Position(s) Applying For
*
Date of Application
*
MM
DD
YYYY
How did you learn about us?
If Friend, Relative or Other, Please list:
Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Drivers License Number & State
Class Drivers License
Phone
(###)
###
####
Social Security Number
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Have you ever filed an application with Texas Crane Services before?
Have you ever been employed by Texas Crane Services before?
Are you currently employed?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?
Proof of citizenship or immigration status will be required upon employment.
On what date would you be available for work?
MM
DD
YYYY
Can you travel if a job requires it?
Have you ever been arrested or convicted of a crime?
Arrests and convictions will not necessarily disqualify an applicant from employment.
If yes to the above, please explain:
Describe any specialized training, apprenticeship, skills and extracurricular activities.
Describe any job-related training received in the United States Military.
Summarize special job-related skills and qualifications acquired from employment or other experience.
List professional, trade, business or civic activities and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.
State any additional information you may feel may be helpful to us in considering your application.
1. Employer & Address
Start Date
MM
DD
YYYY
Final Date
MM
DD
YYYY
Job Title
Job Description
Reason for Leaving
2. Employer & Address
Start Date
MM
DD
YYYY
Final Date
MM
DD
YYYY
Job Title
Job Description
Reason for Leaving
3. Employer & Address
Start Date
MM
DD
YYYY
Final Date
MM
DD
YYYY
Job Title
Job Description
Reason for Leaving
Date
MM
DD
YYYY
BACKGROUND AND REFERENCE INVESTIGATION AUTHORIZATION
As part of its due diligence procedures, Texas Crane Services (Hereafter referred to as “Company”) requires that a background investigation and a check of references be conducted. The objectives of the investigation are to verify information provided during the application process, investigate references and identify factors that might be inconsistent with “Company” employment requirements.
The Fair Credit Reporting Act requires that you must be notified prior to obtaining information about you. You are hereby notified that reports will be obtained to determine that you meet “Company” requirements for employment.
The “Company” has notified me that reports will be obtained regarding me pursuant to my application being submitted to the “Company”.
Have you ever had a worker’s compensation accident, injury or illness?
Please check one/
If Yes is checked please explain:
Electronic Signature
BACKGROUND AND REFERENCE INVESTIGATION AUTHORIZATION
As part of its due diligence procedures, Texas Crane Services (Hereafter referred to as “Company”) requires that a background investigation and a check of references be conducted. The objectives of the investigation are to verify information provided during the application process, investigate references and identify factors that might be inconsistent with “Company” employment requirements.
I, APPLICANT'S NAME, give Company, and/or Stewart Business Information permission and authority to conduct a due diligence investigation and reference check into my past and current activities, I understand and consent to an investigation that may include, but is not limited to, information as to my personal character, general reputation, verification of previous employment and employment references, verification of education, credit history, motor vehicle driving record, social security wage information, criminal records and other information contained in public records.
I authorize and request any Former Employers, Schools, Police Departments, States, Cities and Counties or any other Person to furnish Company and /or Stewart Business Information designees information concerning:
My Work Habits
Character
Criminal Record
Social Security Information
Reason for Termination
Reputation
Driving Record
Credit History
Salary History
*Worker Comp Claims Education History Transcripts
And all other relevant information requested by the company.
I HEREBY RELEASE ALL PERSONS, COMPANIES, CORPORATIONS, SCHOOLS, OR INDIVIDUALS FROM ALL LIABILITY AND RESPONSIBILITY THAT MAY RESULT FROM PROVIDING COMPANY AND/OR STEWART BUSINESS INFORMATION WITH SUCH INFORMATION AS REQUESTED.
I understand that if hired, my employment is for no definite period of time, consistent with state law, and may be terminated with or without cause and with or without notice, at any time, at the option of either Company or myself. No employee representative, manager, official or supervisor of Company, other than the president or vice president of Company, has any authority to enter into any agreement for employment for a specified period of time or make any agreement relative to employment that is contrary to the foregoing. Any such employment agreement will be in writing, signed by the designated officer and clearly specifying its term.
If I am not hired due to information contained in the background screen report, I will be notified in writing and a copy of the said report will be supplied to me with a written summary of my rights under the Fair Credit Reporting Act of 1970 as amended in 1996.
*Subject to the Americans with Disabilities Act of 1990 (ADA)
**The Age Discrimination in Employment Act of 1967(ADEA) prohibits discrimination on the basis of age with
respect to individuals who are at least 40 years of age.
STEWART BUSINESS INFORMATION clients are granted permission to make additional copies of this form
Applicants Name & Social Security Number
Current Street Address City, State and Zip Code
Electronic Signature
Date
MM
DD
YYYY
Driver’s License Number & State
**Date of Birth
