Contact Information
First Name Middle Initial
Last Name Suffixe.g. Jr. Sr. Jr. III IV V VI VII VIII
Email Address Your email address will only be used to contact you regarding your application(s) with Trans Lease and its partner companies.
Day Phonee.g. (720) 555-1212 ext
Evening Phone ext
Preferred Method of Contact Phone Email
Street Address
City
State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code
Basic Applicant Information
Are you willing to relocate? Yes or N/A No
What kind of job are you looking for? Full Time Part Time Other
Desired Salary Range ---- Not Specified $10-15K/Year $15-20K/Year $20-25K/Year $25-30K/Year $30-35K/Year $35-40K/Year $40-45K/Year $45-50K/Year $50-55K/Year $55-60K/Year $60-65K/Year $65-70K/Year $70-75K/Year $75-80K/Year $80-85K/Year $85-90K/Year $90-95K/Year $95-100K/Year $100-105K/Year $105-110K/Year $110-115K/Year $115-120K/Year $120-125K/Year $125-130K/Year $130-135K/Year $135-140K/Year $140-145K/Year $145-150K/Year $150+K/year
Have you ever been employed here? Yes No
If so, when? --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960
Are you 18 years of age or older? Yes No
Have you ever been convicted of any law violation? Yes No
If yes, give details:
Have you ever been fired or asked to resign from a job? Yes No
If yes, give details:
Please specify any languages you speak fluently
Driver's License Information
Do you have a valid driver's license? Yes No
State of Issue AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY License Class
License Expiration --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
Have you had your driver's license suspended or revoked in the last 3 years? Yes No
If yes, give details:
Work History Most Recent Employer
Employer Name
Job Title
Supervisor's Name
Phone ext
May we contact this employer? Yes No
Duties
Street Address
City
State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code
Employed --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 to --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- Current 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960
Starting/Ending Salary $/ $
Reason for Leaving
Employer #2
Employer Name
Job Title
Supervisor's Name
Phone ext
Duties
Street Address
City
State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code
Employed --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 to --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- Current 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960
Starting/Ending Salary $/ $
Reason for Leaving
Employer #3
Employer Name
Job Title
Supervisor's Name
Phone ext
Duties
Street Address
City
State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code
Employed --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 to --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- Current 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960
Starting/Ending Salary $/ $
Reason for Leaving
Employer #4
Employer Name
Job Title
Supervisor's Name
Phone ext
Duties
Street Address
City
State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code
Employed --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 to --- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ---- Current 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960
Starting/Ending Salary $/ $
Reason for Leaving
Education & Work Authorization
Level of Education ---- No High School Diploma High School Diploma or Equivalent Technical/Specialized Training Some College Degree in Progress Associate's Degree or Equivalent Bachelor's Degree or Equivalent Master's Degree or Equivalent Doctorate
Are you eligible to work in the U.S.? Yes No
Education History
High School / GED ---- Certificate Diploma/GED Degree - Associate's Degree - Bachelor's Degree - Master's Degree - Doctorate Degree - Other
College ---- Certificate Diploma/GED Degree - Associate's Degree - Bachelor's Degree - Master's Degree - Doctorate Degree - Other
Vocational / Technical ---- Certificate Diploma/GED Degree - Associate's Degree - Bachelor's Degree - Master's Degree - Doctorate Degree - Other
Other Relevant Training
Referral Source & References
How did you hear about this opening? ---- Employee Referral Friend/Family Referral Job Site - CareerBuilder.com Job Site - Craigslist.org Job Site - Monster.com Job Site - [Other] Newspaper - Denver Post Newspaper - [Other] Previous Employee Recruiting Department Staffing Agency Transwest Website Walk-in Word of Mouth [Other]
Briefly explain:
Reference #1
Reference Name
Job Title
Company
Phone ext
Reference #2
Reference Name
Job Title
Company
Phone ext
Reference #3
Reference Name
Job Title
Company
Phone ext
Resume Document
Upload Resume Document (optional) (300KB maximum file size)
Affirmative Action
Trans Lease is committed to providing equal employment opportunities to all qualified applicants for employment without regard to race, color, gender, religion, national origin, age, veteran status, marital status, or disability. As an Affirmative Action Employer under Executive Order 11246 we invite all applicants to identify themselves as indicated below.
Affidavit, Consent and Release
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING.
I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers, and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- or post-employment drug screen as a condition of employment, if required.
I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.
I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE MADE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.
I have read, understand, and by checking this box consent to these statements. Date
Required fields are formatted as follows: