Safety First Professional Driving School, Inc.

3186 State Highway 27
Kendall Park, New Jersey 08824
Phone 1-800-237-1095
Pre-employment Questionnaire
Equal Opportunity Employer

Application For Employment

Date: ______________________

Personal Information

Name:Social Security Number:
Present Address:City:                                         Zip Code:
Telephone:Referred By:
Driver's License Number:

Employment Desired

Position:Date You Can Start:Salary Desired:
Are you Employed:     Yes / NoIf Yes, May We Inquire of Your Present Employer:     Yes / No

Educational Background

 Name of SchoolAttended From / ToDid you Graduate?Subjects Studied
High School    
College    
Trade or Business    

General Information

Special Interests / Studies / Research Work:
 
 
 
 

Former Employers
DateCompany Name & AddressSalaryPositionReason for Leaving
From
To
    
From
To
    
From
To
    

References
NameAddress / Phone NumberBusinessYears Known
    
    
    

Authorization

      "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
      I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
      I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."

Date:Signature:
Interviewed by:Date:

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