Employment Application

EMPLOYMENT APPLICATION

Looking to join a dynamic and growing team?

Wallington Truck Repair is always on the lookout for skilled and motivated individuals to help us deliver top-quality service to our valued clients. If you have a passion for truck maintenance and repair, take pride in your work, and are committed to excellence, we want to hear from you! At Wallington Truck Repair, we offer a supportive work environment, opportunities for growth, and the chance to work alongside a dedicated team of professionals. Apply today and become part of a company that values your skills and experience!

First Name:

Last Name:

Middle:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Please list any other addresses you have lived at during the past three years.

Emergency Contact Name:

Emergency Contact Phone Number:

Are you over the age of 18?

If under 18, do you have a work permit?

Are you legally authorized to work in the US

Can you provide required proof of eligibility to work?

Have you previously been employed by this company?

If so, from when to when and what position?

If you have any relatives working for this company, please list them and your relationship to them:

Positions you are applying for:

Salary expected:

When can you start?

Have you ever been convicted of a felony:

If so, please explain:

Drive Experience and Qualifications

Drive Experience and Qualifications

Complete this section ONLY if applying for a driver position.

State:

CDL/Permit #

Expiration Date:

State:

CDL/Permit #

Expiration Date:

State:

CDL/Permit #

Expiration Date:

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Please list the types of equipment (i.e. tractor, straight truck) and extent of experience with operation of each motor vehicle

Type of Equipment:

Years of Experience:

Type of Equipment:

Years of Experience:

Type of Equipment:

Years of Experience:

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Please list all motor vehicle accidents in which you were involved during the last three years:

Date of Accident:

Number of Injuries:

Number of Fatalities:

Description of Accident:

Did you receive a citation? If so, please explain:

Date of Accident:

Number of Injuries:

Number of Fatalities:

Description of Accident:

Did you receive a citation? If so, please explain:

Date of Accident:

Number of Injuries:

Number of Fatalities:

Description of Accident:

Did you receive a citation? If so, please explain:

Please list all other violations of motor vehicle laws or ordinances (other than parking) for which you were convicted or forfeited bond during the last three years:

Has your license, permit, or privilege to operate a motor vehicle ever been denied, revoked or suspended?

If so, please describe the facts and circumstances:

Date of Birth:

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Education and Training

High School Name:

Number of years completed:

City/State:

Did you graduate:

Major course of study:

Trade or Business School:

What years did you attend?

City/State:

Major Course of Study

Did you graduate?

Number of years completed:

Degree:

College Name:

What years did you attend?

City/State:

Major Course of Study:

Did you graduate?

Number of years completed:

Degree:

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Additional Skills/Training/Experience

Please list specific certifications or training you have received:

Please list additional job related skills or qualifications:

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Military Experience

Did you serve in the U.S. Armed Forces?

If yes, what branch:

Describe any military training recevied relevant to the position for which you are applying:

Are you currently serving in Military Reservers?

Are you currently serving in the National Guard?

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Employment Experience

Please list the names and addresses of all employers during the preceeding ten years.

Are you currently employed, may we contact your employer?

Company:

Address:

City:

State:

Zip:

Name of Supervisior:

Starting pay:

Ending pay:

Reason for leaving:

Employment:

Company:

Address:

City:

State:

Zip:

Name of Supervisior:

Starting pay:

Ending pay:

Reason for leaving:

Employment:

Company:

Address:

City:

State:

Zip:

Name of Supervisor:

Starting pay:

Ending pay:

Reason for leaving:

Employment:

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Acknowledgements

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ALL APPLICANTS - Please read the following and address any questions to a Human Resources Representative before signing period.

I affirm that the information provided on this application or in connection with the processing of this application (and any resume or any other accompying documents) is true and complete to the best of my knowledge. I understand that if employed, false statements, significant ommisions, or misleading information, regardless of when discovered, made on or in connection with my application and accompanying documents may result in dismissal.

I authorize investigation of all statement contained in this application (and any resume or any other accompanying documents) as may be necessary in arriving of an employment decision.

I understand that the applicants prior employers may be contacted for the purpose of investigating the applicants background as required by -49CFR 391.23.

I authorize all personel, schools, companies, corporations, credit bureaus, and law enforcement agencies to supply any and all pertinent information and release the same from any liability resulting from providing such information.

I understand that from time to time the company may be asked to submit/release certain information, including but not limited to, my employment or application for employment. I release the company and its agents, from any liability resulting from submitting/releasing such information.

I acknowledge that the company may request, as a condition of any offer of employment that is made or for continued employment, that I undergo a medical exam or drug testing, and I consent and agree to any such exam, if required now or in the future. I understand that when drug tsting is required, a satisfactory result may be a condition of employement.

I understand that federal law prohibits the employment of unautorized aliens and require satisfactory proof of employment authorization and identity. All persons hired must submit satisfactory proof of employment authorization and identity.

Please have necessary documents promptly available for inspection as required by law.

If employed I agree to abide by the rules and regulations of the company.

I understand that if I am employed, my employment is for no fixed period and is at will. I understand that I can be terminated at any time for any or no reason and I understand that I may quit at any time for any or no reason. This understanding cannot be altered by anyone unless it is in writing and is signed by the President of the company.

I understand that this application does not create any offer of employment.

I understand that this company is an equal opportunity employer.

This certifies that this application was completed by me, and that all entries and information in it are true and complete to the best of my knowledge.

Opt-In

I agree to the above statements.

Applicant full name:

Date:

24/7/365 ROAD SERVICE AVAILABLE

CALL US

Contact Us

31 Hathway St.

Wallington, NJ 07057

201-935-7996

WallingtonTruckRepair@gmail.com

SHOP HOURS

Mon - Fri: 7:00 am - 5:00 pm
Sat - Sun: Closed

A DIVISION OF NICK'S TOWING SERVICE

At Nick’s Towing Service, Inc. we are guided by a set of values and principles, honed by the members of our family since 1972, that empower our staff to provide you with fast, courteous, efficient service 24 hours a day, 365 days a year.

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