Terral Application For Employment Form PDF Details

The Terral Application for Employment form serves as an extensive document aimed at potential job candidates seeking employment within the organization. Terral RiverService, acknowledging its status as an Equal Opportunity Employer, assures applicants that their submissions are evaluated without discrimination based on race, color, sex, age, disability, religion, national origin, or military veteran status. Comprehensively designed, the application invites individuals with disabilities to seek accommodation during the application process by discussing their needs with the Office Manager. A notable requirement is the directive for applicants to complete the form personally and in ink, highlighting the importance of legibility and direct involvement in the submission process. The form spans several key sections including personal information, employment history over the previous ten years, educational background, and specific questions regarding legal work eligibility in the United States, age, and potential for dual employment. Additionally, it involves inquiries about legal convictions, military service, skills relevant to clerical or tugboat captain positions, and references from business professionals. The application emphasizes honesty and accuracy, with a clear statement about the consequences of providing false information or omitting material facts. It also prepares the applicant for potential physical examinations, drug and alcohol testing, and fingerprinting as part of the employment process or during employment, ensuring candidates understand the thoroughness of the hiring process. In wrapping up, the form does not promise employment but sets the expectation for adherence to company policies if hired, reinforcing the at-will employment agreement, underscoring the form's role as just the initial step in a comprehensive evaluation process for employment at Terral RiverService.

QuestionAnswer
Form NameTerral Application For Employment Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesterral application form pdf, terral river service, terralriverservices com, terralriverservice

Form Preview Example

APPLICATION FOR EMPLOYMENT

Date:

Terral RiverService is an Equal Opportunity Employer. All applications are considered for employment without regard to race, color, sex, age, handicap, religion, national origin or military veteran status.

Applicants with disabilities who desire accommodation in completing the pre-employment

questionnnaire are invited to discuss their needs with the Ofice Manager.

Please ill in all spaces. If an item does not apply, write “none.” This application will be considered

current for thirty days from this date. After that time, the application must be renewed to be considered.

Please print in ink clearly. You must complete your own application.

Name

 

 

 

 

Social Security No. |

|

 

|

|

 

|

|

|

|

 

 

LAST

FIRST

 

MIDDLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NUMBER AND STREET

 

APT.

CITY

 

 

STATE

 

 

ZIP CODE

 

 

 

 

 

 

TELEPHONE

 

 

 

 

 

How were you referred for employment?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever worked for this Company before?

Yes

No

If so, when?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you applied for work with this Company before?

Yes

No

If so, when?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position applying for:

Wage or salary desired: $

 

 

 

 

 

 

Date available for work:

 

 

 

 

 

Are there any aspects of the job for which you are applying you are unable to accomplish?

Yes

No

If so, what are they?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of employment desired:

Full-time

Part-time

 

 

Will you work

overtime

evenings

weekends?

If part-time, please state the number of hours and what days you wish to work.

 

 

 

 

 

 

 

 

 

Is there any time of the day or any day of the week you are unable to work?

Yes No

 

If yes, please specify:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you presently employed?

Yes No

Why do you wish to change jobs?

 

 

 

 

 

 

 

 

 

Do you have the legal right to work in the United States? Yes

No

 

Are you over 18 years of age?

Yes No

 

 

 

 

 

(If hired, proof of status will be required.)

 

 

 

 

 

 

 

Do you intend to work anywhere else in addition to working at this Company?

 

Yes

No

 

If so, where?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you qualiied to perform Cardiopulmonary Resuscitation (CPR)?

Yes

 

No

 

 

 

 

 

 

 

 

8360 • PAGE 1 OF 4

EMPLOYMENT HISTORY: Please list all positions for the past 10 years, giving present or last position irst. Use additional pages if necessary.

1.

 

Dates

 

 

 

 

Wage or

 

 

 

 

 

 

Worked:

From

To

 

 

Salary:

Starting

Final

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s

 

 

 

 

 

Supervisor’s

 

 

 

 

 

Name

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s

 

 

 

 

 

Supervisor’s

 

 

Supervisor’s Telephone No.

Street Address

 

 

 

 

 

Title

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for

 

 

 

 

 

City

 

 

State

Zip

 

Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Job

 

 

 

 

 

 

 

 

 

 

 

Title and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

Dates

 

 

 

 

Wage or

 

 

 

 

 

 

Worked:

From

To

 

 

Salary:

Starting

Final

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s

 

 

 

 

 

Supervisor’s

 

 

 

 

 

Name

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s

 

 

 

 

 

Supervisor’s

 

 

Supervisor’s Telephone No.

Street Address

 

 

 

 

 

Title

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for

 

 

 

 

 

City

 

 

State

Zip

 

Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Job

 

 

 

 

 

 

 

 

 

 

 

Title and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

Dates

 

 

 

 

Wage or

 

 

 

 

 

 

Worked:

From

To

 

 

Salary:

Starting

Final

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s

 

 

 

 

 

Supervisor’s

 

 

 

 

 

Name

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s

 

 

 

 

 

Supervisor’s

 

 

Supervisor’s Telephone No.

Street Address

 

 

 

 

 

Title

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for

 

 

 

 

 

City

 

 

State

Zip

 

Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Job

 

 

 

 

 

 

 

 

 

 

 

Title and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

Dates

 

 

 

 

Wage or

 

 

 

 

 

 

Worked:

From

To

 

 

Salary:

Starting

Final

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s

 

 

 

 

 

Supervisor’s

 

 

 

 

 

Name

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s

 

 

 

 

 

Supervisor’s

 

 

Supervisor’s Telephone No.

Street Address

 

 

 

 

 

Title

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for

 

 

 

 

 

City

 

 

State

Zip

 

Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Job

 

 

 

 

 

 

 

 

 

 

 

Title and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

Dates

 

 

 

 

Wage or

 

 

 

 

 

 

Worked:

From

To

 

 

Salary:

Starting

Final

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s

 

 

 

 

 

Supervisor’s

 

 

 

 

 

Name

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s

 

 

 

 

 

Supervisor’s

 

 

Supervisor’s Telephone No.

Street Address

 

 

 

 

 

Title

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for

 

 

 

 

 

City

 

 

State

Zip

 

Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Job

 

 

 

 

 

 

 

 

 

 

 

Title and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

May we contact the employers listed above?

Yes

No

If not, indicate by number which one(s) we may not contact and state why:

 

Please account for all periods of unemployment longer than three (3) months:

8360 • PAGE 2 OF 4

Have you ever been convicted of a crime by a civillian or military court (other than a minor trafic violation)?

Yes No

If so, give details:

(Conviction of a crime is not an automatic bar to employment. All circumstances will be considered.)

Were you in the U.S. Armed Forces?

Yes

No

If so, what Branch?

 

 

 

Dates of duty: From

 

 

 

To

 

 

 

List duties in the service including special training:

 

MO.

DAY

YR.

 

MO.

DAY

YR.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE COMPLETE THIS SECTION IF YOU ARE APPLYING FOR A CLERICAL POSITION ONLY. CHECK SKILLS & TRAINING ACQUIRED

Typing:

 

WPM

Shorthand Dictation:

 

 

WPM

Dictaphone

CRT/Data Entry:

 

 

WPM

Switchboard: Type

 

 

 

 

Filing

Word Processing: Programs

Personal Computer (list types and programs)

Calculator by touch

Bookkeeping

Accounting

Statistics

Photocopier

Fax

What other business machines can you operate:

 

 

 

 

If you are applying for a tugboat captain position, what types of licenses do you hold?

EDUCATION:

 

 

 

 

 

CIRCLE LAST

 

 

GRADUATED?

DEGREE AND DATE

NAME AND ADDRESS OF SCHOOL

COURSE OF STUDY

 

 

YEAR COMPLETED

 

 

LAST ATTENDED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

High School

 

 

 

1

2

3

 

 

4

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

College

 

 

 

1

2

3

 

 

4

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

1

2

3

 

 

4

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List any additional work experience, skills, information, licenses, certiications, special study or research work relating to position applied for or of general interest:

Is any additional information necessary to enable a check of your records such as a change of name, use of an assumed name or nickname? If yes, please explain:

8360 • PAGE 3 OF 4

PLEASE LIST ANY RELATIVES OR FRIENDS EMPLOYED BY THIS COMPANY:

Name

 

Relationship

 

Where Employed

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

Relationship

 

Where Employed

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

Relationship

 

Where Employed

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSONAL REFERENCES:

Please list three business people, professionals, or other persons who are not relatives, former employers, or

 

employees of this Company.

 

 

 

 

 

 

 

 

 

 

 

Name

 

How long known

Occupation

 

Telephone

 

1.

 

 

 

 

(

)

 

 

 

 

 

 

 

Complete

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

How long known

Occupation

 

Telephone

 

2.

 

 

 

 

(

)

 

 

 

 

 

 

 

Complete

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

How long known

Occupation

 

Telephone

 

3.

 

 

 

 

(

)

 

 

 

 

 

 

 

Complete

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IMPORTANT: READ CAREFULLY

I certify that my answers to the foregoing questions are true and correct and understand that any false or misleading information or omission on the application shall be suficient cause for rejection or immediate

dismissal. I authorize release of any information regarding any criminal convictions that may exist against me, and ask my former employer(s) and all other persons named herein who might have information concerning me, to give any information regarding my former employment or any other information they may have regarding me whether or not the same is a matter of record, and hereby release each of them from any liability for any dam- age whatsoever which I could or might claim because of such disclosure.

In making this application for employment, it is understood and accepted that as part of the application

and employment process, and or during employment with the Company, I may be asked to submit to physical examinations which may include testing for alcohol and drugs, and/or be ingerprinted, all in accordance with law. By signing this application, I hereby agree to submit to such examinations, tests, and ingerprinting and release all persons and companies from any liability arising out of such examinations, tests and ingerprintings.

I understand that the use of this form does not indicate that there are positions available and does not in any way obligate the Company. If employed, I agree to abide by and observe all Company rules and regulations. I further understand that any employment is terminable by either party at will with or without notice or cause.

No person other than the President of the Company may modify or amend the provisions stated herein.

DATE

SIGNATURE

8360 • PAGE 4 OF 4

CONFIDENTIAL

INTERVIEW SUMMARY FORM

NAME OF APPLICANT:

POSITION APPLIED FOR:

INTERVIEW: DATE

 

 

HOUR

 

 

BY

 

 

 

 

 

 

 

 

 

 

 

 

APPLICANT RATING

EXCELLENT

 

GOOD

 

 

FAIR

POOR

 

 

 

 

 

 

 

 

 

 

 

Attitude

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Personal Appearance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Personality

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Overall Rating

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REMARKS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCEPTED

FOR EMPLOYMENT?

 

 

 

 

 

 

 

No

Yes

 

 

 

 

 

 

 

Starting Rate

 

 

Starting Date

 

 

 

 

 

Shift

 

Department

 

 

 

 

 

Supervisor

 

Hired by:

 

 

 

 

 

Approved by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Filling out part 1 of terral form pdf

2. Once your current task is complete, take the next step – fill out all of these fields - Position applying for, Wage or salary desired Date, Are there any aspects of the job, If so what are they, Type of employment desired, Will you work overtime evenings, If parttime please state the, Is there any time of the day or, If yes please specify, Are you presently employed Yes No, Why do you wish to change jobs, Do you have the legal right to, Are you over years of age Yes No, If hired proof of status will be, and Do you intend to work anywhere with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

terral form pdf completion process explained (part 2)

3. This next segment is about EMPLOYMENT HISTORY Please list all, Dates Worked, From, Employers Name, Employers Street Address, State, Zip, Dates Worked, From, City, Your Job Title and Duties, Employers Name, Employers Street Address, State, and Zip - complete these fields.

Step no. 3 for filling out terral form pdf

4. This next section requires some additional information. Ensure you complete all the necessary fields - Employers Street Address, State, Zip, Dates Worked, From, City, Your Job Title and Duties, Employers Name, Employers Street Address, State, Zip, Dates Worked, From, City, and Your Job Title and Duties - to proceed further in your process!

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Regarding Employers Street Address and Employers Street Address, be certain that you don't make any errors in this section. These are surely the most significant fields in the PDF.

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Writing section 5 in terral form pdf

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