Diesel Mechanic Job Application

*Required Fields

* First Name:

Middle Name:

* Last Name:

* Phone:

Cell:

* Current Address:

* City:

* State:

* Zip:

* How Long?:

If at above resident less than three years, list below all residences for the past three years.

Previous Address 1:

City:

State:

Zip:

How Long?:

Previous Address 2:

City:

State:

Zip:

How Long?:

Previous Address 3:

City:

State:

Zip:

How Long?:

Previous Address 4:

City:

State:

Zip:

How Long?:

Previous Address 5:

City:

State:

Zip:

How Long?:

* Position Applying for:

Temporary: Part Time: Full Time:

Who referred you?:

* Rate of expected pay:

Have you worked for this company before?:

If yes, Dates:

From month/year to month/year

Where?:

Rate of Pay?:

Position?:

Reason for Leaving:

Names of any relatives employed by this company:

Are you currently employed?:

If not, how long since leaving last employment?:

EDUCATION

Select Higest Grade Completed:

123456789101112College: 1234Higher:

Last School Attended:

Address:

City:

State:

Zip:

GENERAL

Have you ever been bonded?:

Name of bonding company?:

Have you ever been convicted of a felony?:

If yes, please explain fully below. Conviction of a crime is not an
automatic bar to employment - all circumstances will be considered.

Have you ever worked for this company under another name?:

If yes, under what name?:

EMPLOYMENT RECORD

The U.S. Department of Transportation requires that driver applicants show all employment for last three years. Effective July 1987 they also show commercial driver employment for the seven years immediately preceeding this three year period. §391.21 (b)(10),(11).

Current Employer:

Supervisor Name:

Address:

City:

State:

Zip:

Phone:

Fax:

Position Held:

From month/year to month/year

Salary:

Reason for Leaving:

Second Employer:

Supervisor Name:

Address:

City:

State:

Zip:

Phone:

Fax:

Position Held:

From month/year to month/year

Salary:

Reason for Leaving:

Third Employer:

Supervisor Name:

Address:

City:

State:

Zip:

Phone:

Fax:

Position Held:

From month/year to month/year

Salary:

Reason for Leaving:

Fourth Employer:

Supervisor Name:

Address:

City:

State:

Zip:

Phone:

Fax:

Position Held:

From month/year to month/year

Salary:

Reason for Leaving:

Fifth Employer:

Supervisor Name:

Address:

City:

State:

Zip:

Phone:

Fax:

Position Held:

From month/year to month/year

Salary:

Reason for Leaving:

MAINTENANCE EXPERIENCE & QUALIFICATIONS

List courses and training in maintenance below.

Job Function:

Shop Equipment:

APPLICANT MUST READ AND SIGN

I certify that I have read and understand all of this employment application, and that all entries on it and information in it are true and complete to the best of my knowledge.

I authorize you to make such investigations and inquire of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.)

I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connections with my application.

It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an Investigative Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living.

I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test. I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.

I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job.

I understand that false, misleading or omitted information from my application or interview(s) may result in my rejection as an applicant or discharge as an employee.

I understand, also, that I am required to abide by all rules and regulations of the Company.

* Signature of Applicant (Typing Name Signifies Signature):

Date:

* Email:

Attachments:

*Required Fields

Careers

AFFILIATES

American Home Furnishings Alliance
International Furniture Transportation and Logistics Council
International Home Furnishings Representatives Association
Furniture Today | The Weekly Business Newpaper of the Furniture Industry
Specialized Furniture Carriers Association
Women in the Home Industries Today
Home Furnishings International Association

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Shipping Address
Shelba D. Johnson Trucking, Inc.
1640 Blair Street
Thomasville, NC 27360

Mailing Address
Shelba D. Johnson Trucking, Inc.
P.O. Box 7287
High Point, NC 27264

Website Development by Beacon Technologies, Inc.

Indicate training and experience in the following:	Formal Training	Years of Experience	Area	Formal Training	Years of Experience
Drive Line Components			Electrical Repair
Diesel Engine Tune-up and Rebuild			Frame and Wheel Alignment
Gas Engine Tune-up and Rebuild			Brakes
Tire Service			Cooling System
Trailer Repair			Inspections
Air Conditioning			General Car Repair
Body Work

Indicate training and experience in the following:	Formal Training	Years of Experience	Area	Formal Training	Years of Experience
Electrical Diagnostic Equipment			Wheel & Tire Balancing Machine
Sheet Metal Equipment			Tire Re-capping Mold
Frame & Axel Straightening Equip.			Engine Dynamometer
Engine Rebuilding Equipment			Chassis Dynamometer
Diesel Injection Equipment			Magnetic Crack Detector
Electric Welder			Engine Analyzer
Oxycetylene Welder			Noise Measuring Equipment
Paint Spray Gun			Smoke Measuring Equipment
Air Conditioning			Inspections
Tire Service Machine			General Car Repair