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Home
Our Team
Vendor Links
Contact
Job Opportunities
Sales/Service
Our Units/Equipment
Facebook
Upcoming/ New Deliveries
(252) 757-3787
info@selectcustomapparatus.com
Facebook
Job Opportunities
Job Opportunities
Application For Employment
Job Application
Application for Employment
The Company, in accordance with state and federal laws, does not discriminate on the basis of age, race, religion, color, sex, national origin, marital or veteran status, or physical or mental disability. The Company is also required by law, due to its contract(s) with government agencies, to take affirmative action to employ women, minorities, otherwise qualified disabled veterans, Vietnam era and disabled veterans.
Personal Information
First Name
*
MI
Last Name
*
Date Applied
MM slash DD slash YYYY
Street Address
City
State
Zip
Home Telephone
*
Social Security Number
Work Telephone
May we contact you at this number?
*
Yes
No
General Information
Position(s) Applied For:
*
Pay Expected
Referred By:
Newspaper Ad
Friend
Relative
Internet
Employment Agency
Other (Explain)
Explain
Have you ever filed an application or been employed by any of the following:
Capacity of Texas
Collins Industires, Inc.
Collins Bus Corporation
Mid Bus
Mobile Products
Wheeled Coach Industries
If yes, from:
Are you employed now?
Yes
No
May we contact your present employer?
Yes
No
When are you available to start?
*
MM slash DD slash YYYY
What shift are you willing to work?
First Shift
Second Shift
Third Shift
Work schedule preferred:
Full time
Part time
Temporary
Can you work overtime?
Are you on a layoff and subject to recall?
Yes
No
If yes, from:
Other Information
List names of relatives in our employment:
List names of friends in our employment:
References
Give name, address and telephone number of three references who are not related to you and are not previous employers:
Reference 2
Reference 3
Do you have the ability to perform all job related functions of the position(s) for which you are applying?
Yes
No
If no, please explain:
Emergency Contact
Name
Address
Phone Number
Can you verify that you are at least 18 years of age?
Yes
No
Are you legally entitled to work in the United States?
Yes
No
Have you ever been convicted of a felony?
Yes
No
If yes, please give dates and explain:
(A conviction will not necessarily disqualify you from employment)
Education/Training
High School
Course of Study
No. Year Completed
Diploma or Degree
College
Course of Study
No. Years Completed
Diploma or Degree
Please describe any other academic achievements, honors, licenses, certification or training:
Employment Experience
Start with your present job. Include military service assignments and self-employment.
Employer
Job Title
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Address
Supervisor
Reason for Leaving
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
Work Performed
Section Break
Employer
Job Title
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Address
Supervisor
Reason for Leaving
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
Work Performed
Section Break
Employer
Job Title
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Address
Supervisor
Reason for Leaving
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
Work Performed
Section Break
Employer
Job Title
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Address
Supervisor
Reason for Leaving
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
Work Performed
List Periods of unemployment
Please summarize special skills, expertise or qualifications acquired from employment, other experience, or state any additional information you feel may be helpful in considering your application:
Agreement and Authorization
(Read Carefully Before Signing)
In signing and submitting this application for employment with Select Custom Apparatus, Inc., I clearly understand and agree: (1) I certify that the information contained in this application is correct and complete to the best of my knowledge and understand that omission, misrepresentation or falsification of information is grounds for refusal to employ me or my dismissal if I am employed; (2) I authorize my references, schools, and current and past employers to give the Company any and all information concerning my previous employment and any information they may have, personal or otherwise, and release all parties from all liability for any damage or claim that may result from furnishing the same to the Company; (3) I agree to submit to any alcohol or drug screen or other tests as warranted by circumstances at the discretion of the Company; (4) If I am employed and I should fail to return any tools which I may check out, I hereby authorize the Company to deduct from my pay due me, at the time, the value of such tools. I also agree to furnish the personal tools customarily required for my job; (5) If accepted for employment, I understand such acceptance may be contingent on my passing a medical examination and for the purposes of a medical examination, I authorize any doctor with whom I have consulted previously in a physician-patient relationship to release and convey any information relative to such consultant or treatment; (6) If I am employed, I agree to abide by the rules, regulations and policies of the Company, and understand my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the Company or myself; (7) I understand that no representative of the Company, other than the President of the Company, has any authority to enter into any contractual agreement for employment for any specified period of time, or make any agreement contrary to the foregoing.
Date
MM slash DD slash YYYY
Signature of Applicant
*
Phone
This field is for validation purposes and should be left unchanged.
