Jit-Ex, LLC Mechanic Application

PERSONAL INFORMATION

EMPLOYMENT HISTORY

Previous Employer Information: *
 *Please fill out in as much detail as possible*
Name:
Address:
City,State, & Zip:
Contact Person:
Phone #:
Position Held:
Salary/Wage:
Reason for leaving:
Dates Employed w/Company:
Previous Employer Information:
 *Please fill out in as much detail as possible*
Name:
Address:
City,State, & Zip:
Contact Person:
Phone #:
Position Held:
Salary/Wage:
Reason for leaving:
Dates Employed w/Company:
Previous Employer Information:
 *Please fill out in as much detail as possible*
Name:
Address:
City,State, & Zip:
Contact Person:
Phone #:
Position Held:
Salary/Wage:
Reason for leaving:
Dates Employed w/Company:

Mechanical Knowledge

Please fill out the following section ONLY if the position you are applying for requires you to operate a company vehicle.

Experience
 Number of Years Experience On Equipment
Diesel Engines
Gas Engines
Tire Repair
Trailer Repair
Body Work
Brakes
Electrical Components

CRIMINAL RECORD

Have you ever been convicted of a felon: *
Have you ever been denied a license, permit, or privelege to operate a motor vehicle? *
Has any license, permit, or privelge ever been suspended or revoked? *
Have you ever tested positive or refused a test for drugs or alcohol? *
Are you on probation or parole? *
Criminal actions pending in which you are a defendant? *
 If you answered yes to any of the above, please explain in the comments box below.
0/250 characters

 

This certifies that this application was completed by me, and that all entries on it and information on it are true and complete to the best of my knowledge. I hereby request and authorize JIT-EX, LLC. and their agents or contractors that receive this application to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold harmless of all liability all companies, agents and associated parties for the use of this application

 

I have read and agree to the above release and I give permission to obtain consumer reports about me. *