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EZ AIR PARK APPLICATION FOR EMPLOYMENT

Please fill out the information below and click the "submit" button when you are finished.
For security purposes we do not ask for your social security number and driver's license
number on-line. EZ Air Park may call you for this information.

You may also fax the completed form to: 651-681-0710

If you experience problems with the form below, please send us an email message (curt@ezairpark.com).

* denotes required field

A. General Information:
*Name:
 
*Present Address:

Street and City

*State
*Phone Number:

*Home

Work
*E-mail:
 
B. Employment Desired:
*Type of Job
Driver
Cashier
Any
*Type of Employment
Full Time
Part Time
Any
*Type of Shift
Days
Nights
Any
*Days of Week
Weekdays
Weekends
Any
*Date you can Start:
MM/DD/YYYY

Salary Desired:
*Ever Applied to this Company Before?
yes
If yes, When?
no
C. Education:
Type
*Name & Location
Years Attended
*Date Graduated:
Subjects
*High School:
College:
Trade or Technical:
D. General and Special Questions: These questions will be used only to verify your driving record.
*Are you or were you in the Military Service?
Yes
No

Current Status:
Date of Birth:
   
*List any Driving Violations within the last 4 years (please indicate "none" if none received):
 
*Do you have a DOT Medical Certificate? Yes
No
 
Note: The age discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years old.
E. Former Employers - List below the last four employers, starting with the last one first.
Dates:
To - From
(Month & Year)		 Name & Address
of Employer:		 Salary: Position: Reason for Leaving:
F. References: Give below the names of three persons not related to you, whom you have known at least one year.
*Name: *Address & Phone Number: Business: *Years Known:
G. Enter any additional Information you would like us to know:


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All company names, products and services mentioned and/or linked to are the property of their perspective owner.