Premier 94 Truck Service

Shop Position Application

Personal Information

Last Name *

First Name *

M.I.

Date

Street Address *

Apartment/Unit #

City *

State *

ZIP Code *

Phone *

Email Address *

Date Available

Position Applied for *

How did you hear about our company?

Are you authorized to work in the U.S.? *

YES

Have you ever worked for this company?

YES

Education

High School

School Name

Address

From Year

To Year

Did you graduate?

YES

Degree/Diploma

College

College Name

Address

From Year

To Year

Did you graduate?

YES

Degree

Other Education/Training

Institution Name

Address

From Year

To Year

Did you complete?

YES

Certificate/Degree

Employment History

Please list your three most recent employers, starting with the most recent.

Most Recent Employer

Company Name

Phone

Address

Supervisor Name

Job Title

Responsibilities

From Date

To Date

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

Previous Employer

Company Name

Phone

Address

Supervisor Name

Job Title

Responsibilities

From Date

To Date

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

Earlier Employer

Company Name

Phone

Address

Supervisor Name

Job Title

Responsibilities

From Date

To Date

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

Military Service (if applicable)

Branch

From Date

To Date

Rank at Discharge

Type of Discharge

If other than honorable, explain

Professional References

Please provide three professional references who can speak to your work experience and character.

Reference 1

Full Name

Relationship

Company

Phone

Address

Reference 2

Full Name

Relationship

Company

Phone

Address

Reference 3

Full Name

Relationship

Company

Phone

Address

Additional Information

Relevant Skills, Certifications, or Experience

Additional Comments

Salary Expectations

Are you willing to work overtime if needed?

YES

Are you willing to travel for work if needed?

YES

Review & Submit

Disclaimer and Agreement:
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Digital Signature (Type your full name) *

Date *

Your application will be sent to Premier 94 Truck Service for review.

🎉 Application Submitted Successfully!

Thank you for your interest in Premier 94 Truck Service. We will review your application and contact you if there's a match for our current openings.

Application ID:

Premier 94 Application

Premier 94 Truck Service

Application Submitted Successfully!

Personal Information

Education

High School

College

Other Education/Training

Employment History

Most Recent Employer

Previous Employer

Earlier Employer

Military Service (if applicable)

Professional References

Reference 1

Reference 2

Reference 3

Additional Information

Review & Submit

🎉 Application Submitted Successfully!