In Case of Emergency Notify

EMPLOYMENT DESIRED

EDUCATION

SCHOOL LEVEL 

SCHOOL LEVEL 

COLLEGE

TRADE SCHOOL

GENERAL

FORMER EMPLOYERS List below employers for the 10 years, starting with last one first (Use extra sheet of paper if necessary)

REFERENCES: Give below the names of two persons not related to you, whom you have known at least one year

AUTHORIZATION

I certify that the information I have supplied on this application, resume, and/or supporting documents is true and complete, and I understand that any falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent employment. I further authorize SCC to contact my former employer(s) and any listed references or other persons who can verify information, and I give my consent to my former employer(s) and other contacted persons to respond to questions pertaining to information on this application. Further, I release from liability such former employer(s) or other persons contacted by and providing information to SCC. I further authorize SCC to conduct a criminal history check on me and I understand and agree that any offer of employment is contingent on satisfactory result of both a criminal history and reference check.

I understand that nothing in this application is intended to imply or create an employment relationship or contract for employment. If SCC hires me, I agree to conform to SCC's rules and regulations and further agree that my employment is at will and can be terminated at any ti.me, with or without notice, and for any reason. I also understand that while personnel policies, programs and procedures may change from ti.me to ti.me, such atwill status is not subject to change absent a written agreement signed by SCC's president or a designated authorized representative. I certify that I have read and understand the foregoing statements. 

COMPLETE THIS SECTION ONLY IF YOUR ARE APPLYING FOR A DRIVING JOB

DRIVERS LICENSES

(Any held in the las three years must be shown)

IF THE ANSWER TO ANY OF THE PRECEDING THREE QUESTIONS IS YES, ATTACG A STATEMENT GIVING DETAILS. DRIVING EXPERIENCE.

Class of Equipment

Straight Truck

ACCIDENT REVIEW FOR PAST THREE YEARS (ATTACH SHET IF MORE SPACE IS NEEDED)

Describe all traffic convictions and forfeitures for the past three eyars (other than parking violations)

2.