Preferred Towing - Employment Application

Employment Application

* Available Positions
(Please Choose one)

Driver - Class A
Driver - Class B
Dispatcher / Secretarial

Personal Information * Required Fields

* How were you referred:

* Full Name:

* Address:

* City:

* State:

* Zip:

* Your E-mail:

* Phone:

Mobile//Pager/Other:

* Driver's License #:

* Date of Birth: (mm/dd/yy)

* Do you have a Tow Driver's Training Certificate:

Yes No

* How many years of towing experience do you have?

* Date You Can Start:

* Worked here before:

Yes No

If YES, When:

* Citizen - United States?

Yes No

If NO, legally allowed?

Yes No

* Type of employment:

Full-Time
Part-Time
Temporary

* Have you ever pleaded "guilty", "no contest", or been convicted
of a crime?

Yes No

If YES, give dates/details:

Convictions are not automatic bar to employment...

Summarize Your Special Skills or Qualifications:

Previous Employment (begin with most recent position):

Dates of Employment:	From: To:
Positions(s) Held:
Firm / Company:
Address of Employer:
Phone Number:
Supervisor:
Title of Supervisor:
Your Responsibilities:
Starting Salary & Title:
Ending Salary and Title:
Reason for Leaving:
May we contact this employer for reference ?	Yes No

Previous Employment #2 (Optional)
Dates of Employment:	From: To:
Positions(s) Held:
Firm / Company:
Address of Employer:
Phone Number:
Supervisor:
Title of Supervisor:
Your Responsibilities:
Starting Salary & Title:
Ending Salary and Title:
Reason for Leaving:
May we contact this employer for reference ?	Yes No

Previous Employment #3 (Optional)
Dates of Employment:	From: To:
Positions(s) Held:
Firm / Company:
Address of Employer:
Phone Number:
Supervisor:
Title of Supervisor:
Your Responsibilities:
Starting Salary & Title:
Ending Salary and Title:
Reason for Leaving:
May we contact this employer for reference ?	Yes No

APPLICANT'S STATEMENT

AUTHORIZATION - Please read carefully before submitting your application

All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purpose of verifying any information, I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment. I understand that upon receiving a job offer, a physical examination and drug screening may be required. (Note: If this is a job requirement, you will be notified.)

Regardless of whether or not I become employed by the company, I recognize that this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the company's unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other that an officer or official of the company, and then only by means of a signed written document.

I agree to the AUTHORIZATION