All Star Towing of IL, Inc. - Job Application Form

All Star Towing of IL, Inc.
Application for Employment
All applicants must have a valid driver's license, clean driving record, be 25 years or older, and pass a criminal background check.
We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local. state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of this organization.
Applicant Name*

First Name Last Name
Date*

MonthDay Year
Date
Position(s) applied for or type of work desired:*
Address*

Street Address
Street Address Line 2
City State
Zip Code
Telephone #*
Please enter a valid phone number that will best reach you.
Date of Birth*

MonthDay Year
We will not ask for your Social Security Number online, but please know that your Social Security Number will be required upon hiring.
Type of Employment Desired.*
Desired Salary:*
Date You Will Be Available To Start Work*

MonthDay Year
Are you able to meet the attendance requirements?*

YesNo
Do you have any objection to working overtime if necessary?*

YesNo
Can you travel if required by the position?*

YesNo
Have you ever been previously employed by our organization?*

YesNo
Are you available to work any shift, day or night?*

YesNo
Can you submit proof of legal employment authorization and identity?*

YesNo
Have you ever been convicted of a crime in the last 7 years?*

YesNo
If yes, please explain (a conviction will not automatically bar employment)
Driver's License Number:
If driving is an essential job duty
What type of driver's license do you have?
Do you have a secure place to park the company vehicle?
How were you referred to us?*
Employment History
Please provide all employment information for your past four employers starting with the most recent.
Employer One:
Position Held:
Employer Address:

Street Address
Street Address Line 2
City State
Zip Code
Telephone #:
Immediate Supervisor & Title:
Date Employment Started:

MonthDay Year
Date Employment Ended:

MonthDay Year
Salary:
Job Summary:
Reason for Leaving:

Employer Two
Employer Two:
Position Held:
Employer Address:

Street Address
Street Address Line 2
City State
Zip Code
Telephone #:
Immediate Supervisor & Title:
Date Employment Started:

MonthDay Year
Date Employment Ended:

MonthDay Year
Salary:
Job Summary:
Reason for Leaving:

Employer Three
Employer Three:
Position Held:
Employer Address:

Street Address
Street Address Line 2
City State
Zip Code
Telephone #:
Immediate Supervisor & Title:
Date Employment Started:

MonthDay Year
Date Employment Ended:

MonthDay Year
Salary:
Job Summary:
Reason for Leaving:

Employer Four
Employer Four:
Position Held:
Employer Address:

Street Address
Street Address Line 2
City State
Zip Code
Telephone #:
Immediate Supervisor & Title:
Date Employment Started:

MonthDay Year
Date Employment Ended:

MonthDay Year
Salary:
Job Summary:
Reason for Leaving:

Contact Employer - Hidden
Can we contact your previous employers?*
Other Skills & Qualifications
Summarize any job-related training, skills, licenses, certificates, and/or other qualifications:*
Educational History
List school name and location, years completed, course of study, and any degrees earned:
High School:
College:
Technical Training :
Other:
References
Reference #1*

First Name Last Name
Telephone #*
Years Known*
Reference #2*

First Name Last Name
Telephone #*
Years Known*
Reference #3*

First Name Last Name
Telephone #*
Years Known*
I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizaions for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowlefge that there is no specific length of employment ant that this application does not constitute an agreement or contract for employment. Accordingly, either the employer or I can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

NOTICE TO APPLICANTS: Screening test for alcohol and illegal drug use may be required and during your employment here.
I represent and warrant that I have read and fully understand the forgoing, and that I seek employment under these conditions.
Applicant e-Signature*
Date

MonthDay Year
Please verify that you are human*
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