

Job History

Skills and Qualifications

Educational Background

References

Application Instructions

You will be notified by one of our hiring agencies, either Top Notch Personnel, or Advanced Personnel to complete the process. Thank You and have a great day!