Veteran Towing LLC Job Application

Veteran Towing LLC Job Application

Veteran Towing LLC - 4227 S Meridian Ste D432, Puyallup, WA. 98373 - Phone: 253-242-3370
Todays Date*

MonthDayYear
Date
Applicant Name*

First NameMiddle InitialLast NameSuffix
Email*
example@example.com
Cell Phone*
Format: (000) 000-0000.

Applicant Last Name*
Applicant First Name*
MI
Suffix
SSN*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone*
Format: (000) 000-0000.
Are you authorized to work in the United States?*
Are you 25 years old or older? (Insurance Requirements)*
Date of Birth*

MonthDayYear
Date
Valid US Drivers License?*
Drivers License*
State of Issue*
Please upload a picture of your drivers License*

Cancelof
Have you been convicted of a felony or been incarcerated in connection with a felony in the past seven years*
If Yes Please explain
Did you serve in the Military*
What Branch or Service?
Do you claim Disabled Veteran status
How many combat tours?
What position are you applying for*
How did you hear about this position*
Expected Hourly Rate*
Expected Weekly Earnings?*
Date Available to start?*

MonthDayYear
Date

Please complete the employer section with acurate information!

You MUST provide your 3 most recent employers.
- Current or Most Recent Employer Name*
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Current or Most Recent Employer Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Supervisor Name*
  
  First NameLast Name
- Start Date*
  
  MonthDayYear
  Current Emp Start Date
- End Date (If currently Employed Here leave this field blank)
  
  MonthDayYear
  Date
- Last Position Held*
- Last Compensation Amount*
- Type of Compensation*
- Reason for Leaving*
- May we contact this employer*
- Prior Employer Name*
- Prior Employer Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Prior Employer Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Prior Supervisor Name*
  
  First NameLast Name
- Start Date*
  
  MonthDayYear
  Date
- End Date*
  
  MonthDayYear
  Date
- Last Position Held*
- Pay Amount*
- Type of Compensation*
- Reason for Leaving*
- May we contact this employer*
- Prior Employer Name*
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Employer Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Supervisor Name*
  
  First NameLast Name
- Start Date*
  
  MonthDayYear
  Date
- End Date*
  
  MonthDayYear
  Date
- Last Position Held*
- Pay Rate (Hourly, Salary, Commission)*
- Type a question*
- Reason for Leaving*
- May we contact this employer*
- How speeding tickets have you gotten in the last 5 years?*
- Speeding Ticket 1*
  
  MonthDayYear
  Date
- Speeding ticket 2*
  
  MonthDayYear
  Date
- Speeding ticket 3*
  
  MonthDayYear
  Date
- Speeding ticket 4*
  
  MonthDayYear
  Date
- Speeding ticket 5*
  
  MonthDayYear
  Date
- Speeding ticket 6*
  
  MonthDayYear
  Date
- Speeding ticket 7*
  
  MonthDayYear
  Date
- How At Fault Accident have you had in the last 5 years?*
- AT Fault Accident 1*
  
  MonthDayYear
  Date
- AT Fault Accident 2*
  
  MonthDayYear
  Date
- AT Fault Accident 3*
  
  MonthDayYear
  Date
- AT Fault Accident 4*
  
  MonthDayYear
  Date
- AT Fault Accident 5*
  
  MonthDayYear
  Date
- AT Fault Accident 6*
  
  MonthDayYear
  Date
- AT Fault Accident 7*
  
  MonthDayYear
  Date
- How NOT At Fault Accident have you had in the last 5 years?*
- NOT AT Fault Accident 1*
  
  MonthDayYear
  Date
- NOT AT Fault Accident 2*
  
  MonthDayYear
  Date
- NOT AT Fault Accident 3*
  
  MonthDayYear
  Date
- NOT AT Fault Accident 4*
  
  MonthDayYear
  Date
- NOT AT Fault Accident 5*
  
  MonthDayYear
  Date
- NOT AT Fault Accident 6*
  
  MonthDayYear
  Date
- NOT AT Fault Accident 7*
  
  MonthDayYear
  Date
- Any Injuries from NOT At Fault or AT Fault Accident in the last 5 years*
- Please list what dates the accidents where on*

- Name of High School*
- City of High School*
- Last Year completed*
- GED or Diploma?*
- Name of College or University
- City of College or University
- Last Year completed
- Degree Earned?
- Major?
- Trade School Name?
- City of Trade School
- Year of Trade Study in school
- What did you attend Trade School for?
- Any other schooling?
- Special Skills or certifications?
- Please provide 3 personal references that ARE NOT family and DO NOT live with you.
  
  You may NOT use these same references as professional references.
- Reference 1 Full Name*
  
  First NameLast Name
- Reference 1 Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Reference 1 Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Reference 2 Full Name*
  
  First NameLast Name
- Reference 2 Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Reference 2 Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Reference 3 Full Name*
  
  First NameLast Name
- Reference 3 Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Reference 3 Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Please provide 3 PROFESSIONAL references that with whom you have had a professional relationship with ie: former boss, former co-worker, any clients.
  
  You may NOT use these same references as personal references.
- Professional Reference 1 Full Name*
  
  First NameLast Name
- Professional Reference 1 Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Professional Reference 1 Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Professional Reference 2 Full Name*
  
  First NameLast Name
- Professional Reference 2 Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Professional Reference 2 Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Professional Reference 3 Full Name*
  
  First NameLast Name
- Professional Reference 3 Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Professional Reference 3 Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Full Legal Name*
  
  First NameLast NameSuffix
- Todays Date*
  
  MonthDayYear
  Date
- Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I hereby authorize all of my former employers, school officials, and other individuals to release to Veteran Towing LLC and its authorized representatives any and all information concerning my prior employment or any other pertinent information they may have. This may include information about my employment record, including reasons for termination, work performance, abilities, and other qualities relevant to my qualifications for employment. I further release and hold harmless all parties and persons from any and all liability for any damages that may result from furnishing such information. I understand and agree that my electronic signature is the legal equivalent of my manual/handwritten signature. By selecting the "Submit" button, I consent to be legally bound by the terms and conditions of this application. I further agree that my signature on this document is as valid as if I signed the document in writing.
- Signature*
- Should be Empty: