APPLICATION FOR EMPLOYMENT
Redhawk
Transportation, Inc
Date of Application
Social Security Number
Last Name
First Name
Middle Name
Address (Street number and name)
County
State
Zip Code
Phone (Home or where you can be reached)
Business Phone
Jobs Applied For
Enter below the job(s) for which you are applying.
1.
Referral Source
Please indicate your referral source:
Education
Circle highest grade completed: 1 2 3 4 5 6 7 8 9 10 11 12 GED College 1 2 3 4 Graduate School 1 2 3 4
Under S/Q Hrs., list the hours of credit received and if they were semester (S) or quarter (Q) hours.
Schools
Name and Location
Dates Attended (mo/yr)
From: To:
Grad?
S/Q Hrs.
Major/Minor Course Work
Type of Degree
Received
High School
YES
NO
College(s)
University (s)
YES
NO
Graduate or
Professional
YES
NO
Other educational,
vocational school,
internships, etc.
YES
NO
Special training programs and seminars you have completed in the last five years (list):
References, please list persons not related to you:
NAME ADDRESS PHONE RELATIONSHIP YEARS KNOWN
1
2
3
Membership in professional, honorary, or technical societies (list):
DO NOT COMPLETE THIS BLOCK
DEGREES AND PROFESSIONAL CREDENTIALS
Have been verified
Will be verified within 90 days
Person Responsible:
Licenses and certifications (List, giving dates and sources of issuance):
SKILLS
CHECK the following skills, experiences, etc., which you have:
Driver’s License
Number State
Chauffeur’s License
Number State
Sign Language
Foreign language (specify)
Adding Machine/calculator
Typing (specify WPM)
Shorthand/speedwriting (specify WPM)
Legal transcription
Medical transcription
Braille
Word Processing
Other
During the past 10 years, have you been convicted of, or have you pled guilty or no contest to, a felony offense? (A conviction does not mean you cannot be hired. The
offense and how recently you were convicted will be evaluated in relation to the job for which you are applying.)
YES NO (If yes, explain fully on an
additional sheet.)
WORK HISTORY (include volunteer experience) Use Additional Sheets if Necessary
Current or Last Employer:
Address:
Job Title:
Supervisor’s Name
Telephone Number
No. Supervised by you:
Date Employed (mo/yr)
Starting Salary
$ per
Ending or Current Salary
$ per
Reason for Leaving
May We Contact Employer
YES NO
Date Separated (mo/yr)
Full Time Years Months
Part Time Years Months
If part time, number of hours worked
per week:
List major duties in order of their importance in the job:
Employer:
Address:
Job Title:
Supervisor’s Name
Telephone Number
No. Supervised by you:
Date Employed (mo/yr)
Starting Salary
$ per
Ending or Current Salary
$ per
Reason for Leaving
Date Separated (mo/yr)
Full Time Years Months
Part Time Years Months
If part time, number of hours worked
per week:
List major duties in order of their importance in the job:
Employer:
Address:
Job Title:
Supervisor’s Name
Telephone Number
No. Supervised by you:
Date Employed (mo/yr)
Starting Salary
$ per
Ending or Current Salary
$ per
Reason for Leaving
Date Separated (mo/yr)
Full Time Years Months
Part Time Years Months
If part time, number of hours worked
per week:
List major duties in order of their importance in the job:
I certify that I have given true, accurate and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work,
I authorize educational institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications. I
authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be
grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall
be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 14-122.1.)
Signature of Applicant (unsigned applications will not be processed)
Date