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Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

DOB *

Phone

Email *

Date of Application *

Employment Position
Position(s) applying for:

How did you hear about this position? *

What days are you available for work? *

What hours or shift are you available for work? *

If needed, are you available to work overtime? *

On what date can you start working if you are hired? *

Do you have reliable transportation to and from work? *

Salary Desired: *

Personal Information

Do you have any friends, relatives, or acquaintances working for Valley Wide Towing and Recovery *

Are you at least 21 years old? (for Insurance purposes) *

Are you U.S. citizen or approved to work in the United States? *

Will you consent to a mandatory controlled substance test? *

Have you ever been convicted of a criminal offense (felony or misdemeanor)? *

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the-offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

Please list below the skills and qualifications you posses for the position for which you are applying? *

(Note: Valley Wide Towing & Recovery complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

Education and Training

High School

Name

Location(City, State)

State/Province/Region

Year Graduated

Degree Earned

College/University

Name *

Location(City, State) *

State/Province/Region *

Year Graduated *

Degree Earned *

Vacational School/Specialized Training

Name

Location

State/Province/Region

Year Graduated

Degree Earned

Military

Are you a member of Armed Services? *

Previous Employment

Employer Name *

Job Title *

Supervisor Name *

Employer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employer Telephone *

Date Started *

Date Ended *

Reason for Leaving *

References

Please provide 3 personal and professional reference(s) below:

Reference Name *

Contact Information *

Reference Name *

Contact Information *

Additional Information

Driver's License # *

Driver's License State? *

Class of Driver's License? *

Social Security # *

Are you capable of lifting 50 lbs? *

Name: *

Location of residence: *

Class of drivers license: *

Tell us about yourself, where you live, what you are doing, and knowledge of commercial driving employment.... *

Do you have any relevant Tow Truck Driver experience? If so, what, and for how long? *

If I asked you to do basic maintenance to a truck, what steps would you follow? *

Have you ever received incorrect information from a coworker? What happened, and how did you resolve the issues that occurred? *

How would you rate your basic mechanical skills on a scale of 0-10? *

What do you know about our company? *

How do you handle stressful situations at work? *

How do you practice safety on the job? *

Are you comfortable driving a commercial vehicle through heavy traffic? *

Why do you want to work for Valley Wide Towing & Recovery? *

What kind of hours are you wanting? Explain scheduled shifts vs. commission *

What kind of hourly pay are you looking for? *

Are you ok with overtime? *

Are you ok with the following: Pre-employment drug screen, criminal background check, and driving record check? Is there anything we should be aware of that will come out of these? *

In the last 7 years have you had any of the following issues with your driver's license? OWI/DUI's, suspensions, revocations, SR-22 required, more than 2 at fault accidents within 2 years? *

Any questions for us? *

The relationship between you and the Valley Wide Towing & Recovery is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Valley Wide Towing & Recovery. No representative of Valley Wide Towing & Recovery has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representatives regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

Applicant Signature: *

Dated *

Contact Info

Email

valleywidetow@gmail.com

Address

1118 Jefferson St,
Waterloo, IA 50702

Phone

(319) 888-3144

Apply

Employment Position Position(s) applying for:

Personal Information

Job Skills/Qualifications

Education and Training

College/University

Vacational School/Specialized Training

Military

Previous Employment

References

Additional Information

Contact Info

Email

Address

Phone

Employment Position
Position(s) applying for: