10625 Lexington Drive
Knoxville, TN 37932
P: 866.938.5910
F: 865.512.1160
1721-B Old Callahan Dr
Knoxville, TN 37912
P: 866.938.5910 x.1164
F: 877.646.3361
615 Poplar Street
Nashville, TN 37210
P: 866.938.5910 x.1179
F: 865.635.4080
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Acts Fleet, Inc.
Acts Fleet Maintenance Service, Inc. offers true Preventative Maintenance for your entire fleet.
Serving Knoxville, Nashville and surrounding areas.
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General Information
First Name
*
Middle Name
*
Last Name
*
Social Security Number
Email
*
Phone Number
*
Cell Phone Number
Current Address
Street
*
City
*
State
*
Zip
*
How long have you lived here?
Previous Address
Street
City
State
Zip
How long have you lived there?
Do you have the legal right to work in the United States?
Yes
No
Emergency Contact
*
Emergency Phone Number
*
Have you worked for this company before?
Yes
No
Where?
Date from
To
Rate of Pay ($)
Position
Reason for leaving
Are you now employed?
Yes
No
If not, how long has it been since leaving last employment?
Who referred you?
Position applied for
*
Rate of pay expected ($)
Have you been convicted of a felony?
Yes
No
If yes, please explain fully below.
Conviction of a crime is not an automatic bar to employment – all circumstances will be considered.
If there is any reason you might be unable to perform the functions of the job for which you have applied, please explain
Employment History
Name of Employer #1
Employed from
To
Address
City
State
Zip
Position
Salary/Wage ($)
Contact Person
Phone Number
Job Duties
Reason for Leaving
Name of Employer #2
Employed from
To
Address
City
State
Zip
Position
Salary/Wage ($)
Contact Person
Job Duties
Phone Number
Reason for Leaving
Name of Employer #3
Employed from
To
Address
City
State
Zip
Position
Salary/Wage ($)
Contact Person
Phone Number
Job Duties
Reason for Leaving
Name of Employer #4
Employed from
To
Address
City
State
Zip
Position
Salary/Wage ($)
Contact Person
Phone Number
Job Duties
Reason for Leaving
Traffic Convictions and Forfeitures
Location #1
Date
Charge
Penalty
Location #2
Date
Charge
Penalty
Location #3
Date
Charge
Penalty
Location #4
Date
Charge
Penalty
Education
Highest grade completed
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
College Freshman
College Sophomore
College Junior
College Senior
Last School Attended
City
State
Experience and Qualifications
State
Education, Cert., or Trade Skills
Type
Expiration Date
State
Education, Cert., or Trade Skills
Type
Expiration Date
State
Education, Cert., or Trade Skills
Type
Expiration Date
State
Education, Cert., or Trade Skills
Type
Expiration Date
Are you 18 years of age or older?
Yes
No
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Yes
No
Has your license, permit or privilege ever been suspended or revoked?
Yes
No
If either answer above is “YES”, please provide details
Driving Experience
Straight Truck
Tractor and Semi-Trailer
Tractor - Two Trailers
Motorcoach - School Bus
Other
By clicking the "Submit Application" below, I declare that the information provided in this application is true to the best of my knowledge and belief. I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge. I give ACTS Fleet Maintenance Service, Inc. the right to contact and obtain information from all references, employers, educational institutions, health care providers and to otherwise verify the accuracy of the information contained in this application including motor vehicle check, criminal record check, medical history, and/or credit report. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release from liability ACTS Fleet Maintenance Service, Inc. and its representatives for seeking, gathering, and using such information and all other persons, corporations, or organizations for furnishing such information. I understand that ACTS Fleet Maintenance Service, Inc strictly adheres to the drug and alcohol prohibitions defined by the Department of Transportation in regards to driver applicants. I understand that if and after a conditional offer of employment is extended, I will be required to submit to urinalysis and/or other tests as shall be determined by ACTS Fleet Maintenance Service, Inc. for the purpose of detecting the illegal use and/or abuse of drugs and alcohol. I understand that current illegal use of drugs and/or abuse of alcohol will prohibit me from being employed at this company. I understand that, 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 other protected group status. I affirm that I am not currently under any legal contract or obligation to any employer that would prohibit me from accepting a position. I understand that this application does not constitute an agreement of contract for employment for any specific period or definite duration. I understand that if I am hired, I may voluntarily leave this employment at any time and I may be terminated at any time and for any reason. I understand that this company exercises its rights to be an EMPLOYER AT WILL, and I agree to be an EMPLOYEE AT WILL. I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.
I have read and understand the foregoing and seek employment under these conditions.
Yes
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