Towing Employment Application

1
Legal Name* This field is required.Your Full Legal Name
First Name
Middle Name
Last Name
2
Position Applying for
Rollback Operator
Wrecker Operator
Roadside Service Technician
3
Phone Number* This field is required.A Number we can reach you at with calls and texts.
Area Code
Phone Number
4
Email* This field is required.
example@example.com
5
Date of Birth* This field is required.
Date
Year
Month
Day
6
Driver's License Number* This field is required.
7
Any At-Fault Accidents in the last 3 Years?* This field is required.
YESNO
8
Any Tickets in the last 3 Years?* This field is required.
YESNO
9
Social Security Number* This field is required.
10
Current Home Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
11
How Long at Current Residency?* This field is required.
12
Upload Resume(Optional)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
13
Name* This field is required.
First Name
Last Name
14
Relationship* This field is required.
15
Phone Number* This field is required.
Area Code
Phone Number
16
Name* This field is required.
First Name
Last Name
17
Relationship* This field is required.
18
Phone Number* This field is required.
Area Code
Phone Number
19
Name* This field is required.
First Name
Last Name
20
Relationship* This field is required.
21
Phone Number* This field is required.
Area Code
Phone Number
22
Employer* This field is required.
23
Position* This field is required.
24
Manager* This field is required.
25
Phone Number* This field is required.
Area Code
Phone Number
26
Start Date* This field is required.
Date
Year
Month
Day
27
End Date* This field is required.
Date
Year
Month
Day
28
Employer
29
Position
30
Manager
31
Phone Number
Area Code
Phone Number
32
Start Date
Date
Year
Month
Day
33
End Date
Date
Year
Month
Day
34
Employer
35
Position
36
Manager
37
Phone Number
Area Code
Phone Number
38
Start Date
Date
Year
Month
Day
39
End Date
Date
Year
Month
Day
40
List any transportation or towing related training you may possess (schools, certifications, on-the-job training, etc.):
Huge
Large
Normal
Small
Ok
Ok
41
Briefly describe the procedure for hooking up a vehicle on a flat-bed carrier (rollback) and the concerns a driver should be aware of: If you're not sure, leave blank.
Huge
Large
Normal
Small
Ok
Ok
42
Briefly describe the procedure for loading a vehicle on the wheel-lift of a flat-bed carrier (rollback) and the concerns a driver should be aware of:If you're not sure, leave blank.
Huge
Large
Normal
Small
Ok
Ok
43
Briefly describe the procedure for loading a vehicle on the wheel-lift of a self-loader wrecker (snatch truck) and the concerns a driver should be aware of:If you're not sure, leave blank.
Huge
Large
Normal
Small
Ok
Ok
44
Please check all services that you are currently capable of performing:It's okay if you don't know how to perform some of these services, just let us know so we know what you will need training on.
Tire Change
Tire Plug
Jumpstart
Battery Test
Battery Installation
Fuel/Fluid Delivery
Vehicle Unlock/Lockout
45
Have you ever worked on an “on-call” basis?
YESNO
46
Have you ever worked for commission?
YESNO
47
Are you available to be “on-call” for emergencies and large-scale recoveries outside of your normal shift hours?
YESNO
48
Do you have a smart phone?
YESNO
49
Are you available for 12 hour shifts?
YESNO
50
Can you park a tow truck at your residence?
YESNO
51
It's 3AM on a cold Snowy Night in January, Highway Patrol has called for an accident on Interstate 40, and the nightshift driver is towing a car to Atlanta. Are you available to assist?
YESNO
52
Do you need any accommodations to perform any duty of a tow truck driver? If yes, what?
Huge
Large
Normal
Small
Ok
Ok
53
SignatureTO BE READ AND SIGNED BY APPLICANT: I authorize Allegiant Towing and Recovery LLC to make investigations and inquiries into my personal, employment, criminal, financial, and medical history and any other matters that may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended). I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand, also, that I am required to abide by all rules and regulations of Allegiant Towing and Recovery LLC and that North Carolina is an “employment at-will” state, meaning that an employer or employee may terminate the relationship at any time, without any reason or cause. I understand that if hired my employment will be on an “at will” basis. I consent to a pre-employment drug screening and understand that I can be drug tested randomly at any point throughout my employment. I understand that the information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigation into my safety performance history. I understand that I have the right to: 1. Review information provided by current/previous employers; 2. Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and 3. Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.
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