Employment

Employment Application

Step 1 of 7 - Applicant Information

Education
HIGH SCHOOL
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of years completed
Major & degree
COLLEGE
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of years completed
Major & degree
GRADUATE SCHOOL
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of years completed
Major & degree
BUS. or TRADE SCHOOL
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of years completed
Major & degree
PROFESSIONAL SCHOOL
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of years completed
Major & degree
SPECIAL HONORS

WORK EXPERIENCE
Please list your work experience beginning with your most recent job. If you were self-employed, give firm name. Attach additional sheets if necessary. Exclude organization names which indicate race, color, creed, national origin, age, religion, sexual orientation, gender identity, gender expression, veteran status, or disability.
MOST RECENT EMPLOYER
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Dates Employed: From
To
Supervisor
Reason For Leaving
Work Performed
EMPLOYER
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Dates Employed: From
To
Supervisor
Reason For Leaving
Work Performed
EMPLOYER
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Dates Employed: From
To
Supervisor
Reason For Leaving
Work Performed
EMPLOYER
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Dates Employed: From
To
Supervisor
Reason For Leaving
Work Performed
File
Accepted file types: jpg, pdf, jpeg, Max. file size: 25 MB.

References
Please list two references other than relatives or previous employers
Name
First Last
Position
Company
Telephone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name
First Last
Position
Company
Telephone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

WAIVERS AND DISCLOSURES

Please read each section carefully and sign where indicated.

AT-WILL EMPLOYMENT
It is my understanding that this employment application, or the granting of an oral interview, does not represent a contract of employment or a promise of future benefits by this organization. I understand and agree that, if hired, my employment will be at-will in nature and may be terminated, with or without cause, at any time, by either myself or my employer. I also understand that this written statement supersedes any and all oral representations made by agents or representatives of this organization.
CERTIFICATION OF TRUTH AND ACCURACY
I certify that the information in this application is true, complete and correct. I understand that false answers, statements, or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.
NOTIFICATION AND AUTHORIZATION TO REQUIRE A MEDICAL EXAMINATION
I hereby certify that, if hired, I will disclose any limitations I have that may impact my ability to do the job. I understand that I may also be required to undergo a pre-employment or post-employment medical exam by Interstate Towing, Inc. designated health practitioner.
NOTIFICATION AND AUTHORIZATION TO CONDUCT BACKGROUND INVESTIGATION
I understand that I may be subject to a background check, and hereby authorize HireRight as an Agent for Interstate Towing, Inc., to investigate my background to determine any and all information of concern as to my record, whether same is of record or not, and I release employers and persons named in my application from all liability for any damages on account of his/her furnishing said information.

Additionally, you are hereby authorized to make any investigation of my personal history, educational background, military record, motor vehicle records, criminal records and credit history through an investigative or credit agency or bureau of your choice. I authorize the release of this information by the appropriate agencies to the investigating service. This authorization, in original or copy form, shall be valid for this and for any future reports and updates that may be required.

I understand that passing the background check is a condition of employment. A negative background check can be grounds for dismissal, even if an offer has been made to me and I have been hired.
MASSACHUSETTS LAW
Under Massachusetts Law, it is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Signature*
Date*
MM slash DD slash YYYY
Non-Discrimination Policy: Interstate Towing, Inc. is committed to the principle of equal opportunity in education and employment. Interstate Towing, Inc. does not discriminate on the basis of sex, race, color, creed, national origin, age, religion, sexual orientation, gender identity, gender expression, veteran status, or disability in admission to, access to, treatment in, or employment in its programs and activities.

The following person has been designated to handle inquiries regarding Interstate’s nondiscrimination policies; Director of Human Resources, Interstate Towing, Inc. 1660 Westover Road, Chicopee, MA. Inquiries concerning the application of nondiscrimination policies may be also referred to: Office for Civil Rights, Boston Office, U.S. Department of Education, 33 Arch Street, Suite 900 Boston, MA 02110 (617) 289-0111 FAX# (617) 289-0150; TDD (617) 223-9695 or at www.ed.gov.

Interstate Towing is proud to be a primary service provider (PSP) for AAA and operates as the primary towing service for several area police departments and the Massachusetts State Police. Combined, Interstate Towing serviced over 35,000 vehicles in 2018. Interstate Towing is committed to the community which it serves, as a sponsor to numerous charities and organizations. Our outstanding success would have been unachievable without the support of our dedicated staff of 48 professionally trained, licensed, and uniformed personnel, operators and, of course, our community.

Whether it is helping stranded motorists on busy freeways, private property towing, or recovering large equipment from a construction site, our staff is trained to provide safe, friendly, and reliable service.

Employment Application

Step 1 of 7 - Applicant Information

General Information

Education

COMPUTER SKILLS

DRIVER’S LICENSE

MILITARY

OTHER SPECIAL SKILLS/AND OR CERTIFICATES

WORK EXPERIENCE

References

WAIVERS AND DISCLOSURES

Thank you for applying to Interstate Towing Inc.

APPLICANT DATA RECORD