Mechanic Employment Application

Note: We are hiring in Ohio and South Carolina only.
CONTACT INFORMATION:
* Name:
* Street Address:
* City:
* State:
* Zip/Postal Code:
* Day Phone:
* Night Phone:
* E-mail:
* Date of Birth: mm/dd/yy
* Best Time to Call:
* Position Applied For:
* Shift Preference:
List Schooling:
EMPLOYMENT INFORMATION:
CURRENT EMPLOYER:
Street / City / State / Zip:
Starting Date: Phone Number:
PAST EMPLOYER 1:
Street / City / State / Zip:
Starting Date: Ending Date: Phone:
PAST EMPLOYER 2:
Street / City / State / Zip:
Starting Date: Ending Date: Phone:
PAST EMPLOYER 3:
Street / City / State / Zip:
Starting Date: Ending Date: Phone:
PAST EMPLOYER 4:
Street / City / State / Zip:
Starting Date: Ending Date: Phone:
CURRENT DRIVER LICENSE INFORMATION (license required unless a student):
State: License#: Class:
Endorsements: Exp. Date: mm/dd/yy
TRAFFIC CONVICTIONS (past five years):
Date 1: City / State:
Charge (if speeding, how fast?): Penalty:
Date 2: City / State:
Charge (if speeding, how fast?): Penalty:
Date 3: City / State:
Charge (if speeding, how fast?): Penalty:
ACCIDENT RECORD(S) (other than parking violations):
ACCIDENT 1 Date: Type of Vehicle:
Type of Accident:
Preventable?: Yes No   Fatalities?:   Injuries?:
ACCIDENT 2 Date: Type of Vehicle:
Type of Accident:
Preventable?: Yes No   Fatalities?:   Injuries?:
ACCIDENT 3 Date: Type of Vehicle:
Type of Accident:
Preventable?: Yes No   Fatalities?:   Injuries?:
CRIMINAL RECORD (if any)
Have you ever been convicted of a felony? Yes No   Date:
Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes No   Date:
Has any license, permit or privilege ever been suspended or revoked? Yes No   Date:
Have you ever been convicted, or are any charges pending, for reckless or careless operation of a motor vehicle? Yes No   Date:
Have you ever been convicted, or are any charges pending, for driving while under the influence of alcohol, a narcotic drug, amphetamines or derivatives thereof? Yes No   Date:
Have you ever been convicted, or are any charges pending, for possession, sale or use of a narcotic drug, amphetamines, or derivatives thereof? Yes No   Date:
Have you ever been refused any type of insurance or been denied bonding? Yes No   Date:
Have you ever been discharged or suspended? Yes No   Date:
Additional Comments:
I certify that I personally completed this application and that the information contained herein is true, correct, and complete to the best of my knowledge. By submitting this application, I hereby authorize TSL Ltd. and/or Garner Transportation Group to obtain information relating to my past or present work history and to do a complete background investigation for employment purposes in accordance with state and federal laws, and to obtain consumer reports about me from DAC Services. Furthermore, I give my express consent for all of my previous employers, their agents, or medical review officers or their agents to furnish information concerning my past employment, controlled substance tests and training records, and will hold harmless all employers, companies, agents and associated parties herein from all liability for any damages as a result of furnishing such information.

I have read the above release and I give permission to obtain consumer reports about me from DAC.
Yes No

PLEASE CLICK SUBMIT ONLY ONCE
All of our staff wish you the very best for your future, and would like to say thanks for visiting our site.

For more information,
call Recruting at (419) 422-5742 or...
P.O. BOX 1506 
  •  
    		•  FINDLAY, OH 45839

    800-543-7349
    Garner Transportation Group, Inc.
    9291 C.R. 313 
    P.O. Box 1506
    Findlay, OH  45839

    419-422-5742
    Toll-Free: 1-800-543-7349
    Fax: 419-422-7994
    email: garner@garnertrucking.com

     

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