* A valid Social Security Number will be required at time of employment
How long have you lived at the above address?
Phone (999) 999-9999
Which Truck’n America location are you applying to work at?
Position Applying For:
If “Other” Please Describe
How did you learn of this job opening?
Are you at least 18 years or older?
If not, how old are you?
Are you legally able to be employed in the U.S.?
THE IMMIGRATION REFORM AND CONTROL ACT OF 1987 REQUIRES EMPLOYERS TO HIRE ONLY U.S. CITIZENS AND LAWFULLY AUTHORIZED WORKERS.
Do you speak any languages other than English? If yes, what other languages do you speak?
Date when you are available to begin work
If “Other” Please Describe
Are you able & willing to work Overtime?
Are you able & willing to work Sundays?
* Our MD locations are open 11 – 4pm on Sundays.
Are you able & willing to work Weekends?
* All of our locations have weekend hours. 9 5pm Sat / 11 – 4pm Sunday (MD only)
Are you able & willing to work Evenings?
* Our business hours are 8 – 6pm M – F
Are you able & willing to work Holidays?
Fill out the following completely. Begin with present position or last job held and work back. Use the Comments area at the end of each section to account for any gaps in your employment. Include the last three employers or 15 years of employment.
Background / Security Data
Have you been convicted of a felony or pleaded guilty to any criminal offense involving dishonesty or fraudulent act? Do not include minor traffic violations.
If yes, please explain
Please include information such as: Charge, Court Location, Date, etc.
PLEASE NOTE THAT A CONVICTION RECORD WILL NOT NECESSARILY BAR AN APPLICANT FROM EMPLOYMENT, but will be considered as one of many factors in assessing the applicant’s ability to fulfill job duties.
Have you ever had a Fidelity Bond (crime and dishonesty insurance) denied or revoked?
If Yes, Please Explain
Please Include Information such as: Charge, Court Location, Date, etc.
Do you have any commitment to another employer or organization which might affect your employment with us such as a competitor or a conflict of interest?
List three individuals not previously shown who have been in a position to objectively evaluate your training, experience and capabilities.
Please add any additional relevant information
CERTIFICATION & AGREEMENT PLEASE READ THE FOLLOWING CAREFULLY, THEN SIGN AND DATE THE APPLICATION.
If you have any questions regarding these statements, please ask before signing.
It is understood this application is not an obligation to provide employment. It is our policy that all persons interested in employment complete a written application for a position which has been advertised or posted. A resume alone is not sufficient to consider an individual as an applicant. Individuals will not be considered applicants if they exclude information, specifically:
The position applied for and the date.
Information required by law including social security number and immigration status.
A complete employment history including the name of the employer, rate of pay, and reason for leaving.
It is understood and agreed that any exclusion of required information, misrepresentation or falsification by me in this application may be considered sufficient cause for cancellation of this application and/or termination of my employment, if hired.
Furthermore, I understand that just as I am free to resign at any time, this Company reserves the right to terminate my employment at any time, with or without cause or prior notice. I understand that no representative of this Company has the authority to make any assurances to the contrary.
I authorize the thorough investigation of my work history and verification of all dates provided in my application for employment, related papers, or oral interviews. I authorize such investigation and I release from liability any person giving or receiving any such information. I understand that falsification of data so given or other derogatory information discovered as a result of this investigation may disqualify my application or, if hired, may subject me to immediate termination.
Although management makes every effort to accommodate individual preferences, business need may at times make the following conditions necessary: overtime, or a work schedule that includes Saturday, Sunday and holidays. I understand and accept these conditions of employment, if hired.
I agree to undergo a medical examination, if requested by the employer, which I must successfully pass before finally being accepted for employment and also agree that, in the event i shall be employed by the Company, I will agree to further medical examination, for business reasons only, when requested by the Company.
I understand this application will be considered active for a period of 90 days from the date indicated below. I further understand that if i am not hired during that period, I must complete and execute a new application form to be considered for employment.
In the event that I am hired, I will abide by all of the Company’s rules, regulations, policies and practices and understand that these may be changed form time to time at the discretion of the Company.
It is understood this application is not an obligation to provide employment.
* Truck’n America respects your privacy – It is our promise to keep your personal information confidential.
If you are human, leave this field blank.