Dispatcher / Cashier

APPLICANT INFORMATION
Last Name	First		M.I.	Date
Street Address			Apartement/Unit #
City		State		Zip
Phone			Email Address
Are you available to work full time or part time?			When can you start work?
Position Applied for:
Are you authorized to work in the United States?	YesNo		Are you at least 18 years old?	YesNo
Have you ever worked for this company?	YesNo		If yes, when?
Have you ever been convicted of a felony or subjected to deferred adjudication on a felony charge?	YesNo		If yes, explain in concise detail?

EDUCATION
High School			Address
	Did you graduate?	YesNo	Degree
College			Address
	Did you graduate?	YesNo	Degree
Other			Address
	Did you graduate?	YesNo	Degree
Please list any certificates earned or in progress, and/or any additional training programs not included in your formal education:

File:

REFERENCES
Please list three professional references.
Full Name				Relationship
Company				Phone
Address
Full Name				Relationship
Company				Phone
Address
Full Name				Relationship
Company				Phone
Address

PREVIOUS EMPLOYMENT
Company		Phone
Address		Supervisor
Job Title		Starting Salary $	Ending Salary $
Responsibilities
From	to	Reason for Leaving
May we contact your previous supervisor for a reference?				YesNo
Company		Phone
Address		Supervisor
Job Title		Starting Salary $	Ending Salary $
Responsibilities
From	to	Reason for Leaving
May we contact your previous supervisor for a reference?				YesNo
Why should you be considered for this position?

PROFESSIONAL EXPERIENCE
Do you have experience with Microsoft Office Suite, specifically Excel?	YesNo
Do you have experience with dispatch software?	YesNo
If yes, what type of dispatch software?
Do you have any experience dealing with customer needs, complaints and/or demands from previous jobs?	YesNo
If yes, please explain briefly:
Do you have geographical knowledge of the Detroit-metro area?	YesNo
Do you have any vehicle mechanical knowledge?	YesNo
Do you see yourself enjoying any personal and or professional growth with this work?	YesNo
Are you able to perform the essential functions of the job with or without an accommodation?	YesNo
Do you have professional phone etiquette and do you pay attention to detail?	YesNo
Do you have experience multitasking and working well under pressure?	YesNo
Do you have emergency or first responder dispatch experience?	YesNo

DISCLAIMER AND SIGNATURE
In connection with my application for employment and as a condition of continuing employment, I understand that investigative background inquiries are to be made on me including criminal convictions, motor vehicle and other reports. These reports will include information as to my character, work habits, performance, education, and experience along with reasons for termination of employment from previous employers. I understand that Troy’s Towing, Inc. will be requesting information from various federal, state and other agencies which maintain records concerning my past activities relating to my driving, criminal and drug use. I authorize without reservation, any party or agency contacted to furnish the aforementioned information and release all parties involved from liability and responsibility for doing so. I hereby consent to obtaining the above information by Troy’s Towing, Inc. and/or any of their agents. This authorization and consent shall be valid in original, fax, or copy form. I understand all hiring and employment at Troy’s Towing, Inc. is at will. I understand this application is not an employment contract, nor can it be used to create one. Employment by Troy’s Towing, Inc. has no specific term and may be terminated by the employee or Troy’s Towing, Inc. with or without notice. I acknowledge that Troy’s Towing, Inc. has not made any promises or representations that differ from those contained in this paragraph. I further understand that in compliance with federal law, if I am hired I will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form and that failure to provide this evidence will result in the termination of my employment. I also agree to submit to any post-offer job-related medical exams, criminal background checks, pre-employment drug tests and random drug tests while employed at Troy’s Towing, Inc. I release and agree to hold harmless any individual, company, business institution or government agency from all liability with regard to furnishing information to this company I agree to release and hold harmless from all liability with respect to the receipt of such information. Troy’s Towing, Inc. is an equal opportunity employer and does not discriminate on the basis of age, gender, race, color, creed, national origin, religion, marital status, sexual orientation, political affiliation or disability. I certify that the information I have furnished on this application form is true and complete. I understand that if any misrepresentation has been made by me verbally or in writing, any offer of employment made to me may be with withdrawn or my subsequent employment with Troy’s Towing, Inc. may be terminated.
I Agree / Signature			Date

DISCLAIMER AND SIGNATURE

In connection with my application for employment and as a condition of continuing employment, I understand that investigative background inquiries are to be made on me including criminal convictions, motor vehicle and other reports. These reports will include information as to my character, work habits, performance, education, and experience along with reasons for termination of employment from previous employers. I understand that Troy’s Towing, Inc. will be requesting information from various federal, state and other agencies which maintain records concerning my past activities relating to my driving, criminal and drug use. I authorize without reservation, any party or agency contacted to furnish the aforementioned information and release all parties involved from liability and responsibility for doing so. I hereby consent to obtaining the above information by Troy’s Towing, Inc. and/or any of their agents. This authorization and consent shall be valid in original, fax, or copy form.

I understand all hiring and employment at Troy’s Towing, Inc. is at will. I understand this application is not an employment contract, nor can it be used to create one. Employment by Troy’s Towing, Inc. has no specific term and may be terminated by the employee or Troy’s Towing, Inc. with or without notice. I acknowledge that Troy’s Towing, Inc. has not made any promises or representations that differ from those contained in this paragraph.

I further understand that in compliance with federal law, if I am hired I will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form and that failure to provide this evidence will result in the termination of my employment. I also agree to submit to any post-offer job-related medical exams, criminal background checks, pre-employment drug tests and random drug tests while employed at Troy’s Towing, Inc.

I release and agree to hold harmless any individual, company, business institution or government agency from all liability with regard to furnishing information to this company I agree to release and hold harmless from all liability with respect to the receipt of such information.

Troy’s Towing, Inc. is an equal opportunity employer and does not discriminate on the basis of age, gender, race, color, creed, national origin, religion, marital status, sexual orientation, political affiliation or disability.

I certify that the information I have furnished on this application form is true and complete. I understand that if any misrepresentation has been made by me verbally or in writing, any offer of employment made to me may be with withdrawn or my subsequent employment with Troy’s Towing, Inc. may be terminated.

I Agree / Signature

Date

Detroit's Best Towing Service

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Troy's Towing

Dispatcher / Cashier