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APPLICANT INFORMATION INFORMACIÓN DEL APLICANTE

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First Name Primer Nombre

Middle Name Segundo Nombre

Last Name Apellido

Address Line 1 Dirección Línea 1

Address Line 2 (Apt, Unit, etc.) Dirección Línea 2 (Apt, Unit, etc.)

City Ciudad

State Estado

Zip Code Código Postal

Phone Number Número de Teléfono

Emergency Contact Name Nombre del Contacto de Emergencia

Emergency Contact Phone Number Número de Teléfono de Contacto de Emergencia

Desired Start Date Fecha de Inicio

Date of Birth Fecha de Nacimiento

Social Security Number Número de Seguro Social

Position Desired Posición Deseado

Desired Salary Salario Deseado

E-mail Address (for paycheck stubs) Email Dirección

Special training or skills (Languages, machine, operation, etc.) Entrenamiento o habilidades especiales (Idiomas, máquina, funcionamiento)

PRE-EMPLOYMENT QUESTIONS PREGUNTAS PREVIAS AL EMPLEO

Are you authorized to work in the United States? ¿Está autorizado para trabajar en los Estados Unidos?

Yes Sí

Are you available for full-time work? ¿Estás disponible para trabajar a tiempo completo?

Yes Sí

Will you work overtime if asked? ¿Trabajarás horas extras si te lo piden?

Yes Sí

PREVIOUS ADDRESSES DIRECCIONES ANTERIORES

LIST ALL LOCATIONS WHERE YOU HAVE LIVED IN THE PAST 7 YEARS ENUMERE TODAS LAS UBICACIONES DONDE HA VIVIDO EN LOS ÚLTIMOS 7 AÑOS

From Date Fecha Anterior

To Date Fecha Posterior

City Ciudad

County Condado

State Estado

EMPLOYMENT HISTORY HISTORIAL LABORAL

PLEASE FILL OUT COMPLETELY. DO NOT LEAVE ANY BLANK SPACES.
COMMERCIAL DRIVERS PLEASE COMPLETE EMPLOYMENT HISTORY FOR ALL COMMERCIAL DRIVER POSITIONS FOR THE PAST 10 YEARS POR FAVOR LLENE COMPLETAMENTE. NO DEJES ESPACIOS EN BLANCO.
CONDUCTORES COMERCIALES POR FAVOR COMPLETE EL HISTORIAL DE EMPLEO PARA TODOS LOS PUESTOS DE CONDUCTOR COMERCIAL DURANTE LOS ÚLTIMOS 10 AÑOS

EMPLOYER 1 EMPLEADOR 1

Company Name Nombre de Empresa

Phone Number Número de Teléfono

Address Dirección

Position Posición

Supervisor's Name Nombre del Supervisor

Reason for Leaving Motivo de Salida

Employed From Fecha de Entrada

Employed To Empleado Hasta la Fecha

EDUCATION EDUCACIÓN

Education Type Tipo de Educación

Major Especialización

Grade Grado

Did you graduate? ¿Te graduaste?

School Name Nombre de la Escuela

Address Dirección

Start Year Año de Inicio

End Year Año Final

DRIVING QUALIFICATIONS CALIFICACIONES DE CONDUCIR

THIS SECTION IS FOR COMMERCIAL DRIVERS ONLY. PLEASE LIST ALL DRIVERS LICENSES IN THE PAST 3 YEARS. ESTA SECCIÓN ES SÓLO PARA CONDUCTORES COMERCIALES. ENUMERE TODAS LAS LICENCIAS DE CONDUCIR EN LOS ÚLTIMOS 3 AÑOS.

DRIVER LICENSES LICENCIAS DE CONDUCIR

State Estado

License # Número de Licencia

Expiration Date Fecha de Caducidad

Type or Class of License Tipo o Clase de Licencia

DRIVING EXPERIENCE EXPERIENCIA DE MANEJO

Class of Equipment Clase de Equipo

Type of Equipment Tipo de equipamiento Van, Truck, Flat, etc. Furgoneta, Camión, Piso, etc.

From Date Partir de la Fecha

To Date Hasta la Fecha

Type or Class of License Tipo o Clase de Licencia

RESUME CURRICULUM

Please upload your Resume here (Optional) Por favor suba su Currículum aquí (Opcional) Only PDF's and Word Documents are accepted Solo se aceptan documentos PDF y Word

SIGNATURE FIRMA

I hereby apply for employment with Dan Williams Company, Hereinafter referred to as Employer.

I specifically verify that all the information provided in this application for employment is true, complete, and correct. I certify that I have no willful misrepresentation in this application nor have I withheld information in my statements and answers. I am aware that the information given by me in my application will be investigated, with full permission and that any misrepresentation may cause my application to be rejected or my employment terminated if hired.

I understand that my employment is subject to a background investigation. This investigation may cover previous employment, education, driving record and criminal and credit background checks.

I certify that I am authorized to work in the United States and understand that the Employer will verify my employment eligibility.

I understand that after an offer of employment has been made, I am subject to pre-employment physical and drug testing. My employment with the Employer is contingent upon my passing the pre-employment tests.

I certify that being under the influence of drugs or alcohol on the job, job site or any property owned or occupied by the Employer will be sufficient reason for immediate termination of employment. I further understand that at any time during my employment I may require to undergo, without prior notice, random drug/alcohol testing. I consent to drug/alcohol testing for pre-employment screening and for any accident/injury that is job related.

I will abide by the safety rules set by the Employer. I understand and agree that I am employed at will and that my employment may be terminated at any time by me or by the Employer without prior notice or cause and without liability for loss of wages. If injured on the job, I authorize the Employer to use best judgment for treatment unless instructed otherwise.

Applicant Signature Firma Del Aplicante

Today's Date Fecha

Double check all of your above entries before submitting your application Verifique dos veces todas las entradas anteriores antes de enviar su solicitud

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