Application for Employment

with Morgan Trucking & General Construction

Please answer each question fully and accurately. Please note that none of the questions are intended to imply illegal preferences or discrimination based upon non job-related information.

Personal Information

Job Applied For

Today's Date (YYYY-MM-DD)

What type of employment are you seeking?

Full-time

Part-time

Temporary

When could you start work? (YYYY-MM-DD)

Last Name

First Name

Middle Initial

Telephone Number

Present Street Address

City

State

Zip Code

Are you 18 years of age or older? (If you are hired, you may be required to submit proof of age.)

Yes

If an employment offer is extended can you provide a valid U.S. Social Security Number and furnish proof of your eligibility to work in the U.S.?

Yes

Have you ever applied here before?

Yes

If yes to above, when?

Were you ever employed here?

Yes

If yes to above, when?

Have you ever been convicted of any law violation? Include any plea of "guilty" or "no contest". Exclude minor traffic violations.

Yes

If yes to above, give details (A conviction will not necessarily disqualify an applicant for employment.)

For Driving Jobs Only: Do you have a valid driver's license?

Yes

For Driving Jobs Only: Driver's License Number

For Driving Jobs Only: Class of License

For Driving Jobs Only: State Licensed In

For Driving Jobs Only: Have you had your driver's license suspended or revoked in the last 3 years?

Yes

If yes to above give details

Education/Training Information

High School Name and Address

High School Number of Years Completed

High School Completion Document

Diploma

G.E.D. or Equivalent

Post High School Learning Institution Name(s) and Address(es)

What skills or additional training do you have that relates to the job for which you are applying?

What machines or equipment can you operate that relates to the job for which you are applying?

Employment History

List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references. Note: A job offer may be contingent upon acceptable feedback from current and/or former employers.

Name of Employer 1

Address of Employer 1 (Street, City, State, Zip Code)

Supervisor(s) Name and Telephone Number(s) at Employer 1

Job Titles and Duties at Employer 1

Start of Employment at Employer 1 (YYYY-MM-DD)

End of Employment at Employer 1 (YYYY-MM-DD)

Starting Rate of Pay at Employer 1

Ending Rate of Pay at Employer 1

Reason for Leaving Employer 1

Name of Employer 2

Address of Employer 2 (Street, City, State, Zip Code)

Supervisor(s) Name and Telephone Number(s) at Employer 2

Job Titles and Duties at Employer 2

Start of Employment at Employer 2 (YYYY-MM-DD)

End of Employment at Employer 2 (YYYY-MM-DD)

Starting Rate of Pay at Employer 2

Ending Rate of Pay at Employer 2

Reason for Leaving Employer 2

Name of Employer 3

Address of Employer 3 (Street, City, State, Zip Code)

Supervisor(s) Name and Telephone Number(s) at Employer 3

Job Titles and Duties at Employer 3

Start of Employment at Employer 3 (YYYY-MM-DD)

End of Employment at Employer 3 (YYYY-MM-DD)

Starting Rate of Pay at Employer 3

Ending Rate of Pay at Employer 3

Reason for Leaving Employer 3

Ending Questions and References

Have you worked or attended school under any other names?

Yes

If yes to above, give names:

Are you presently employed?

Yes

If yes to above, whom do you suggest we contact?

Have you ever been fired from a job or asked to resign?

Yes

If yes to above, please explain:

Please provide three references that are neither relatives nor former employers.

Reference 1 (Name, Address, Phone)

Reference 2 (Name, Address, Phone)

Reference 3 (Name, Address, Phone)

PLEASE READ EACH STATEMENT CAREFULLY BEFORE SUBMITTING YOUR APPLICATION

I certify that all information provided in the employment application is true and complete.
I understand that false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers, and organization to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post- employment drug screen as a condition of employment, if required.
I understand that if I am extended an offer of employment, it may be conditioned upon my successfully passing complete pre- employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.
I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND AND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MAY BE TERMINATED AT ANY TIME WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.

I have read, understand, and by clicking “Submit” I consent to these statements.

Morgan Trucking & General Construction Inc.

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Personal Information

Education/Training Information

Employment History

Ending Questions and References