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Applicant InformationName* First Last Phone*Email* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Are you legally authorized to work in the United States?*YesNoDo you have a valid driver’s license?*YesNoDo you currently hold a CDL?*YesNoIf yes, Class: __________ State Issued:________2. Work AvailabilityThis position typically requires approximately 50 hours per week (6:00 a.m. – 5:00 p.m.). Are you able to meet this schedule?*YesNoThird ChoiceThis position typically requires approximately 50 hours per week (6:00 a.m. – 5:00 p.m.).Are you available for extended hours as business needs require?*YesNoThird ChoiceThis position typically requires approximately 50 hours per week (6:00 a.m. – 5:00 p.m.).Earliest start date:Employment History(Please list your most recent employer first.)Company Name:Job Title:Dates Employed (MM/YYYY – MM/YYYY):Supervisor Name & Title:May we contact this employer?*YesNoThird ChoicePrimary Responsibilities:Reason for Leaving:Company Name:Job Title:Dates Employed (MM/YYYY – MM/YYYY):Supervisor Name & Title:May we contact this employer?YesNoThird ChoicePrimary Responsibilities:Reason for Leaving:4. Supervisory & Leadership ExperienceAny time held in a supervisor role?How many mechanics or technicians have you supervised?Describe your experience managing shop personnel, including performance reviews and discipline:Describe how you prioritize work when multiple trucks or equipment are down:5. Technical & Fleet ExperienceYears of experience in fleet maintenance or heavy equipment repair:Describe your experience managing preventive maintenance programs:Experience with DOT inspections and compliance tracking:Describe your experience with hands-on repairInclude Strengths nd Weaknesses Please check any diagnostic software you have hands-on experience with: Cummins INSITE Mack/Volvo PTT JPRO Allison Fleetio Other: If other, please list:Describe your experience with emissions systems:6. Inventory & Administrative ExperienceDo you have experience ordering parts and managing shop inventory?YesNoDescribe your experience with inventory control and invoice approval:Have you prepared operational or compliance reports?YesNoIf yes, please describe:7. Safety & Work EnvironmentDescribe your approach to maintaining a safe shop environment:Are you able to perform the physical requirements of this position, including standing for extended periods, lifting parts and equipment, and working in a shop and outdoor environment, with or without reasonable accommodation?YesNoIf accommodation is needed, please describe:8. Physical Requirement QuestionAre you able to perform the essential functions of this position, including standing for extended periods, working in a shop and outdoor environment, and lifting, carrying, pushing, or pulling up to 50 pounds, with or without reasonable accommodation?YesNoThird ChoiceIf accommodation is needed, please describe:9. References(Professional references only.)Reference #1 – NameCompany:Phone:Relationship:Reference #2 – NameCompany:Phone:Relationship:Name First Last 10. Authorization & AcknowledgmentsAt-Will Employment StatementI agreeI understand that, if hired, my employment will be at-will, meaning that either I or the Company may terminate the employment relationship at any time, with or without cause or notice, subject to applicable law. I understand that no representative of the Company has authority to enter into any agreement contrary to the foregoing except in a written agreement signed by an authorized representative of the Company.Reference & Employment Verification AuthorizationI agreeI authorize the Company to contact my previous employers, references, and other relevant parties to verify information I have provided and to obtain job-related information about my qualifications and work performance. I release the Company and such parties from liability for providing or obtaining such information in good faith.Drug & Alcohol Testing (If Applicable)I agreeI understand that, if required by Company policy or applicable law, any offer of employment may be contingent upon successfully passing a pre-employment drug and/or alcohol screening. I understand that refusal to submit to testing may disqualify me from employment consideration.Equal Employment Opportunity StatementI agreeThe Company is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other status protected by applicable federal, state, or local law.Applicant CertificationI agreeThe Company is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other status protected by applicable federal, state, or local law.Consent* I agree.Applicant Name*Date*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Attach PDF ApplicationMax. file size: 128 MB. Applicants may attach a completed .PDF application – not required.