Application For Employment

Job Application

Please submit the Employment Application Form below to apply for a posted position.

(* Indicates Required Fields)

Application Form

Date: *
Position Applying For: *

Contact Information

First Name: *
Last Name: *
Street Address: *
City: *
State: *
ZIP Code: *
Email Address: *
Confirm Email Address: *
Alternate Email:
Primary Phone: *
Mobile Phone:

Employment History & Education

Have you applied with us before? . Yes . . No *
If yes, when? (enter date or estimate)

 
Are you currently employed? . Yes . . No *
If you are currently employed, may we
contact your present employer?		 . Yes . . No
If yes,please provide current employer
contact person and phone number?
(Enter Business Name; Contact Name;
Title; Address; Phone)

 
Grammar School:
High School:
College(s):
Trade School/Other:
Special Study, Training, US Military, etc:

 
List Your Customer Service Skills:
Please List Your Previous Employers:
(For Each Employer, Include Dates,
Company Name, Position, Wage/Salary
and Reason for Leaving)
Which Of The Above Employers May We
Contact For Employment Verification?:
(Enter the Name And Phone
Number For Each Contact Listed)

Agreements & Authorization

Have You Ever Been Convicted Of A Crime Or Are On Probation?
Truthfully Answering Yes Does Not Preclude Being Hired Or Not By This
Company, Only a Later Dismissal If Not Revealed
Yes . . No *

 
Authorization
I CERTIFY THAT THE INFORMATION AND FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY ABILITY AND KNOWLEDGE. I UNDERSTAND THAT ANY FALSIFIED STATEMENTS DISCOVERED ON THIS APPLICATION, PRIOR TO HIRING, MAY PREVENT EMPLOYMENT WITH THIS COMPANY, AND IF HIRED MAY BE GROUNDS FOR DISMISSAL. I HEREBY AUTHORIZE INVESTIGATION OF ALL STATEMENTS, REFERENCES AND EMPLOYERS AS STATED OVE AND GIVE PERMISSION FOR PAST EMPLOYERS TO RELEASE INFORMATION CONCERNING PREVIOUS EMPLOYMENT.
**

 
Release
I HEREBY RELEASE ANY COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM INFORMATION PROVIDED TO ARIZONA SHUTTLE.
**

 
THIS COMPANY HAS A DRUG-FREE POLICY.
WOULD YOU AGREE TO DRUG TESTING?
Yes . . No *

 
WOULD YOU AGREE TO THIS COMPANY DOING A BACKGROUND CHECK?
Yes . . No *