3636 Phoenix Avenue Jacksonville Florida 32206
(904) 423-1501
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PERSONAL INFORMATION


 

DRIVING INFORMATION


DRIVING EXPERIENCE


Years/Months Pulling


 

EMPLOYMENT HISTORY

INCLUDING UNEMPLOYMENT D.O.T. PART 391.21 (10)


LAST EMPLOYER


2nd EMPLOYER

 

 

 


3rd EMPLOYER

 

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    PERMISSIONS

     


     

    PLEASE READ THE FOLLOWING STATEMENT AND SIGN BEFORE COMPLETING THE ATTACHED APPLICATION FOR EMPLOYMENT

    In compliance with Federal and state equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, disability, handicap or veteran status.

    I hereby authorize and request any former employer, treating physician or hospital, or any other person or companies including and city, county, state or federal agency, department or bureau, to furnish to Atlantic Truck Lines, Rountree Sod Service, or Southern Crane & Wrecker, hereinafter referred to as the “company”, or its authorized representative, any information in their files under my name. I agree to hold any source of information harmless for any error in reporting this information and release all persons whomsoever from any damage on account of furnishing said information. A photocopy/fax of this authorization may be accepted by anyone as though it were the original.

    I agree to submit to a physical examination if required as a condition of employment. I also understand and voluntarily agree that, as a part of the hiring process, I will be required by the company to take a drug/alcohol screening and that failure to take the drug/alcohol screening when requested to do so shall be sufficient cause for dismissal at any time.

    In making this application for employment, I understand that an investigation report may be made whereby information is obtained through personal interviews with third parties, such as past employers, business associates, financial sources, friends, neighbors of others who I am acquainted. This Inquiry includes information as to my character, general reputation, personal characteristics and mode of living, whichever may be applicable. I have the right to make a written request within 90 days of the date of application for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation.

    I understand when making this application, that if employed, I will be employed by the Company, and any other corporation, association, group of persons or other business entity under contract with the COMPANY, or which might be under contract at some later date, is to be considered my joint employer with the COMPANY, for any purposes whatsoever. Accordingly, the COMPANY may use or transfer my signature to any other employment application. The COMPANY may also use or transfer my signature to any service being used for payroll checks.

    This application is intended to be used as a guideline and for information. Its provisions are not conditions for employment and may be modified, revoked, or changed at any time with or without notice. Nothing in this application is intended to create, nor is it to be construed to constitute a contract between the COMPANY and any of its employees. All employment is at will and may be terminated by the COMPANY with or without cause in its sole discretion.

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    has been locally owned and operated in Jacksonville, Florida since 1992.

    We service the areas surrounding Jacksonville including, but not limited to St Augustine, Fernandina, Lake City, Daytona Beach, Green Cove Springs, Palatka, & Savannah GA 

     

    HOURS OF SERVICE

    Monday              24 hours
    Tuesday              24 hours
    Wednesday              24 hours
    Thursday              24 hours
    Friday              24 hours
    Saturday              24 hours
    Sunday              24 hours


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    Southern Crane & Wrecker

    • 3636 Phoenix Avenue
      Jacksonville, Florida 32206
      • (904) 652-6216

     

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