Driver Job Application

If you are applying for an dispatcher, front counter or office job (NOT a Driver position)...
CLICK HERE

Today's Date

MonthDayYearHourMinutesAM/PM Option

Full Name*

First NameLast Name

Current Address*

Street Address

Street Address Line 2

CityState

Zip Code

Are you 23 years of age or older?*

Cell / Home Phone Number*

Email Address*

Phone Number

Area CodePhone Number

Applying for Position*

Start Date Desired*

MonthDayYear

What days of the week are you available for work?

We have 2 shifts. Day - 7am to 7pm and Night - 7pm to 7am. What shifts are you able to work?

We have two 12 hour shifts. Day and Night. Which shifts are you able to work?

If needed, are you available to work overtime?

Do you have reliable transportation to and from work?*

Please select in order of preference, the work locations in Virginia / Maryland you prefer (you can select the same value multiple times)*

	Select which location (s) you prefer
Falls Church/Merrifield, VA
Alexandria, VA
Silver Spring, MD
Gaithersburg, MD

Maryland perferred work locations:

	First	Second
Silver Spring
Gaithersburg

Have ever applied or worked with Henry's before?*

If yes please explain

Do you have any friends, relatives or acquaintances working for Henry's ?*

If yes. who and what relationship?

Are you legally authorized to work in the U.S?*

Do you have any condition which would require job accommodations?*

If yes, please describe accommodations required:

(Note: Henry's Wrecker Service complies with the ADA and considers reasonable accommodation measures that may be necessary for eligiable applicants / employees to perfom essential functions.)

Have you ever been convicted of a criminal offence?*

FelonyMisdemeanorNone

If so, please state the nature of the crime, date, location, and jurisdiction where convicted:

(Note: Applicants will not be denied employment soley on the grounds of conviction of a criminal offense. However, the date of the offense, the nature of the offense, including any significant details regarding the event; (i.e. circumstances and the relevance of the offense) to the position (s) applied for may be considered.)

Years of towing experience

Date of Experience From:

MonthDayYear

To:

MonthDayYear

Light Duty?

Flat Bed?

Wheel Lift?

Service/Road Side Assistance?

Private Property Impounds?

Commercial Driving Experience:

Years of Commercial Driving Experience:

From:

MonthDayYear

To:

MonthDayYear

Do you have a valid Driver's License?*

Driver's License Number, State Issued, Expiration Date:

Do you have a DOT card?*

Date of Expiration

MonthDayYear

Do you have a Tow License from the Virginia Department of Justice?*

NoYes

Tow License Number & Exp Date:

Do you have a CDL License ?

Date of Expiration:

MonthDayYear

Will you submit to a pre-employment mandatory controlled substance test?

TRAA Certiifcation?

	Yes	No
Level 1
Level 2
Level 3

Any other certifications?

Years of experience?

Skils?

	Yes	No
Answering Phones?
Customer Service?
Typing/Keyboarding?
Filing?
Microsoft Office Suite? (word...)
Accounting/Bookkeeping?

College/ University

School Name

Location (City and State)

Year Graduated

Degree Earned

Vocational School/Specialized Training

School Name

Location (City and State)

Year Graduated

Certificate Earned

High School

School Name

Location (City and State)

Year Graduated

Diploma Earned

Are you a member of the armed forces?

Active?

Reserves?

Retired?

What branch of the military did you serve?

Date of Honorable Discharge?

MonthDayYear

Dates of Service - From:

MonthDayYear

To:

MonthDayYear

Employer 1 Name:*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Employer 1 Phone

Area CodePhone Number

Job Title:

Supervisor Name:

Dates Employed From:

MonthDayYear

To:

MonthDayYear

Beginning Salary:

Ending Salary:

Reason for leaving?

May we contact your previous supervisor for a reference?

Employer 2 Name:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Employer 2 Phone

Area CodePhone Number

Job Title:

Supervisor Name:

Dates Employed From:

MonthDayYear

To:

MonthDayYear

Beginning Salary:

Ending Salary:

Reason for leaving?

May we contact your previous supervisor for a reference?

Upload Resume

Upload a File

Driving Record

Upload a File

If you do not have a copy of your driving receord please submit one as soon as possible. In VA you can go here to get one - https://www.dmv.virginia.gov/dmvnet/records/intro.asp

In MD go here to get it - http://www.mva.maryland.gov/drivers/driving-records.htm

I certify that the information provided on this application is truthful and accurate and that I have not knowingly withheld any information that might adversely affect my chances of becoming employed at Henry’s Wrecker Service. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Henry’s Wrecker Service to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

The relationship between you "the employee" and Henry’s Wrecker Service "the employer" is referred to as “employment at will.” This means the relationship will be entirely voluntary in nature, and either the employee or the employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Henry’s Wrecker Service, except in a specific written contract of employment signed on behalf of the organization by its CEO/President, has the power to alter or vary the voluntary nature of the employment relationship.

Additionally, I understand my contact information ONLY shall be shared with TowStaff.com who may contact me about registering for additional employment services. I may contact TowStaff at any time to have my contact information immediately and permanently deleted.

I have read and agree to the above Certification*

I agree

Henry's Wrecker DRIVER Application

SERIOUS APPLICANTS ONLY

Driver Position

Personal Information

Driver Experience & Qualifications

Education and Training

Military:

Previous Employment

Certification