Top Hand Lease Services

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  • First Name
    Middle Name
    Last Name
  • Daytime Phone Number
    Cell Phone Number
  • Address Line 1
    Address Line 2
    City
  • State
    Zipcode
  • List any other names used if different from name on the application
  • Do you have any relatives working for this company? If so, list name and relationships
  • Can you work (Please check one)
      Full Time     Part Time     Summer     Temp/Project  
  • Date available for work
  • Are you at least 17 years of age
      Yes     No  
    Are you willing to work hours other than 8-5
      Yes     No  
    Are you willing to travel
      Yes     No  
    Commercial Driver's License
      Yes     No  
  • Do you have a current driver's license
      Yes     No  
    If yes, please enter your state issued number
  • What days are you unable to work?
  • Have you ever been convicted of a felony or subject to deferred adjudication on a felony charge?
      Yes     No  

  • If you answer "YES", explain in concise detail, giving dates and nature of the offense, name and location of the court and disposition of the case(s). A conviction may not disqualify you, but a false statement will.

  • High school graduate or GED
      Yes     No  
    If yes, name and location of school
  • College
      Yes     No  
    If yes, name and location of school
  • Vocational or Technical School
      Yes     No  
    If yes, name and location of school

  • List any license, certificate or training you possess, including type of License/Certification, Date Issued, Date Expires, Issued by State or Authority and License Number.

  • List all job related training or skills you possess and machines or office equipment/software you can use, such as backhoes, dozers, motor graders, man lifts, computers, etc.

  • Do you speak a language other than English?
      Yes     No  
    If yes, what language(s) do you speak?
  • How fluently
      Fair     Good     Excellent  
  • Do you write in a language other than English?
      Yes     No  
    If yes, in what language(s)?

  • employment history This information will be the official record of your employment history and must accurately reflect all significant duties performed. Summaries of experience should clearly describe your qualifications. Answer all questions and completely summarize your experience including technical and managerial responsibilities and any special training, skills and qualifications for each position you have held.

    Begin with your current or last position and work back. Employer addresses must be complete, including phone numbers.

  • I.

  • Position Title
    Employer
  • Employer Mailing Address
  • Employer Telephone Number
    Average Hours Worked Per Week
  • Immediate Supervisor Name
    Supervisor Telephone No.
  • Starting Date
    Leaving Date
    Current/Final Salary/Rate
  • Specific Reason For Leaving

  • Summary of experience including special training/skills/qualifications you have used in ther performance of this job:

  • II.

  • Position Title
    Employer
  • Employer Mailing Address
  • Employer Telephone Number
    Average Hours Worked Per Week
  • Immediate Supervisor Name
    Supervisor Telephone No.
  • Starting Date
    Leaving Date
    Current/Final Salary/Rate
  • Specific Reason For Leaving

  • Summary of experience including special training/skills/qualifications you have used in ther performance of this job:

  • III.

  • Position Title
    Employer
  • Employer Mailing Address
  • Employer Telephone Number
    Average Hours Worked Per Week
  • Immediate Supervisor Name
    Supervisor Telephone No.
  • Starting Date
    Leaving Date
    Current/Final Salary/Rate
  • Specific Reason For Leaving

  • Summary of experience including special training/skills/qualifications you have used in ther performance of this job:

  • IV.

  • Position Title
    Employer
  • Employer Mailing Address
  • Employer Telephone Number
    Average Hours Worked Per Week
  • Immediate Supervisor Name
    Supervisor Telephone No.
  • Starting Date
    Leaving Date
    Current/Final Salary/Rate
  • Specific Reason For Leaving

  • Summary of experience including special training/skills/qualifications you have used in ther performance of this job:

  • PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR UNDERSTANDING AND ACCEPTANCE BY SIGNING IN THE SPACE PROVIDED

  • 1. I certify that all the information provided by me in connection with my application, whether on this document or not, is true and complete, and I understand that any misstatement, falsification or omission of information may be grounds for refusal to hire OR if hired, termination.

  • 2. I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the United States.

  • 3. I understand that Top Hand Lease Service, LLC will check with the Texas Department of Public Safety, the Federal Bureau of Investigation or other organizations, for any criminal history in accordance with applicable statutes.

  • 4. I authorize any of the persons or organizations referenced in this application to give Top Hand Lease Service, LLC any and all information concerning my previous employment, education, or any other information that they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability from any damages which may result from furnishing such information to Top Hand Lease Service, LLC.

  • 5. I understand that any information released by my prior employer will be held in strictest confidence, that it will be viewed only by those involved in the hiring decision, and that neither I nor anyone else not so involved will have the right to see the information.

  • 6. I hereby authorize Top Hand Lease Service, LLC to investigate my back ground and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying. I understand that Top Hand Lease Service, LLC may utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of Top Hand Lease Service, LLC choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further.

  • THIS APPLICATION MUST BE SIGNED
  • Write your name to sign digitally
    Date

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