Diesel Apprentice

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First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Phone
Email *

18 years of age or older? *
Are you legally eligible to work in the United States at the job for which you are applying? *
Can you perform the essential duties of the job for which you have applied, with or without a reasonable accommodation? *
Will you now or in the future require employment sponsorship? *
Are you currently employed? *
Next available start date? *
Were you referred?
If referred, name of person who referred you.
Have you ever been employed by Independent Rebuild Specialist? *
Have you ever been a member of the US Armed Services? *

Please list any skills, training, licenses, and certifications applicable to this role.
Please describe why this role appeals to you. *
Please tell us why you believe you would excel in this role. *

HIGH SCHOOL

High School School Name
Address
Graduated?

TRADE SCHOOL

Trade School Name
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Did you graduate?
Are you currently taking any courses?

COLLEGE

College/University Name
Address
Major
Years Attended
Graduated?
Are you currently taking any courses?

ADDITIONAL SKILLS

Describe any additional skills or certifications:

EMPLOYER 1

Company Name
Address
Job Title
Start Date
End Date
Are you still working with this employer?
Reason for leaving:

EMPLOYER 2

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Job Title
Start Date
End Date
Reason for leaving:

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Due to the large volume of resumes we receive, we are unable to provide status updates. If you are selected for an interview, a member of our recruiting staff will contact you. This application shall be active for 90 days, if you wish to be considered for employment after this time, you must reapply.

We are an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin or citizen status, sexual orientation, gender identity, disability, marital status, protected veteran status or any other legally protected status.