Interstate Parking

parking structure photo

PERSONAL INFORMATION
First Name, Last Name, Middle Name
Phone
Email
Address
City
State Zip
WORK INFORMATION
Position Applied For
Type of Work Desired
Salary Requirements
Date Available for Work
Hours Desired Full-time Part-time Seasonal
To assist us in checking your work, school, or other records, please indicate if you have ever been known by any other name.
Are You 18 Years of Age? Yes No
If Not, Do You Have a Work Permit? Yes No
EDUCATION

	Name, City, State	Major Course or Subject	Years Completed	Diploma/Degree
High School or Prepatory
Business/Technical School

REFERENCES

Provide two (2) professional references (not a relative) whom we may contact.

Name	Address	Phone	Relationship

May we contact your current employer for references? Yes No
EMPLOYMENT INFO

Starting with PRESENT or MOST RECENT, list all previous employers in the last ten (10) years. Include self-employment, summer and part-time jobs, military service. You may attach a seperate sheet or resume if necessary.

Employer 1

Employer
Telephone
Job Title
Supervisor
Address
City
State Zip
Dates Employed
Rate of Pay

Employer 2

Employer
Telephone
Job Title
Supervisor
Address
City
State Zip
Dates Employed
Rate of Pay

Employer 3

Employer
Telephone
Job Title
Supervisor
Address
City
State Zip
Dates Employed
Rate of Pay

PLEASE READ BEFORE SUBMITTING

I certify that the answers given in this application and in the employment interview(s) are true and complete to the best of my knowledge.

I authorize previous employers and schools which I have attended, credit agencies and bank relationships, along with criminal records and other legitimate business sources to furnish , any information concerning my credit, employment, criminal and education background. This investigation may be made through a credit bureau or other investigative agencies. I hereby release all employers, schools, references and investigative agencies from any liability for providing information concerning me.

I understand that if I am offered a position with Interstate Parking Company, LLC, it is contingent on the results of the investigation listed above. I further understand that if for any reason Interstate Parking Company, LLC is not satisfied with the investigation, the offer of employment will be withdrawn and/or employment with this company will be terminated. I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the company.

I hereby acknowledge that I have read and understand the above statement.

APPLICATION FOR EMPLOYMENT

This Company does not discriminate in hiring or employment on the basis of race, color, religious creed, national origin, sex, ancestry, age, disability, sexual orientation, arrest record, or conviction record. No question on this application is intended to secure information to be used for such discrimination.