Employment Application

Diesel Mechanic

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Contact Information

First Name*

Last Name*

Phone*

Email*

Address

City

State

Zip

Position Details

Position Applying For

Desired Start Date

Employment Desired

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Availability

Authorized to Work in the United States

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Previously Worked for RGPC or Related Company

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Desired Compensation

Referral Source

Education

High School Name

High School Location

Graduation Status

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College / Trade School

Degree or Certification

Additional Training or Certifications

Other Skills & Qualifications

Licenses

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Special Skills

Railroad, transportation, mechanical, operations, safety, or maintenance experience

Employment History

Employer 1

Employer

Phone

Job Title

Supervisor

Address

City

State

Zip

Start Date

End Date

Starting Salary

Ending Salary

Job Responsibilities

Reason for Leaving

References

Reference 1

Name

Relationship

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Years Known

Acknowledgement

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information may result in disqualification from employment consideration or termination if employed.

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