Zimmerman Truck Lines Inc

Employment Application

Applicant Information
Last Name:  ----First Name:

Middle Initial: 

 ----Date of Birth:  

Street Address: 

----Apartment/Unit #:

City: 

----State:  

Zip Code: 

----Phone: ( ) -

Email: 

 

Soc. Sec. #: 

----Drivers License #:

Date Available: 

   

Requested Position:

Are you a U.S. citizen?


 

If no, are you authorized to work in the U.S.?


 

Have you worked for our company before?


 
If yes when?  
Have you ever been convicted of a felony?


 

If Yes Explain:

   

Education

High School:

----High School Address:

Start Date: 

   

End Date : 

----Did you Graduate:


Degree:    
College: 

----College Address:
Start Date:

   
End Date:

----Did you Graduate:


Degree:

    

College:

 ----College Address:
Start Date:    
End Date: ----Did you Graduate:


Degree 

   

References
Full Name ----Relationship:

Company:

----Phone: ( ) -

Address: 

   

Full Name:

----Relationship:
Company: ----Phone: ( ) -  
Address    
Full Name: ----Relationship:
Company: ----Phone: ( ) -  
Address:    
 
Previous Employment
Company: ----Phone: ( ) -
Address: ----Supervisor:
Job Title ----Start Salary:  
    ----End Salary:
Responsibilities:
Start Date: ----End Date:
Reason for Leaving:
May we contact your previous supervisor for a reference? ----
Company: ----Phone: ( ) -
Address: ----Supervisor:
Job Title: ----Start Salary
    ----End Salary
Responsibilities:
Start Date:   ----End Date:  
Reason for Leaving:
May we contact your previous supervisor for a reference? ----
Company: ----Phone: ( ) -
Address: ----Supervisor:
Job Title: ----Start Salary
    ----End Salary
Responsibilities:
Start Date:   ----End Date:  
Reason for Leaving:
May we contact your previous supervisor for a reference? ----
    
Military Service
Branch: ----Start Date:
    ----End Date:  
Rank at Discharge: ----Type of Discharge:
If other than honorable, explain:    
 
    
Disclaimer

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.