Employment Application

If you wish to apply for a position with Insane Limos, please fill out the employment application form below and submit it to us. You will receive a response usually within a few days.

All fields marked with * are required.

Full Name *

Address *

City *

State *

Zip Code *

Phone *

Email *

Date Available
Month: Day:

Social Security Number

Salary Requirement

Are you a legal citizen of the United States? *  Yes No

If not a citizen, are you legally allowed to work in the United States?  Yes No

Type of employment desired? *

Have you ever pleaded \"guilty,\" \"No Contest,\" or been convicted of a crime? *  Yes No

If yes, please give details and dates

CDL License type(s) *  Class A Class B Class C

Previous Employer

Dates of Employment

Start: Month: Day:
End Month: Day:

Position Held

Company

Address

Phone

Supervisor

Responsibilities

Starting Salary & Title

Ending Salary & Title

Reason for leaving

May we contact this employer for a reference?  Yes No

Previous Employer (Optional)

Dates of Employment

Start: Month: Day:
End Month: Day:

Position Held

Company

Address

Phone

Supervisor

Responsibilities

Starting Salary & Title

Ending Salary & Title

Reason for leaving

May we contact this employer for a reference?  Yes No

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquires of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed. I understand that false or misleading information given in my application or interview(s) may result in discharge.

I have read and agree to the terms and conditions listed above *  Yes No

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Please double check to make sure you have filled out every required box before submitting.

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