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DATE? * MM / DD / YYYY
NAME? * First Last
CITY AND STATE? *
WHAT POSITION ARE YOU APPLYING FOR? *
WHAT IS YOUR STREET ADDRESS? PLEASE INCLUDE BUILDING AND APT #'S, ETC? *
WHAT IS YOUR CELL NUMBER? * ### - ### - ####
WHAT IS YOUR HOME OR OTHER CONTACT NUMBER? * ### - ### - ####
Email Address *
BASIC TECHNICIAN REQUIRMENTS. YOU "MUST" ANSWER YES TO "ALL" QUESTIONS TO BE CONSIDERED FOR THIS POSITION. *
YES. I AM A US CITIZEN. OR LEGALLY AUTHORIZED TO WORK IN IN THE US. YES. I HAVE STATE DRIVERS LICENSE FOR THE STATE I RESIDE. YES. THE CAR IS STATE REGISTERED. YES. I HAVE STATE MINIMUM CAR INSURANCE. YES. I CAN PASS A BACKGOUND CHECK. YES. I CAN PASS A DRUG SCREENING. YES. I CAN LIFT 50LBS AND CHANGE TIRES. YES. I HAVE A UNLIMITED CELL PHONE WITH TEXTING. YES. I AM MECHANALLY INCLINED AND / OR HAVE EXPERIENCE. YES. I REALIZE THIS IS A 1099 PAID AND I MUST PAY MY OWN TAXES. YES. I REALIZE THIS "IS A JOB." AND THAT I CANT WORK WHEN I WANT. YES. I UNDERSTAND THAT IF I CANT WORK. I "MUST" NOTIFY MY SUPERVISOR. YES. I CAN WORK IN THE HEAT, RAIN OR SNOW. YES. I AM WILLING TO WEAR A UNIFORM.
WHATS IS YOUR STATE DRIVERS LICENSE NUMBER? *
WHAT IS YEAR, MAKE, MODEL AND COLOR OF YOUR WORK VEHICLE? *
HAVE YOU EVER BEEN "CONVICTED" OF "ANY" OF THE FOLLOWING:
DUI (DRUNK DRIVING), ASSAULT, DRUGS, THEFT, SEX CRIME, STALKING OR HARASSMENT? (PLEASE BE HONEST). CANDIDATES ARE LOOKED AT ON A CASE BY CASE BASIS. HOWEVER, CERTAIN CRIMES SUCH AS SEX CRIMES WILL NOT BE ALLOWED. ANSWER YES OR NO. THEN EXPLAIN. *
USE THIS SPACE TO EXPLAIN IF YOU HAVE BEEN CONVICTED OF A CRIME OR ANY OTHER INFO YOU WOULD LIKE PRA TO CONSIDER. (MILITARY EXPERIENCE, EDUCATION), ETC *
ABOUT HOW MANY DAYS HAVE YOU MISSED FROM WORK IN THE PAST 5 YEARS? *
WHAT WERE SOME OF THE REASONS FOR THE MISSED DAYS? *
ARE YOU EMPLOYED OR WHAT WAS THE LAST FULL-TIME JOB YOU HAD? *
WHAT ARE THE DAYS AND TIMES THAT YOU ARE AVAILABLE FOR WORK? YOU "MUST BE" AVAILABLE TO WORK WHEN SCHEDULED. *
CAN YOU WORK EVENINGS, NIGHTS AND WEEKENDS? *
CAN YOU WORK A 24HR 7 DAYS A SCHEDULE? *
WHAT DATE CAN YOU START WORKING? *
PLEASE CHECK THE BOX IF YOU HAVE THE FOLLOWING TOOLS: *
LOCK-OUT KIT: AIR WEDGE, PLASTICE WEDGE AND BIG EASY ROD? JUMPER CABLES - (SHOULD BE 20 FT 4 GAUGE. AVAILABLE @ WALMART)? JUMPBOX? 1 - 3 TON JACK. (WITH SUV CAPABILITIES)? 4 WAY LUG WRENCH AND/OR IMPACT WRENCH? BREAKER BAR WITH IMPACT AND DEEP END SOCKTS? ALLEN WRENCHES (TO REMOVE CERTAIN CAPS) COMPRESSOR OR AIR TANK? RUBBER MALLET? ASSORTED TOOLS? 1 OR 2 GALLON GAS CAN?
PLEASE ENTER YOUR FIRST AND LAST NAME AS AN ELECTRONIC SIGNATURE. *
Do Not Fill This Out

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