Tow Truck Driver Last nameStreet address*First*Apt #MiddleCityDate of birthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920StateSSN/Tax ID( not a mandatory field )ZipPhone number*Second numberEmail* Personal Information.Are you a United States citizen or legally authorized to work in the United States?YNDo you have a valid Driver’s license?YN** Please attach a copy of your driver license **Allowed file extensions: jpg, gif, pdf, docAccepted file types: jpg, gif, pdf, doc.Do you have experience driving a tow truck?YNIf yes please elaborate:(Do you have experience driving a tow truck?)Do you have an active #CA Tow license?YN** Please attach a copy of your #CA license **Allowed file extensions: jpg, gif, pdf, docAccepted file types: jpg, gif, pdf, doc.Have you ever been convicted with a felony?*(If accepted background check will be conducted)YNIf yes please elaborate:Did you ever had a license revoked or denied other than driver’s license?YNIf yes please elaborate:Do have a clean driving record? (Accidents/tickets/traffic violations)YNIf no please elaborate:Drug & Alcohol tests are required upon start of employment and every quarter during employment period. Do you Feel comfortable with that?YNable to work on any shift on weekdays, weekend and holiday. (The company operation run 24/7 365 days a year)YNHow soon after accepting an offer would you be able to start working?Do you have a reliable source of transportation to get you to work on a timely basis?YN** Attach CV **Allowed file extensions: jpg, gif, pdf, docAccepted file types: jpg, gif, pdf, doc.Work Experience: Employer :Current/Most RecentPreviousPrevious Location :Current/Most RecentPreviousPrevious Employment period :Current/Most RecentPreviousPrevious Position :Current/Most RecentPreviousPrevious Starting salary /wages:Current/Most RecentPreviousPrevious Final salary /wages:Current/Most RecentPreviousPrevious Reason for leaving :Current/Most RecentPreviousPrevious Recommendations available :Current/Most RecentPreviousPrevious I represent that the above information, and any other information I may be required to provide, is complete and accurate and any misstatement or omission may result in rejection of my application or termination of employment. I authorize Our company to conduct, at its discretion an investigative consumer report concerning my character, general reputation, personal characteristics and mode of living. Upon written request, additional disclosure concerning the complete nature and scope of the investigation will be provided. If I am hired, in consideration for my employment, I agree to comply with the policies, procedures, guidelines and standards of conduct ofOur company. This application was designed to comply with Title VII of the Civil Rights Act, The Age Discrimination in Employment Act, The Americans with Disabilities Act, as well as other applicable federal and state Fair Employment Practice Laws. Therefore, no question answered is or will be used to discriminate on the basis of race, color, national origin, religion, age, sex, disability, veteran status or any other characteristic protected by federal, state or local laws.Signature:Date Applications are effective for 14 days, after which you must reapply. This period may be extended if contacted and scheduled for an interview.PhoneThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle AJAX powered Gravity Forms.