Application For Employment

800.766.5272

* = denotes a required field

Date of Application*

Name

First* Last* M.I.*

Please indicate any other name(s) under which you have worked or attended school (this information is necessary to verify your qualifications for the job applied for if you attended school or worked under another name)

Other name(s)

Permanent Address

Street* City* State* Zip* Phone* Email*

Do you understand the requirements of the position you are applying for? Yes No

If you are under 18, can you provide required proof of your eligibility to work? Yes No

Are you presently authorized to work in the United States on a full-time basis? (Proof of citizenship or immigration will be required upon employment.) Yes No

Have you ever been convicted of or pleaded guilty to a FELONY offense, excluding traffic offenses? Yes No

A “yes” answer will not necessarily disqualify you from consideration. Please explain your answer of “yes” so that individual circumstances can be considered.

Have you previously applied to or been hired for a position with Traffic Control Services? Yes No

If yes, please indicate date, position applied for or held

Referred by Agency Website Own Initiative Ad

Agency Name

Educational Background

If name was different on school records, please indicate name

High School

Name City State

Did you Graduate? Yes No

Major/Degree Received

College or University

Name City State

Did you Graduate? Yes No

Major/Degree Received

Other

(include Graduate School, Military & Equivalence Diploma)

Name City State

Did you Graduate? Yes No

Major/Degree Received

Employment History

Please begin with present Employer or most recent Employer and include military history if any as part of your employment history.

Note: List Employers in reverse order starting with the most recent.

Employer 1

Name of Company* Address* City* State* Zip* Phone* Job Title* Employed From* Employed To* Starting Salary* Ending Salary* Immediate Supervisor (Name, Title & Phone)* Describe Job Duties* Reason For Leaving* Explain any period between jobs

May we contact Employer Yes No

Employer 2

Name of Company* Address* City* State* Zip* Phone* Job Title* Employed From* Employed To* Starting Salary* Ending Salary* Immediate Supervisor (Name, Title & Phone)* Describe Job Duties* Reason For Leaving* Explain any period between jobs

May we contact Employer Yes No

Employer 3

Name of Company* Address* City* State* Zip* Phone* Job Title* Employed From* Employed To* Starting Salary* Ending Salary* Immediate Supervisor (Name, Title & Phone)* Describe Job Duties* Reason For Leaving* Explain any period between jobs

May we contact Employer Yes No

Please list special accomplishments, publications, awards etc...
(Exclude information that would reveal race, color, religion, sex, national origin, citizenship, age, mental, or physical abilities, veteran/reserve national guard or any other similarly protected status.)

References

Please list three references that are not related to you.

Reference 1

Name* Title/Occupation* Phone*
Number of Years Known*

Reference 2

Name* Title/Occupation* Phone*
Number of Years Known*

Reference 3

Name* Title/Occupation* Phone*
Number of Years Known*

Military Service

Have you ever served in the armed forces of the United States of America? Yes No If yes, which branch?

Served From Served To

Upload Resume & Cover Letter

If you already have your resume in MS Word, WordPerfect, etc., you can upload it to save time. If you do not wish to upload your resume, please complete the resume profile below.

(Accepted file types are: .doc, .docx, .rtf, .pdf, .txt, and HTML)

Acknowledgement

I certify that the answers given by me to the foregoing questions and the statements made by me in connection with my application for employment with Traffic Control Services are complete and true to the best of my knowledge ad belief. I understand that any false information, omissions, or misinterpretations of facts called for in this application process may result in rejection of my application or discharge at any time during my employment.
I understand that consideration of employment is contingent upon the result of a reference check and may be contingent upon a background check, including inquiries concerning convictions. I therefore authorize Traffic Control Services to investigate all statements made on this application and to discuss the results of its investigations with those responsible for hiring. I further authorize Traffic Control Services to contact my former Employers, schools, companies, corporations, and law enforcement agencies and credit bureaus, or other persons who can verify or provide information on this application. I release from liability such Employers, schools, companies, corporations, law enforcement agencies, credit bureaus, or other persons contacted by, and providing information to, Traffic Control Services. I agree to execute any required authorization to allow Traffic Control Services to undertake such investigation.
I understand that the use, purchase, transfer, possession, or sale, or being under the influence of, illegal drugs or controlled substances while on Company premises, the premise of any Company worksite or while engaged in Company business is strictly prohibited and is grounds for immediate discharge.
I understand the federal regulations require that my employment be conditioned upon representation of documents at the time of hire which verify my identity and eligibility to work in the U.S. (i.e., passport, certificate of US citizenship or naturalization, alien registration card, driver’s license, US Military card, social security card, birth certificate, or other US employment authorization).
If I accept employment with the Company, I understand it may be terminated at any time, at the will of Traffic Control Services, with or without notice and with or without cause. Only a duly designated officer of the Company through a written contract has the authority to change the Traffic Control Services at-will employment policy.
I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE ACKNOWLEDGEMENT.
By adding my initials below, I certify that I have read, fully understand and accept all the terms of the foregoing acknowledgement.

Applicants Signature (Initials)*