Our corporate policy is to select applicants on the basis of their qualifications this policy simply stated, provides for employment based on the applicant’s merits and applicants are not to be accepted or rejected because of their race, color, creed, national origin, sex, age, or handicap. All requested information is needed to help measure your interests and qualifications for employment. No other use will be made of the information.

NAME:

PHONE #:

STREET ADDRESS:

CITY:

STATE:

ZIP CODE:

SOCIAL SECURITY NUMBER:

DRIVERS LICENSE NUMBER:

DRIVERS LICENSE EXPIRES:

DRIVERS LICENSE CLASS:

I HAVE A MEDICAL CARD

HIGH SCHOOL:

  INCLUDE NAME, LOCATION, AND YEARS ATTENDED

I HAVE MY HIGH SCHOOL DIPLOMA

COLLEGE / TRADE SCHOOL:

  INCLUDE NAME, LOCATION, AND YEARS ATTENDED, LIST DEGREE, CERTIFICATION, OR SPECIAL SKILLS

TOWKING CERTIFIED

FSP CERTIFIED LOS ANGELES COUNTY

FSP CERTIFIED ORANGE COUNTY

TRAA CERTIFIED

CTTA CERTIFIED

WRECKMASTER CERTIFIED

MILITARY BACKGROUND:

  INCLUDE BRANCH, YEARS SERVED, AND RANK

EMERGENCY CONTACT:

RELATIONSHIP:

PHONE:

EMERGENCY CONTACT ADDRESS:

. YES NO

Have you ever been convicted of a Felony or Misdemeanor?:

. YES NO

IF YES, EXPLAIN:

Will you volunteer to take a pre-employment drug test?:

. YES NO

 CHECK BOX(S) THAT APPLY

I KNOW HOW TO OPERATE A FLATBED

I KNOW HOW TO OPERATE A WHEEL LIFT

I KNOW HOW TO OPERATE A SLING

WORK EXPERIENCE

List your most current employer first

EMPOYER NAME, ADDRESS, PHONE:

START DATE:

END DATE:

REASON FOR LEAVING:

HOURS PER WEEK:

ENDING SALARY:

IT IS OK TO CONTACT THIS EMPLOYER

EMPLOYER NAME, ADDRESS, PHONE:

START DATE:

END DATE:

REASON FOR LEAVING:

HOURS PER WEEK:

ENDING SALARY:

IT IS OK TO CONTACT THIS EMPLOYER

EMPLOYER NAME, ADDRESS, PHONE:

START DATE:

END DATE:

REASON FOR LEAVING:

HOURS PER WEEK:

ENDING SALARY:

IT IS OK TO CONTACT THIS EMPLOYER

I certify that the answers given on this application are complete and
correct to the best of my knowledge and belief. I understand that any false
 statement on this application is sufficient cause for rejection of my
 application or dismissal in the event that I am employed. I hereby grant
permission to Bob and Dave’s Towing to contact my former employers
concerning my personal character and qualifications for the position for
 which I applied. I also grant permission to each of my former employers
 to provide Bob and Dave’s Towing, Incorporated information they have
 with respect to such matter.