129 Christian Road, Ringgold, GA 30736
Toll Free (866)582-5296
Local (423)553-9494 | Fax (888) 687-3366

dispatch@shacklefordenterprises.com

JOB APPLICATION

It is the policy of Shackleford Enterprises LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

APPLICANT INFORMATION

Applicant Name:
First Name
Last Name
Address:
Street Address
City
State
Zip
Years at this address:
Daytime Phone:
Evening Phone:

EMERGENCY CONTACT

WHO SHOULD BE CONTACTED IF YOU RE INVOLVED IN AN EMERGENCY?
Contact Name:
First Name
Last Name
Relationship to you:
Address:
Street Address
City
State
Zip
Daytime Phone:
Evening Phone:

JOB POSITION YOU ARE APPLYING:

HAVE YOU PREVIOUSLY APPLIED TO OUR COMPANY?
No
Yes



If Yes, When? ARE YOU AT LEAST 18 YEARS OLD?
No
Yes



ARE YOU WILLING TO WORK ANY SHFIT INCLUDING NIGHTS AND WEEKENDS?
No
Yes



If No, What are your limitations? ARE YOU ABLE TO WORK OVERTIME IF REQUIRED?
No
Yes



IF OFFERED A POSITION, WHEN CAN YOU START?
ARE YOU LEGALLY ABLE TO WORK IN THE U.S.?
No
Yes



ARE YOU ABLE TO PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB POSITION WITH OUR WITHOUT REASONABLE ACCOMODATION?
No
Yes



WHAT REASONABLE ACCOMODATION, IF ANY, WOULD YOU REQUIRE?

SKILL SET

Enter the number of years of experience, and SELECT the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)

Typing

Microsoft Office (Word, Excel, Etc)

Accounting/
Bookkeeping

Answering Phones

Filing

Customer Service

Diesel Mechanic


DESCRIBE ANY OTHER SKILLS YOU BELIEVE WILL ASSIST YOU IN THIS JOB

 

EMPLOYMENT HISTORY

Please list your current or most recent employment first.
Employer Name:
Supervisor Name:
Address:
Street Address
City
State
Zip
Job Duties:
Reason for Leaving:
Dates Employed:

Employer Name:
Supervisor Name:
Address:
Street Address
City
State
Zip
Job Duties:
Reason for Leaving:
Dates Employed:

Employer Name:
Supervisor Name:
Address:
Street Address
City
State
Zip
Job Duties:
Reason for Leaving:
Dates Employed:

EDUCATION AND TRAINING

College/University Name and Address DID YOU RECEIVE A DEGREE?
No
Yes



If Yes, then what was the degree received High School/GED Name and Address DID YOU RECEIVE A DEGREE?
No
Yes



MILITARY SERVICE

No
Yes



Branch:
Specialized Training:

REFERENCES

Name:
First Name
Last Name
Relationship to you:
Address:
Street Address
City
State
Zip
Phone:

Name:
First Name
Last Name
Relationship to you:
Address:
Street Address
City
State
Zip
Phone:

PLEASE PROVIDE ANY OTHER INFORMATION THAT YOU BELIEVE SHOULD BE CONSIDERED IN OFFERING YOU THIS POSITION:

Upload Resume


CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Shackleford Enterprises LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its President, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Shackleford Enterprises LLC, except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.