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Second Shift
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Do you know anyone who is presently employed with this company?
If So, Who?

Background Information

Education

Name of School Years Completed Graduated Course of Study
 

Skills and Training

* Do you currently smoke cigarettes, electronic cigarettes or cigars?

Yes
No

* Do you currently use any other tobacco products?

Yes
No

* Have you ever been arrested or convicted for a misdemeanor or felony? (Do not include traffic violations)

Yes
No

If yes, please give date and details of each:

NOTE: Answering 'Yes' to this question does not constitute an automatic bar to employment. Only those crimes which are substantially related to the position you are seeking will be considered.

Military Experience

* Have you ever been in the military service (including active duty, national guard, and/or reserve)?

Yes
No

If Yes, Did you receive an honorable discharge?

Yes
No

Driving Record

Do you have a valid Driver's License?

Yes
No

Do you have a Commercial Driver's License (CDL)?

Yes
No

Has your driver's license ever been suspended or revoked?

Yes
No

If yes, please give date and details:

Have you ever been cited for driving under the influence (DUI) or driving while intoxicated (DWI)?

Yes
No

If yes, please give date and details:

Please list all moving violations in the last five years (Offense and Year):

Employment History

Can we contact this Employer?

Yes
No

Will you receive a satisfactory reference?

Yes
No

If no, please explain

Have been discharged or asked to resign by any employer?

Yes
No

If yes, please explain

Have you ever been placed on probation, counseled or warned by a previous employer?

Yes
No

If yes, please explain

Please fully any gaps in your employment history:

* Do you have an active Non-Compete agreement?

Yes
No

* Would you be willing to sign a Non-Compete Agreement upon employment with this company?

Yes
No

Have been discharged or asked to resign by any employer?

Yes
No

If yes, please explain

Have you ever been placed on probation, counseled or warned by a previous employer?

Yes
No

If yes, please explain

Please fully any gaps in your employment history:

* Do you have an active Non-Compete agreement?

Yes
No

* Would you be willing to sign a Non-Compete Agreement upon employment with this company?

Yes
No

Applicant's Statement

I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages. I further understand that I am employed on an "at will" basis, which means that I have the right to terminate my employment at any time with or without notice, and the Company has the same right. No one other than the President of the Company has authority to modify this relationship or make any agreement to the contrary. Any such modification or agreement must be in writing, signed by the President.

I AGREE THAT ANY DISPUTE BETWEEN THE COMPANY AND ME RELATED TO MY APPLICATION FOR EMPLOYMENT OR MY EMPLOYMENT, IF I AM HIRED, WILL BE RESOLVED THROUGH MUTUALLY BINDING ARBITRATION IN ACCORDANCE WITH THE COMPANY'S ARBITRATION POLICY AND PROCEDURE. I UNDERSTAND THAT I HAVE THE RIGHT TO REVIEW THE POLICY AND PROCEDURE PRIOR TO SUBMITTING THIS DOCUMENT.

I understand that the Company reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law. I understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records and other information pertinent to my employment with them, whether favorable or unfavorable. I also authorize the Company to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information.

I certify that having been told the requirements of the job I am applying for, that I am physically, emotionally and mentally able and competent to properly and safely perform all the requirements of the job.

By clicking the submit button, I certify that all of the information that I provide on this application and in any interview will be true, complete and accurate. I understand if I am employed and any such information is later found to be false, incomplete or misleading in any respect, I may receive disciplinary action up to and including discharge.

AUTHORIZATION TO OBTAIN CONSUMER REPORTS

IT HAS BEEN DISCLOSED TO ME THAT THE COMPANY MAY OBTAIN ONE OR MORE CONSUMER REPORTS ON ME FOR USE IN CONNECTION WITH MY APPLICATION OR FOR OTHER EMPLOYMENT-RELATED PURPOSES. THESE REPORTS, WHICH MAY INCLUDE CREDIT BUREAU REPORTS, CRIMINAL RECORDS AND DRIVING RECORDS. I AUTHORIZE THE COMPANY OR PERSONS ACTING ON ITS BEHALF TO OBTAIN THESE REPORTS.

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Robertson Truck Sales to verify their accuracy and to obtain reference information on my work performance. I hereby release Robertson Truck Sales from any and all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

Call Robertson Truck Sales at 740-397-4969 or send us a message
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Robertson truck Group