Apply Step 1 of 5 20% Central Iowa Towing & Recovery, Inc is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.Applicant InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Date of Application* MM slash DD slash YYYY Employment PositionPosition(s) applying for:How did you hear about this position?* What days are you available for work?* What hours or shift are you available for work?* If needed, are you available to work overtime?* On what date can you start working if you are hired?* Do you have reliable transportation to and from work?* Salary Desired:* Personal InformationDo you have any friends, relatives, or acquaintances working for Central Iowa Towing & Recovery, Inc.* Yes No If yes, state name & relationship:* Are you 18 years of age or older?* Yes No Are you a U.S. citizen or approved to work in the United States?* Yes No What document can you provide as proof of citizenship or legal status? Will you consent to a mandatory controlled substance test?* Yes No Have you ever been convicted of a criminal offense (felony or misdemeanor)?* Yes No If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:* (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)Job Skills/QualificationsPlease list below the skills and qualifications you possess for the position for which you are applying:*(Note: Central Iowa Towing & Recovery, Inc complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.) Education and TrainingHigh SchoolName Location (City, State) City State / Province / Region Year Graduated Degree Earned College/UniversityName Location (City, State) City State / Province / Region Year Graduated Degree Earned Vocational School/Specialized TrainingName Location (City, State) City State / Province / Region Year Graduated Degree Earned MilitaryAre you a member of the Armed Services?* Yes No What branch of the military did you enlist?* What was your military rank when discharged?* How many years did you serve in the miliary?* What military skills do you possess that would be an asset for this position?* Previous EmploymentEmployer Name:* Job Title:* Supervisor Name:* Employer Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employer Telephone*Date Started* MM slash DD slash YYYY Date Ended* MM slash DD slash YYYY Reason for Leaving*Employer Name:* Job Title:* Supervisor Name:* Employer Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employer Telephone*Date Started* MM slash DD slash YYYY Date Ended* MM slash DD slash YYYY Reason for Leaving*Employer Name:* Job Title:* Supervisor Name:* Employer Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employer Telephone*Date Started* MM slash DD slash YYYY Date Ended* MM slash DD slash YYYY Reason for Leaving* ReferencesPlease provide 3 personal and professional reference(s) below:Reference Name* Contact Information:* Reference Name* Contact Information:* Reference Name* Contact Information:* Additional Information:Drivers License #* Social Security #* Are you capable of lifting 50 lbs?* Yes No Class A or B CDL?* Class A Class B The relationship between you and the Central Iowa Towing & Recover, Inc is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Central Iowa Towing & Recovery, Inc. No representative of Central Iowa Towing & Recovery, Inc has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representatives regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.* I understand the terms detailed in the preceeding paragraph. Applicant Signature:* Dated: MM slash DD slash YYYY
