Diesel Lube Tech/Shop Hand Application-Mitchener Transport

Application for Employment

Diesel Lube Tech/Shop Hand

Thank you for your interest in a position with Mitchener Transport. The following application will be used to obtain some basic information to determine your eligibility for our current openings. Please complete the application as completely and accurately as possible. After you submit your application, a representative will review your information and contact you to discuss how to move forward.

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status,veteran status, non-job related disability, or any other protected group status.

Current Address
Address

Street Address

Street Address Line 2

CityState

Zip Code
Date Moved In

MonthDayYear
Date
Have you lived at this address for more than 3 years?

Previous Address 1

List all addresses you have lived at in the past 3 years.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Date Moved In

MonthDayYear
Date
Date Moved Out

MonthDayYear
Date
Do you need to add another address?

Previous Address 2

List all addresses you have lived at in the past 3 years.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Date Moved In

MonthDayYear
Date
Date Moved Out

MonthDayYear
Date
Do you need to add another address?

Previous Address 3

List all addresses you have lived at in the past 3 years.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Date Moved In

MonthDayYear
Date
Date Moved Out

MonthDayYear
Date
Do you need to add another address?

Previous Address 4

List all addresses you have lived at in the past 3 years.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Date Moved In

MonthDayYear
Date
Date Moved Out

MonthDayYear
Date

General Information Continued
Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the job description)?
Explain if you wish:
How did you hear about this position?
Explain
Who referred you?

High School
High School
Location
City, State
Number of Years Attended
Did you Graduate?
Did you attend a College/University?

College/University
Name of School
Location
City, State
Number of Years Attended
Area of Study/Degree
Did you Graduate?
Did you attend Graduate School?

Graduate School
Name of School
Location
City, State
Number of Years Attended
Area of Study/Degree
Did you Graduate?

Did you attend a Trade/Technical/Other School?

Trade/Technical/Other School
Name of School
Location
City, State
Number of Years Attended
Area of Study/Degree
Did you Graduate?

Employment History

Provide employment information for at least the past 3 years.
Are you currently employed?
How long since leaving last employment?

Current Employer

Provide employment history for at least the past 3 years.
Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
Start Date

MonthDayYear
Position Held
Rate of pay

Do you need to add a Previous Employer?

Previous Employer 1

Provide employment history for at least the past 3 years.
Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Start Date

MonthDayYear
End Date

MonthDayYear
Position Held
Rate of pay
Reason for Leaving
Do you need to add another employer?

Previous Employer 2

Provide employment history for at least the past 3 years.
Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Start Date

MonthDayYear
End Date

MonthDayYear
Position Held
Rate of pay
Reason for Leaving
Do you need to add another employer?

Previous Employer 3

Provide employment history for at least the past 3 years.
Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Start Date

MonthDayYear
End Date

MonthDayYear
Position Held
Rate of pay
Reason for Leaving
Do you need to add another employer?

Previous Employer 4

Provide employment history for at least the past 3 years.
Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Start Date

MonthDayYear
End Date

MonthDayYear
Position Held
Rate of pay
Reason for Leaving
Do you need to add another employer?

Previous Employer 5

Provide employment history for at least the past 3 years.
Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Start Date

MonthDayYear
End Date

MonthDayYear
Position Held
Rate of pay
Reason for Leaving
Do you need to add another employer?

Previous Employer 6

Provide employment history for at least the past 3 years.
Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Start Date

MonthDayYear
End Date

MonthDayYear
Position Held
Rate of pay
Reason for Leaving
Do you need to add another employer?

Previous Employer 7

Provide employment history for at least the past 3 years.
Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Start Date

MonthDayYear
End Date

MonthDayYear
Position Held
Rate of pay
Reason for Leaving
Do you need to add another employer?

Previous Employer 8

Provide employment history for at least the past 3 years.
Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Start Date

MonthDayYear
End Date

MonthDayYear
Position Held
Rate of pay
Reason for Leaving
Do you need to add another employer?

Previous Employer 9

Provide employment history for at least the past 3 years.
Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Start Date

MonthDayYear
End Date

MonthDayYear
Position Held
Rate of pay
Reason for Leaving
Do you need to add another employer?

Previous Employer 10

Provide employment history for at least the past 3 years.
Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Start Date

MonthDayYear
End Date

MonthDayYear
Position Held
Rate of pay
Reason for Leaving

Skills/Qualifications
Show equipment you can operate:
List courses and training in maintenance work:
Show any trucking, transportation, or other experience that may help in your work for this company:
List any other courses and training you have that isn't shown elsewhere in this application:
List special equipment or technical materials you can work with (other than those already shown):

Cover Letter & Resume (Optional)

If you have a cover letter and/or resume, please upload it to add it to your application.
Cover Letter

Upload a File

Cancelof
Resume

Upload a File

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Send Application
By typing my name and clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement 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 compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I authorize Mitchener Transport, LLC. to make such investigations and inquiries of my personal, employment, financial, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquiries and releasing information in connection with my application.

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.
Agreement
Signature of applicant (typing your full name serves as your signature):
Should be Empty:

General Information

Current Address

Previous Address 1

Previous Address 2

Previous Address 3

Previous Address 4

General Information Continued

High School

College/University

Graduate School

Trade/Technical/Other School

Employment History

Current Employer

Previous Employer 1

Previous Employer 2

Previous Employer 3

Previous Employer 4

Previous Employer 5

Previous Employer 6

Previous Employer 7

Previous Employer 8

Previous Employer 9

Previous Employer 10

Skills/Qualifications

Cover Letter & Resume (Optional)

Send Application