Job Application Form

Employment Application:
Personal Information:
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
E-mail*
example@example.com
Birth Date*

MonthDayYear
Are You a U.S. Citizen?*

YesNo
Employment Desired:
Position Applying For*
Date You Can Start*

MonthDayYear
Date
Salary Desired*
Hourly
How many years experience in selected position?*
Have You Applied Here Before?

YesNo
Have You Worked Here Before?

YesNo
Do you have a CDL?*

YesNo
If yes, how many years have you had it?
Do You Have Heavy Equipment Operator Experience?*

YesNo
If yes, how many years?
Education:
High School*
Name of High School Attended
Graduation Year*
Graduated?*

YesNo
College
Name of College/University Attended
Number of Years Attended
Area of Study/Degree
Graduated?

Yes
Trade School/Other
Name of Trade/Technical/Other School Attended
Number of Years Attended
Area of Study/Degree
Graduated?

Yes
Skills/Qualifications:
Skills/List of equipment able to run.*
List any relevant skills
Qualifications
List any relevant certifications or qualifications
Current/Most Recent Employment:
Current/Most Recent Employer*
Name of Current/Most Recent Employer
Position*
Phone #*
Supervisor
Responsibilities *
Description of Work Preformed
Salary*
Reason for Leaving?*
Start Date*

MonthDayYear
Date
May We Contact?*

YesNo
Previous Employment:
Previous Employer
Name of Previous Employer
Position
Phone Number
Responsibilities
Description of Work Preformed
Salary
Reason for Leaving?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Previous Employer
Name of Previous Employer
Position
Responsibilities
Description of Work Preformed
Salary
Reason for Leaving?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
References:
Reference 1
Relationship
Years Known
Email
Phone
Reference 2
Relationship
Years Known
Email
Phone
Resume (Optional):
Resume

Cancelof
Authorization and Release of Motor Vehicle Record
I understand that driving a Complete Maintenance Solutions vehicle (or my own vehicle, as required) is a requirement of the position I am being considered for and that having and maintaining a satisfactory driving record is a condition of my employment. I agree to allow Complete Maintenance Solutions to check my driving record prior to hire and to check I periodically thereafter. I further agree to report any license suspensions, serious accidents or offenses, or any other condition to my supervisor immediately that may affect my ability to drive a Complete Maintenance Solutions vehicle (or my own, if I am required to) after I am hired. I agree to obtain a driver’s license prior to hire if I do not already have one.

I understand that Complete Maintenance Solutions will use this information for employment purposes only and not furnish this information to a third party without my written consent.

I agree to release Complete Maintenance Solutions, it’s employees and those who supplied you with the information from any liability for any damage which may result from furnishing the requested information or my failure to be hired for the position for which I am apply.
Driver's License #*
Driver's License Class*
Authorization for Prior Employer to Release Information
I hereby authorize my prior employers to release any and all information relating to my employment with them to Complete Maintenance Solutions. I understand that any information released by my prior employer will be held in the strictest confidence, that it will be viewed only by those involved in the hiring process, and that neither I nor anyone else not so involved will have the right to see the information.
Send Application:
By 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 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.
Signature*

Clear
Should be Empty:

Employment Application:

Personal Information:

Employment Desired:

Education:

Skills/Qualifications:

Current/Most Recent Employment:

Previous Employment:

References:

Resume (Optional):

Authorization and Release of Motor Vehicle Record

Authorization for Prior Employer to Release Information

Send Application: