Dispatchers and Front Desk Personnel

Join our team and help the people and businesses in our communities. Learn about our career opportunities as a driver, dispatcher, or front desk personnel.

Full Name: *

First Middle Last

Current Address: *

Street Address City State ZIP Code

Email Address: *

Phone Number: *

MM / DD / YYYY

Do you have a valid driver's license? *

Yes

No

Are you authorized to work and remain in the United States? *

Yes

No

Were you ever discharged or forced to resign from any position? *

Yes

No

Have you ever been employed by Henry's? *

Yes

No

Are you related to any Henry's employee? *

Yes

No

Have you served in the U.S. Armed Forces? *

Yes

No

Have you ever been convicted of any violation of the law? (Exclude traffic violations) A conviction will not necessarily disqualify an applicant from the position sought. *

Yes

No

Are you a High School Graduate? *

Yes

No

High School Equivalency? *

Yes

No

N/A

Are you presently attending school? *

Yes

No

Type of Education

Name of Institution

Field of Study

Type of Degree

Did you Graduate? *

Yes

No

Do you have additional education to enter? *

Yes

No

Name of Institution *

Field of Study *

Type of Degree *

Did you Graduate? *

Yes

No

Type

Serial Number

MM / DD / YYYY

Expiration Date MM / DD / YYYY

Word Processing: *

Yes

No

List Computer Background and Years of

Experience:

*

Beginning with your present or most recent experience, account for all employment during the past ten (10) years. To elaborate, a supplemental sheet or resume may be attached, but cannot be substituted for a completed application. Include military service if applicable.

Name of

Employer:

*

Job Title:

*

Phone Number *

Address *

Street Address Address Line 2 City State ZIP Code

Ending Salary Per Month: *

MM / DD / YYYY

MM / DD / YYYY

Reason for Leaving: *

Description of Duties: *

Do you have additional employers to enter? *

Yes

No

Employer 2 Name: *

Job Title:

*

Phone Number *

Address: *

Street Address Address Line 2 City State ZIP Code

Ending Salary Per Month: *

MM / DD / YYYY

MM / DD / YYYY

Reason for Leaving: *

Description of Duties: *

Inquiry may be made of your current and former employers/schools you attended.

May we contact your present employer? *

Yes

No

May we contact your former employers? *

Yes

No

Full Name *

First Last

Address *

Street Address Address Line 2 City State ZIP Code

Business or Occupation *

Phone Number *

APPLICANT’S STATEMENT AND AUTHORITY TO RELEASE INFORMATION *

I certify that I have read and agree to the above RELEASE.

I understand that this employment application and any other documents are not contracts of employment, and any person hired may be terminated by the employer at any time for any reason. I understand that any oral or written statements to the contrary are expressly disavowed and should not be relied upon by a prospective or existing employee. I understand that Henry's Wrecker Service, Inc (Henry's) may modify, change, or revoke any of its employment policies, pay practices, and benefits without my agreement.

I hereby state that all answers on this application are true and understand that falsifying this information can lead to termination if hired. I UNDERSTAND THAT IN ACCORDANCE WITH POLICY, FINAL CANDIDATES ARE SUBJECT TO AN ALCOHOL / DRUG TEST AS A CONDITION OF EMPLOYMENT.

I hereby authorize any and all persons, companies, or agencies to release any and all background information, of a confidential or privileged nature, including criminal history, relevant to this application and any pertinent information they may have to the hiring authorities of Henry's.

I release all such parties from all liability of every kind as the result of furnishing the same to Henry's. This information is to be used to assist Henry's in determining my qualifications and fitness for the position I am seeking. I hereby release Henry's and its officers, agents and employees from any liability for the use of any and all of the foregoing information, in consideration for being reviewed for the aforesaid position.

Upload Resume Drop files here or Accepted file types: doc, docx, pdf, Max. file size: 512 MB.

The following information we are soliciting is strictly voluntary. This form will be kept separate and confidential from the application.

Information provided on this form will not be considered in any employment decision but is for statistical purposes only.

How did you learn about this position?

Employment Service

School

Newspaper

Internet

Walk-In

Other

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