Fillable Employment Application A- Toe Truck (A Toe Truck)

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Employment Application A- Toe Truck (A Toe Truck)

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The Employment Application A- Toe Truck (A Toe Truck) form is 8 pages long and contains:

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  • 14 check-boxes
  • 270 other fields

Country of origin: US
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Name of Applicant
Completion of this form in no way constitutes an offer of employment. The information requested is required to
provide us with information necessary to consider you for the position for which you are applying.
Date of Application
PLEASE PRINT LEGIBLY OR TYPE ALL REQUESTED INFORMATION
Social Security Number:
Position for which you are applying Date of Birth:
Last Name Prefix First Name
Street Address City State Zip Code
Contact Phone Number(s) (Include Area Code)
Contact Email Address
Alternate Phone Number(s)
All information contained on the application is subject to verification. If applicable, A Toe Truck may conduct
background checks including, but not limited to, work references, driving records, criminal conviction records
and education attainment.
You may be subjected to a criminal background investigation for some positions. If applicable, your fingerprints
may be sent to state and federal law enforcement agencies (DPS and CHP). All offers of employment and
continued employment may be subject to a complete review of any criminal convictions you may have. Your
failure to make a full and accurate disclosure of any prior conviction(s), or to answer the questions fully and
accurately, may result in immediate termination from employment or the rejection of any pending application or
offer from A Toe Truck.
ALL QUESTIONS MUST BE ANSWERED TRUTHFULLY AND COMPLETELY. "Crime" as used in this section means any
and all felonies, misdemeanors and serious driving offenses, including but not limited to driving while under the
influence of intoxicating liquor ("DUI") or drugs, extreme DUI, reckless driving, aggressive driving, racing/exhibition
of speed, excessive (criminal) speed, leaving the scene of an accident, driving on a suspended, revoked or refused
license or any other driving offense that is a misdemeanor (i.e., possible penalty for conviction includes imprison
ment or jail time). "Crime" does not include minor (civil) traffic offenses. If you are not sure how to answer these
questions, please ask a member of the Human Resources Department for assistance.
"Convicted" means you have been found guilty of a crime by a court or jury, or have pleaded guilty or nolo
contendere ("no contest") to a crime and have been sentenced for a crime, whether imprisoned, incarcerated,
placed on probation, fined or received a suspended sentence.
**NOTE: A criminal conviction(s) may or may not constitute an automatic disqualification for employment.
Have you ever been convicted of any crime? Answer by writing "Yes" or "No"__________
If you have answered "yes" to this question, please give the details of offense(s) for which convicted, date(s) of conviction(s)
jurisdiction(s) (Court, city, county, state, federal, foreign, or military), and diposition(s) on the attached
supplemental sheet marked "Criminal Conviction History Form"
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A Toe Truck Personnel System Application For Employment
CONDITIONS OF CONSIDERATION FOR EMPLOYMENT
BACKGROUND INFORMATION (ALL APPLICANTS)
Middle Name
Toe Form 125 Application For Employment - RG
Name of Applicant
Does the position you are applying for require you to drive a vehicle as part of your job responsibilities? If yes,
please see attached supplemental form marked "Driver Form".
Can you provide verification of your eligibility to work in the U.S.? Yes No
Are you 18 years of age or older?
Yes No
Hours
Earned
Proof of your degree from an accredited College/University may be required upon hire.
Other Training: Name and Location of Institution Diploma/Certificate
Do you currently, or have you ever worked for A Towing Co? Yes No
Have you ever been dismissed or allowed to resign in lieu of dismissal from a position for misconduct or
unsatisfactory service? Yes No
If yes, describe the circumstances even if you did not agree with your employers decision:
2 of 8
EDUCATION AND TRAINING
City, State (List
campus attended)
Degree/Diploma
Attained/Year
Major Area of Study
Topic of Training
List Current Licenses/Professional Registrations/Certificates
State Received
Expiration Date(s)
If yes, please list reason for leaving:
Toe Form 125 Application For Employment - RG
Name of Applicant
List all employers for the past three years beginning with the most recent first. Account for all time employed,
including self employment.
Starting:
Ending:
Position:
Address (No., Street, Suite No.) Duties: Supervisor's Name:
City, State, Zip Reason for Leaving:
Phone Number:
Starting:
Ending:
Position:
Address (No., Street, Suite No.) Duties: Supervisor's Name:
City, State, Zip Reason for Leaving:
Phone Number:
Starting:
Ending:
Position:
Address (No., Street, Suite No.) Duties: Supervisor's Name:
City, State, Zip Reason for Leaving:
Phone Number:
If presently employed, may we contact your employer? Yes No
If you need additional space, please use the last sheet of this application.
Please list any other names you may have used while employed.
3 of 8
EMPLOYMENT HISTORY
HOURS PER WEEK
DATES WORKED
FROM (Mo/Yr)
To (Mo/Yr)
OTHER
SALARY
Per week, month, year
HOURS PER WEEK
DATES WORKED
FROM (Mo/Yr)
To (Mo/Yr)
SALARY
OTHER
Per week, month, year
HOURS PER WEEK
DATES WORKED
FROM (Mo/Yr)
To (Mo/Yr)
SALARY
OTHER
Per week, month, year
Toe Form 125 Application For Employment - RG
Name of Applicant
I certify that all the information provided herein is true and complete to the best of my knowledge. I agree and
understand that omissions, misstatements and falsifications may cause forfeiture on my part of all eligibility to
any employment with A Toe Truck and may be cause for rejection of this application, removal of my name from
eligibility lists, or dismissal from employment. In addition, I give A Toe Truck the right to investigate and verify
any information obtained through the application process. Permission is granted and I release from any and all
liability any employer, agency, individual or educational institution assisting A Toe Truck in providing relevant,
job related information that will assists in the process.
My signature below certifies that I have read and understand this application and agree to the terms and
conditions outlined in this document.
Applicant's Signature Date
Printed Name
A Toe Truck is a Reasonable Accommodation Employer.
Persons with a disability may request a reasonable accommodation by contacting the Agency Human Resources
Office. Requests should be made as early as possible to allow time to arrange the accommodation.
4 of 8
Toe Form 125 Application For Employment - RG
Name of Applicant
If you have ever been convicted of any crime, please give the details of the offense(s) for which convicted, date(s)
of conviction(s), jurisdiction(s) (court, city, county, state, federal, foreign, or military), and disposition(s). Please
see page 1 for definition of "crimes"
DATE CONVICTION DISPOSITION CITY STATE COUNTY
OTHER
FEDERAL
FOREIGN
MILITARY
5 of 8
CRIMINAL CONVICTION HISTORY
MISDEMEANOR
OR FELONY
LAW
ENFORCEMENT
AGENCY
Toe Form 125 Application For Employment - RG
Name of Applicant
I understand to operate a personally owned vehicle or fleet motor vehicle for the furtherance of business
purposes, I must have an acceptable driving record and complete applicable driver training as required by
Arizona Administrative Code R2-10-207(12).
I understand the Driver Protection Privacy Act of 1994, amended September 1997, prohibits the release of my
Motor Vehicle Record for other than matters of motor vehicle or driver safety.
I understand I may be asked and would be responsible for providing a copy of my thirty-nine month motor vehicle
record history if I do not have a current Arizona driver license.
Name (print as it appears on your driver license)
Do you have a current valid U.S. driver license? Yes No
State Issuing and Driver License Number
Do you have a current valid U.S. commercial driver license? Yes No
State Issuing and Driver License Number
Signature Date
6 of 8
A Toe Truck Driver Form
Toe Form 125 Application For Employment - RG
Name of Applicant
7 of 8
PLEASE USE THIS PAGE FOR ANY ADDITIONAL INFORMATION
Toe Form 125 Application For Employment - RG
Name of Applicant
List 3 Business References:
Company Name: ______________________________________________
Phone#: _____________________________________
Contact Name: _______________________________________Position: _____________________________________
Company Name: ______________________________________________
Phone#: _____________________________________
Contact Name: _______________________________________Position: _____________________________________
Company Name: ______________________________________________
Phone#: _____________________________________
Contact Name: _______________________________________Position: _____________________________________
List 3 Personal References:
Name: ______________________________________________ Phone#: _____________________________________
Relationship: ________________________________________
Name: ______________________________________________ Phone#: _____________________________________
Relationship: ________________________________________
Name: ______________________________________________ Phone#: _____________________________________
Relationship: ________________________________________
8 of 8
REFERENCES
Toe Form 125 Application For Employment - RG
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Employment Application A- Toe Truck (A Toe Truck)

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Completed 11 May 2021

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