Lurz Driver Training Services, LLC APPLICATION FOR EMPLOYMENT |
Full name: Last name first, first name, middle name |
Complete all the following fields. Click on the "SUBMIT " button to send the application to the LDTS office. When all applications are received, each applicant will be notified via U.S. mail. |
Current Address; City, state, zip |
List all previous addresses |
D.O.B.: MM/DD/YYYY |
S.S. # |
Telephones: Home |
Cell |
Other |
Email Address |
Present Employer Name Address, Phone # |
Date Started |
Position |
Previous Employer: Name, Address, Phone. |
May We Contact This Employer? |
Position/Title |
From/To: MM/DD/YYYY |
Reason For Leaving |
Salary Per Yr. |
Previous Employer: Name, Address, Phone. |
Position/Title |
Reason For Leaving |
From/To: MM/DD/YYYY |
Salary Per Yr. |
Previous Employer: Name, Address, Phone. |
Position/Title |
From/To: MM/DD/YYYY |
Salary Per Yr. |
Reason For Leaving |
Will you be keeping this position? |
Your Education |
Please list in the box below, all schools, colleges, universities. Include dates/years of attendance, major course of study and any diplomas, degrees or certificates earned. Start with the earliest first. |
Please list in the box below, any training or experience you have in the field of work for which you are applying. List dates and any certificates that were acheived. |
References List three personal references not family members. Include address and phone numbers. |
List three professional references not family members. Include address and phone numbers. |
Training and Experience |
Have you ever been convicted of a felony or serious misdemenor in this or any other state? If so, explain all circumstances and dispositions. |
Have you ever been convicted of any traffic offenses in this or any other state? If so, explain all circumstances and dispositions. |
List any medical conditions you are currently receiving treatment for that may prevent you from performing the duties and responsibilities of a driving instructor. |
List any previous medical conditions that have or may recurr that could prevent you from performing the duties and responsibilities of a driving instructor. |
In the box below, give any other information that you feel qualifies you for this position or reasons you believe you would be suited for it. |
This is the end of the application. Click the submit button below to apply. You will be notified by mail. Thank you |
