My Chauffeur Wine Tours

Portland, Oregon

  MY CHAUFFEUR EMPLOYMENT APPLICATION

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Last Name:

Address:

First Name:

City:

State:

Date of Birth:

/ /

Country:

Zip:

Phone:

()- -

Email:

 

Position applied for:

Dates available:

/ / / / indefinite

 

   

 

 

Yes

No

 

Yes:

No:

Are you a citizen of the United States?

If no, are you authorized to work in the United States?

Have you ever been convicted of a felony?

If yes, explain:

High School:

Address:

From:

-- 

To:

-- 

Did you graduate?

Yes:

No:

Degree:

  

College:

 

Address:

 

From:

-- 

To:

-- 

Did you graduate?

Yes:

No:

Degree:

 

  

Other:

 

Address:

 

From:

-- 

To:

-- 

Did you graduate?

Yes:

No:

Degree:

List any apprenticeships, certificates, licenses etc. which may apply to this position:

HISTORY

 

Company:

 

Address:

 

From:

   /    /      

To:

   /    /      

Phone:

()- -  

Position:

 

Supervisor:

 

 

Company:

Address:

                         

From:

   /    /      

To:

   /    /      

Phone:

()- -

Position:

Supervisor:

 

Company:

 

Address:

 

From:

   /    /      

To:

   /    /      

Phone:

()- -

Position:

Supervisor:

:

Please list 2 professional references:

Full Name:

Company:

Position:

Phone:

( )- -

 

Full Name:

Company:

Position:

Phone:

( )- -

 

Days/Hours which you are AVAILABLE: Days/Hours which you are NOT AVAILABLE:
Days/Hours which are DESIRED: Describe professional large passenger vehicle experience:
Tour guiding experience?  If yes, please describe:    
Describe (to the right) any 'glitches' on your driving record for the last 5 years:
 

As part of our procedure for processing your employment application, your personal and employment references may be checked.  If you have misrepresented or omitted any facts on this application and are subsequently hired you may be immediately discharged from your job.

If necessary for employment for a specific position, you may be required by law to: have a physical examination; subject to pre-employment drug testing; provide evidence of citizenship or date of birth; or to sign a conflict of interest agreement and abide by its terms.  By signing this form you acknowledge that it is complete and all information is true and correct.

 

I certify that my answers are true and correct.  If this application leads to employment, I understand that false or misleading information in my application may lead to termination of employment.

Applicant’s Full Name:

Date: / /

 

 

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My Chauffeur
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Revised: March 03, 2010

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