PERSONAL INFORMATION:


This section to be completed by ALL applicants:
EMPLOYMENT DESIRED


EDUCATION
 Name and Location of SchoolsNo. of Years AttendedDid you Graduate?Subjects Studied
Grammar School
High School
College
Trade or Business School
GENERAL
FORMER EMPLOYERS (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)
 Date (Month and Year)Name and City of EmployerSalaryPositionReason for Leaving
From - To
From - To
From - To
From - To
FORMER SUPERVISORS (LIST THE SUPERVISORS YOU WORKED FOR AT THE JOBS ABOVE)
 NameBusinessTelephone
1
2
3
4
I certify that all of the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated.
In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than it's president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.


DO NOT WRITE IN THIS SECTION
AUTHORIZATION AND RELEASE
In consideration of the agreement by Lakeside International Trucks to receive and consider my application for employment, I hereby authorize, consent and grant the privilege to Lakeside and its agents to review and examine any public or private records pertaining to my educational, personal and credit history, driver's license verification & driving history, and criminal conviction history.
 
I expressly release Lakeside International and its agents from liability whatsoever arising out of such investigation.
All information will be kept confidential by Lakeside International Trucks and is used only by the Human Resources Department.
By signing below, I agree to the above authorization and release statement.
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NOTE: THIS FORM GOES DIRECTLY TO HUMAN RESOURCES
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