Yes No
If yes, what branch?
Dates of Service:
Special Training:
M.O.S. Please describe:
Please list any special qualifications, training, education, skills, or experience that you feel warrant consideration by the company
Please list any equipment operating abilities (i.e., 10-key, calculator, cash register, typewriter, personal computer, etc.) that you have which might be useful on the job for which you are applying.
By checking the signature box below, I certify that I have read and understand all parts of this application for employment and certify that I have truthfully and completely answered all questions. I understand that falsification of any of the information given herein, or on any other employment form, is grounds for immediate termination, regardless of when such falsification may be discovered.
I authorize Road Ranger and its authorized representatives to investigate my education and employment experience and all other aspects of my background relevant to my proposed employment, including all statements made by me in my application for employment. I understand Road Ranger may contact the appropriate credit bureau to obtain an investigative consumer report providing information about my character; I understand I may request (in writing from the Personnel Department) a complete and accurate disclosure of information concerning the nature and scope of this report. I also release Road Ranger and its authorized representatives, as well as any person to whom such inquiry is directed, from any liability arising directly or indirectly from any such investigations.
I understand my employment may be terminated at any time, with our without cause, at the option of either Road Ranger or myself. I understand that no employee or representative of Road Ranger has any authority to make any agreement which is contrary to the foregoing.
If accepted for employment, I agree to comply with all company policies and procedures, and with all rules and regulations made know at the time of employment or any other time thereafter; and to perform all duties assigned to me to the best of my ability.
Upon termination of my employment for whatever reason, I release this company Road Ranger from all liability for supplying any information concerning my employment to any potential employer. I understand and expressly agree that, if employed by the company, storage areas provided for me (locker, desk, etc.) are open to investigation or search by the company without prior notice to me. I further understand this is an application for employment and that no employment contract is being offered. I have read and understand the above.
Electronic Signature:
If follow-up is requested or required, I prefer to be contacted by:
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