RENTALS UNLIMITED, INC.

''An Equal Opportunity Employer"

 

Print an Application For Employment. (PDF)

acrobat

On-line Application

(Application will be emailed to Rentals Unlimited)

APPLICATION FOR EMPLOYMENT

Name        
First   Middle  Last     
Address        

Street   

City   State   Zip   How Long?  
Phone Number   Social Security No.  
Address For Past Three Years
Street  

City  

State   Zip  

How Long?  

Street   City   State   Zip   How Long?  

EDUCATION

Name and Location

 From To Curriculum Date Graduated
High School



College

Major
 Degree
Other




SPECIAL SKILLS OR TRAINING (That May Qualify You For Work With Our Company)

EMPLOYMENT (Start With Most Recent)

From    To    Employer   Phone  City  

State  

Job Title  

Duties  

Supervisor's Name    
Starting Salary/Wages    
Final Salary/Wages  

Reason for Leaving  

 
From   To   Employer   Phone   City   State  
Job Title   Duties  
Supervisor's Name    
Starting Salary/Wages    
Final Salary/Wages   Reason for Leaving  
 
From  To   Employer   Phone   City   State  
Job Title   Duties  
Supervisor's Name    
Starting Salary/Wages    
Final Salary/Wages   Reason for Leaving  

POSITION (S) DESIRED

U.S. MILITARY RECORD

Branch of Service

 From To

Duties

 Discharge Date

REFERENCES

Name Address

Years Known

Note: All new employees of Rentals Unlimited are required to take a drug test. Refusal to take test will be grounds for dismissal.

 

APPLICANT'S STATEMENT

I certify that statements made by me on this form are true and correct. I understand that if employed,

any false statement on this application can be considered cause for dismissal. I authorize

investigation of all statements contained in this application for employment as may be necessary

in arriving at an employment decision.

 

Signature        Date

The following information is only required if you are applying for a position driving company vehicles.

EXPERIENCE AND QUALIFICATIONS - DRIVER

 

DRIVER
LICENSES

 

 State License No. Type Expiration Date

DRIVING EXPERIENCE

Class of Equipment

 

Type of Equipment
(Van, Tank, Flat)

Dates
From  To

  Approx. #of Miles (Total)

Straight Truck
Tractor & Semi-Trailer
Tractor - Two Trailers
Other

ACCIDENT RECORD FOR PAST (3) YEARS OR MORE

Dates

Nature of Accident
(Head On, Rear End)

 Fatalities Injuries

Last Accident  

Next Previous  

Next Previous  

Next Previous  

 

TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST (3) YEARS
(OTHER THAN PARKING VIOLATIONS)

Location

 Date Charge Penalty

A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?

                      Yes              No  

B. Has any license, permit or privilege ever been suspended or revoked?

                      Yes              No  

      IF THE ANSWER TO EITHER A OR B IS YES,  GIVE DETAILS.

          

 

EMPLOYMENT RECORD

Note: DOT Requires That Employment for at Least 3 Year andlor Commercial Driving Experience for the Past 10 Years Be Shown

Last Employer: Name  

Address  

Position Held From    To   Salary  

Reasons for Leaving  

 

Second Employer: Name  

Address  

Position Held    From   To   Salary  

Reasons for Leaving   

 

Third Employer: Name  

Address  

Position Held     From    To    Salary  

Reasons for Leaving  

 

Fourth Employer: Name  

Address  

Position Held     From    To    Salary  

Reasons for Leaving  

 

TO BE READ AND SIGNED BY APPLICANT

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

Date    Signature

Note: A motor carrier may require an applicant to provide information in addition to the information required by the Federal Motor Carrier Safety Regulations.
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