FLI Employment Application

Frontier Leasing Inc.

Employment Application
NOTE: All fields with an * are required
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Are you 18 or older? *

YES NO
Are you prevented from lawfully becoming employed in this country because of VISA or Immigration status? *

YES NO
Employment Desired *

Office work Accounting Dispatch Shop Work
Date you can start *

Month Day Year
Date
Salary Desired
Are you employed now? *

YES NO
If so may we inquire of your present employer? *

YES NO
Ever applied to this company before? If so state Where and When below. *
Referred By

Education *

	Name & location of school	No of years attended	Did you graduate?	Subject Studied
Grammar School
High School
College
Trade Business or correspondence school

General
Subjects or Special study or research work
Special Skills
Activities: (Civic, Athletic, ETC.)
Member of National guard or reserve? *

YES NO
Former Employers

List below last three Employers, starting with last one first
First Company Name
Address 1

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

	Date FROM:	Date TO:	Salary	Position Held
First Company

	Date FROM:	Date TO:	Salary	Position Held
Second Company

Company information

	Date FROM:	Date TO:	Salary	Position Held
Third Company

#3 Reason for Leaving:
References:

Give the names of three persons not related to you, whom you have known at least one year.
Name #1 *

First Name Last Name
Address #1 *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business #1
Years Acquainted #1 *
Name #2

First Name Last Name
Address #2

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business #2
Years Acquainted #2
Name #3

First Name Last Name
Address #3

Street Address

Street Address Line 2

City State

Zip Code
Business #3
Years Acquainted #3
In Case of emergency notify *

First Name Last Name
Emergency Address *

Street Address

Street Address Line 2

City State

Zip Code
I certify that all the informaiotn submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by the company. I understand that no company representative, other than it's president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period or time, or to make any agreement contrary to the foregoing.
Date *

Month Day Year
Date
Signature *

Use mouse to sign Clear
Please verify that you are human *
Should be Empty:

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Frontier Leasing Inc.

Former Employers

References: