Employee Application

Cenizo Services / Leona Trucking Application for Employment

All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring an accommodation to complete the application and/or interview process should contact a management representative

Name*
First Middle Last
If you have ever used another name, please list it here:
Email*
Address*
City State / Province / Region
Phone*
Position(s) Applied For*
How did you learn about Cenizo Services, Inc.?
- Advertisement
- Employment Agency
- Employee Referral
- Other
If you chose Other, please specify:
Have you applied for a position with us before?*
- Yes
- No
If Yes, specify date:
Have you ever been employed with us before?*
- Yes
- No
If Yes, specify date and position:
Do you have friends and/or relatives working for this company?*
- Yes
- No
If Yes, specify name(s) and relationship(s):
Are you currently employed?*
- Yes
- No
Are you currently on “lay-off” status and subject to recall?*
- Yes
- No
On what date would you be available for work?*
Are you available to work:*
- Full-Time
- Part-Time
- Shift Work
- Temporary
Please list the days of the week that you are and are not available to work. Please include whether or not you are available to work weekends.*
If hired, would you have a reliable means of transportation to and from work?*
- Yes
- No
Can you travel away from home for work if necessary?*
- Yes
- No
Can you relocate if the position requires it?*
- Yes
- No
Are you 18 years of age or older?*
- Yes
- No
*Note, if under 18, hire is subject to verification that you are of minimum legal age.
If hired, can you present evidence of your identity and legal right to work in the United States?*
- Yes
- No
Are you able to perform the essential job functions of the job you are applying for with or without reasonable accomodation?*
- Yes
- No
*Note: We comply with the Americans with Disabilities Act and consider reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions.
Are you willing to take drug tests at the company’s request?*
- Yes
- No
*Note: All employees must take and pass a pre-employment drug test as well as participate in our random drug and alcohol testing program throughout employment.
EDUCATION
Please describe your educational background below:
High School*
Diploma obtained?*
- Yes
- No
If so, year of completion:
College / University
Degree/Major
G.P.A.
Diploma / degree obtained?
- Yes
- No
If so, year of completion:
Graduate / Professional School, Trade School, or Other
Degree/Major
G.P.A.
Diploma / degree / certificate obtained?
- Yes
- No
If so, year of completion:
EMPLOYMENT EXPERINCE
Please list the names of your present or previous employers in chronological order with present or most recent employer listed first. Be sure to account for all periods of time. If self-employed, give firm name and supply business references. Add an additional page if necessary.
Employer 1*
Supervisor
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Position Title and Duties*
Dates Employed (Please list from (month/year) to (month/year):*
Why did you leave this job?*
May we contact this employer?*
- Yes
- No
- Later
Employer 2*
Supervisor
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Position Title and Duties*
Dates Employed (Please list from (month/year) to (month/year):*
Why did you leave this job?*
May we contact this employer?*
- Yes
- No
- Later
Employer 3*
Supervisor
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Position Title and Duties*
Dates Employed (Please list from (month/year) to (month/year):*
Why did you leave this job?*
May we contact this employer?*
- Yes
- No
- Later
Have you ever been involuntarily terminated or asked to resign from any job?*
- Yes
- No
If yes, please explain:
Please explain any gaps in your employment history:
Please list any other experience, job-related the skills (hard and soft), additional languages, or other qualifications you believe should be considered in evaluating your qualifications for employment. (If you are applying for an operator position, please list the types of equipment you have experience operating and the duration of your experience with each type.*
REFERENCES
Please list three professional and/or personal references.
Name*
First Last
Relationship*
Years Known*
Phone*
Name
First Last
Relationship
Years Known
Phone
Name
First Last
Relationship
Years Known
Phone
Applicant's Statement & Agreement **PLEASE READ**
I hereby authorize the company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further , authorize the prior employers and references I have listed to disclose to the company any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure. In the event of my employment with the company, I understand that I am required to comply with all rules and regulations of the company. If hired, I understand and agree that my employment with the company is at will and that neither I nor the company is required to continue the employment relationship for any specific term. I further understand that the company or I may terminate the employment relationship at any time, with or without cause, and with or without notice. I understand that the at-will status of my employment cannot be amended, modified, or altered in anyway by any oral modifications. I understand that the safety of employees is extremely important to the company and that the company is committed to ensuring a safe working environment. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my site supervisor. I understand and agree to comply with federal, state, and local regulations related to on-the-job safety and health. I hereby certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I understand that if I am selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration law requires me to complete an I-9 Form in this regard. I understand that if any term, provision, or portion of this Agreement is declared void or unenforceable, it shall be severed, and the remainder of this Agreement shall be enforceable.
Signature of Applicant*
Date*
MM slash DD slash YYYY
CAPTCHA
Name
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Cenizo Services / Leona Trucking Application for Employment

EDUCATION

EMPLOYMENT EXPERINCE

REFERENCES

Applicant's Statement & Agreement PLEASE READ

WHAT CAN WE BUILD FOR YOU?

Employee Application

Cenizo Services / Leona Trucking Application for Employment

EDUCATION

EMPLOYMENT EXPERINCE

REFERENCES

Applicant's Statement & Agreement **PLEASE READ**

Applicant's Statement & Agreement PLEASE READ