Prestera Trucking, Inc.
Employment Application


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Step 1 of 8 - Personal Information  



In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.
 
 
Personal Info
*Required
First Name
*
 
Middle Initial
Last Name
*
 
Application Date (mm/dd/yyyy)  
*
Social Security #
*
   
Current Address
*
 
 
City
*
 
State
*
 
Zip Code
*
   
Years at this address?
*
 
Home Phone Number 
*
 
Work Phone Number
Email Address
*
 
Date Of Birth (mm/dd/yyyy)  
*
Position(s) Applied For (150 char max)
Do you have the legal right to work in the United States?    
*
 
Can you provide proof of age?   
*
 
Have you worked for this company before?    
Who referred you?
Rate of pay expected
Have you ever been bonded? (Answer only if a job requirement)   
Name of bonding company
Can you perform, with or without reasonable accommodation, the essential functions on the job (applied for)?   
*
 
If yes, explain if you wish.


Additional Questions


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