New Hire Application
Instant Towing & Recovery, LLC
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email Address
*
SSN
*
XXX-XX-XXXX
Date of Birth
*
MM/DD/YYYY
Driver’s License Number
*
Driver’s License Expiration Date
*
MM/DD/YYYY
Have you ever been convicted of a Felony?
*
No
Yes
If you answered (Yes) to the previous question please list the charge(s) and the date you were convicted.
Have you had any driving violations in the past 5 years?
*
No
Yes
If you answered (Yes) to the previous question please list the violation(s) and the date you received them.
Please list your 3 most recent employer's.
*
Are you looking for a full or part time position?
*
Full time
Part time
Are you able to work weekends?
*
Yes
No
Are you able to work nights?
*
Yes
No
Have you ever ran a flatbed/rollback?
*
Yes
No
If you answered (Yes) to the previous question please list type of truck you ran and how many years of experience you have.
Have you ever ran a wrecker/wheel-lift?
*
Yes
No
If you answered (Yes) to the previous question please list type of truck you ran and how many years of experience you have.
Have you ever used Towbook?
*
Yes
No
Attach Resume (Optional)
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