Dutch Maid Logistics | Mechanic Application

Name / Address
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Personal Information / Citizenship
Phone*
Social Security Number*
Email*
If hired, can you provide evidence of legal eligibility to work in the US?*
- Yes
- No
Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization.
Wage/Salary Desired*
Have you ever been convicted of a felony?*
- Yes
- No
If you answered yes, when?
If you answered yes, where?
Date you can begin work
Date Format: MM slash DD slash YYYY
Are you 18 years of age or older?*
- Yes
- No
If under 18 years of age, you will be required to submit a birth certificate or work certificate as required by California or federal law.

Education
Name of high school attended*
*
City State
Graduate?
- Yes
- No
Degree?
Major
What other academic, vocational or professional school have you attended, and when?
Are you currently enrolled in school?*
- Yes
- No
If yes, give name & address of school and expected degree date

Employment History
List names of employers with present or last employer listed first. Please note if we may contact your present employer until after you are offered a position.
Last/Present Employer
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Job Title
Duties
Starting pay or salary
Ending pay or salary
Supervisor
Phone
Reason for leaving?
I certify that all of the information provided in this employment application are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background and credit history check. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date. I understand and acknowledge that unless otherwise defined by applicable law or written agreement with Dutch Maid Logistics, and employment relationship with the Dutch Maid Logistics is considered “employment at will.” This means the Employee may resign at any time and the Employer may discharge the Employee at any time, with or without cause, and with or without advance notice. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I have read, understand, and agree to the above statements.
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Mechanic Application

Name / Address

Personal Information / Citizenship

Education

Employment History

Last/Present Employer