MUSTANG IV by bestt571

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									                          APPLIGATIONFOR EMPLOYMENT
                                                                                                 U    ruusraruc - MAcHtNERy
                                                                                                               cAT          DrvrsroN

         MUSTANG
               IV                                                                                E
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                                                                                                                       sERVIcES
                                                                                                 E    tuusrerucRENTALsERVtcES
PO. Box 1373,      Texas
            Houston,            (713\460-7232
                       77251-1373



Please check one of the followinglocationswhere you would considerworking:

tr     Beaumont                f       Channelview tr            ElCampo            tr      Houston.           ff   Lu*in               E Tombatl
D      Bryan                   tr      Conroe             tr     Freeport           tr      La Marque          E Nedertand


PLEASEWRITELEGIBLYAND
                    GIVECOMPLETEANSWERS
                                      TOALL QUESTIONS.

        NAME                                                                                                     S      N
                                                                                                           SOCIAL ECURITY O.
                                    (LAST)                 (FTRST)               (MIDDLE)

        PRESENT DDRESS:
              A
                                                  (STREET)                 (clTY)               (sTArE)             (ZtP)            (PHONE)


       ARE YOU AT LEAST18 YEARSOLD?                                          IF NOT,DO YOU HAVEAWORK PERMIT?
        CAN YOU PROVIDEPROOFOF LEGALWORK STATUS?
                                            yE
        F O RW H A TP O S | T T O N ( S ) A R O U A p p l y t N G ?                                        EXPECTEDRATEOF PAY
        FULLTIME-                    PARTTIME                  WHATH O U R S ?                            WHEN COULDYOU START?
        HAVEYOU PREVIOUSLY
                         WORKED AT MUSTANGCAT?-                                WHEN?-                     LOCATION
  P     HAVEYoUPREV|oUSLYAPPL|EDATMUSTANGcAT?-WHEN?-LoCAT|oN
  E     HOW WEREYOU REFERRED MUSTANG
                           TO       CAT?
  R
        L I S T A N YRELATIVES
                             AND/ORFRIENDSPRESENTLY
                                                  WORKINGFOR MUSTANGCAT:
  s     NAME                                              RELATIONSHIP                                     POSITION
  o     NAME                                              RELATIONSHIP                                     POSITION
  N
  A                   N
        DRIVERS ICENSE O:
              L                                                                                                     STATE
  L    TYPE: OPERATOR
                    -                    C O M M E R C I A-
                                                          L       CHAUFFEU-
                                                                          R                                       E
                                                                                         H A SY O U RL I C E N S E V E RB E E NS U S P E N D E D-?

       P R I O RT O T H E C O M M E N C E M E NO F E M P L O Y M E N T , U S T A N G O N D U C T S C O M P R E H E N S I VC R I M I N A L A C K G R O U N D
                                               T                     M              C            A                        E             B
  D    CHECK. FAILURETO DISCLOSE             THE REQUESTEDINFORMATION                 WILL RESULTIN THE REVOCATION ANY OFFER OF  OF
       EMPLOYMENT.
  A
  T    I N T H E L A S T S E V E NY E A R S ,H A V EY O U E V E R B E E N C H A R G E DW I T H O R C O N V I C T E D F A M I S D E M E A N O R R F E L O N Y
                                                                                                                   O                         O
  A    CRIME?-                      lF YES, PLEASEPROVIDETHE FOLLOWING           DATE(S):
                                                                      INFORMATION:

       cHARGE(S):

                                                                           ( .
       R E S U L T R O U T C O M E R S A I D C H A R G E / C O N V I C T I OINE . ,P L E A ,D I S M I S S A LF I N E ,P R O B A T E D E N T E N C ED E F E R R E D
                   O                   O                                                                     ,                      S              ,
                             PR
       A D J U D I C A T I O N , I S O N I M E ,E T C . )
                                        T

           In compliance with Federal and State Equal Employment Opportunity laws, qualified applicants are
           considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status,
           marital status or the presenceof a non-job related medical condition or disability.
000 AC-1000(Rev.04/08)
    L I ST AL L E D U C A T ION A L , OC ATIONAL,
                                  V             BUSINESSSCHOOLSAND MILITAR YOR
    OTHER TRAININGTHAT MAY BE OF BENEFITTO MUSTANGCAT IN ASSESSING
    YO U RQ U AL IF IC A T ION S A NYAVAILABLE
                                F OR                      FORW HICH
                                                  POSITIONS        YOU W ISHT O
    BECONSIDERED:


                ATTENDED
    SCHOOL/COURSE                MAJOR COURSE        DIDYOU      LIST DEGREES
                                   OF STUDY         GRADUATE         IF ANY
E
D
U
c
A
T
I
o
N




                       YOU READ,SPEAKOR WRITEFLUENTLY
    LISTFOREIGNLANGUAGES



    IF APPLYINGFOR OFFICE             TYPINGSPEED-LIST
                         WORK, INDICATE                         PROGRAMSYOU
                                                         SOFTWARE
    ARE PROFICIENT IN

    IF APPLYINGFOR SHOPWORK,DO YOU OWN TOOLS?
    LISTEQUIPMENT YOU CAN OPERATE

W   DO YOU HAVETECHNICAL        IN            AREAS:(CHECK
                       EXPERIENCE THE FOLLOWING           ALL THATAPPLY)
o     TYPE             #YRS of EXPERIENCE                    (MAKE/MODEL)
                                                 Lrsr EQUTPMENT
R
K   E oIrsCI ENGINES
    E HTRvYEQUIPMENT
S
K   E nurovorrvE
I   E orueR
L
L   E coluperroRs
S   E nltIIIINRyEQUIPMENT

    LIST ANY ADDITIONAL                       WHICH WOULD CONTRIBUTE
                       SKILLS OR QUALIFICATIONS                        JOB
    EFFECTIVENESS
                                                                                                                                             F
    N O T E : S H O W L A S T O R P R E S E N TE M P L O Y E RF I R S T .D A T E S S H O U L D B E C O N T I N U O U S I F U N E M P L O Y E D O R A N Y P E R I O D .S H O W D A T E S O F
                                                                                                                       .
    UNEMPLOYMENT PLEASE LIST SUPERVISORFOR WHOM YOU WORKED, FAILURETO COMPLETEEMPLOYMENTHTSTORY REQUESTEDCOULD                                               AS
                             O                   T
    R E S U L T N D E N I A L F E M P L O Y M E NC O N S I D E R A T I O N .
               I
    NAME OF COMPANY                                       T Y P EO F B U S I N E S S                         A D D R E S S N D P H O N EN O .
                                                                                                                         A

                                                                     STARTINGPAY FINAL PAY                                            TO
                                                                                                              REASONFOR LEAVINGMANTING LEAVE                      MAYWE CONTACT
       MONTH             YEAR          MONTH             YEAR

    Y O U RJ O B T I T L E                                           Y O U RS U P E R V I S O R 'N A M EA N D T I T L E
                                                                                                 S


    DESCRIPTIONOF YOUR WORK




    NAME OF COMPANY                                       T Y P EO F B U S I N E S S                                     A
                                                                                                             A D D R E S S N D P H O N EN O
E
                                                                     STARTING PAY           FINALPAY          REASONFOR LEAVING                                   MAY WE CONTACT
M      MONTH             YEAR          MONTH             YEAR

P   Y O U RJ O B T I T L E                                           Y O U RS U P E R V I S O R 'N A M EA N D T I T L E
                                                                                                 S

L
                        O
    D E S C R I P T I O N F Y O U RW O R K
o
Y
    NAME OF COMPANY                                       T Y P EO F B U S I N E S S                         A D D R E S S N D P H O N EN O .
                                                                                                                          A
M
                                                                      STARTINGPAY FINALPAY                    REASONFOR LEAVING                                   MAYWE CONTACT
E      MONTH             YEAR          MONTH             YEAR

N   Y O U RJ O B T I T L E                                           Y O U RS U P E R V I S O R 'N A M EA N D T I T L E
                                                                                                 S
T
                        O
    D E S C R I P T I O N F Y O U RW O R K


H
    I F M O R ET H A N T H R E EP R E V I O U S M P L O Y E R S .I S TO T H E R S E R E :
                                              E                L                 H
I
s
T
o
R
Y
                                                 B
    H A V EY O U E V E RB E E ND I S C H A R G E D Y A P R E V I O U S M P L O Y E R ?
                                                                     E                                    IFYES PLEASE XPLAIN
                                                                                                                      E




     I UNDERSTANDTHAT MY EMPLOYMENTWITH MUSTANG CAT IS VOLUNTARY THE PARTSOF MUSTANGCAT AND
                                                                ON
     MYSELFAND MAYBE ENDEDBY EITHERPARTY WILL. I ALSO UNDERSTAND
                                         AT                      THATNO MANAGEROR SUPERVISOR
     HAS THE AUTHORITYTO MAKE GUARANTEES AS TO CAREERADVANCEMENT,   PAY INCREASESOR CONTINUED
     EMPLOYMENT AND ONLYA WRITTENSTATEMENT                       OF
                                           SIGNEDBY THE PRESIDENT MUSTANG   CAT MAYALTER MY AT-
     WILL EMPLOYMENTSTATUS.
A
G
R    I HEREBYAUTHORIZE             ANY PROPERLY        DESIGNATED       COMPANYOFFICIAL         TO CONDUCTWHATEVERINVESTIGATION
E    N E C E S S A R YN C O N N E C T I O N I T HT H E D A T AH E R E I N I H O L DF R E EF R O ML I A B I L I T A L L F O R M E RE M P L O Y E R S N D
                        I                  W                               .                                     Y                                A
E                                                             T                 M
     O T H E R P E R S O N SW H O M A Y I N R E S P O N S E O I N Q U I R I E S A D E B Y M U S T A N G A T F U R N I S H R U E I N F O R M A T I O N
                                                                                                           C                  T
M    PERTAININGTO MY EMPLOYMENT                   HISTORYAND FOR MUSTANGCAT THE USE OF SUCH DATA IN RECIPROCAL
E    I N O U I R I E S F R O M O T H E R C O M P A N I E S .I F U R T H E RA G R E E T H A T F A L S I F I C A T I O N F I N F O R M A T I O N N T H I S
                                                                                                                     O                        I
N    OUESTIONNAIRE            SHALL BE CONSTRUEDTO BE FRAUD AGAINST THE COMPANY                                AND SHALL BE GROUNDS FOR
T
     DISMISSAL I SHALLBECOME
                      IF                    AN EMPLOYEE THE COMPANY. UNDERSTAND
                                                                OF                    I                    THATI MUST
     PASSA DRUG SCREEN             AND PHYSICAL     PRIORTO MY EMPLOYMENT               WITH MUSTANG          CAT.
s
U
P
E
R   DEPARTMENT                                                             J O BT I T L E
V
I
S
o   SUPERVISOR                                                             G . L .A C C O U N T
R
s
    START DATE                                           STARTTIME                                 PAY
U
S
E
    APPROVINGSIGNATURE                                                                DATE




                                                                                               COMPLETE NEXT
                                                                                                      ONLY
                                                                                                SECTION
                                                                                              UPONEMPLOYMENT

                                                                     SOCIAL
    F U L LN A M E                                                   SECURITY O.
                                                                            N                                 BIRTHDATE
    ADDRESS                                                                    CITY                                   ZIP CODE
T
o   H O M EP H O N E                                  C E L LP H O N E                             H O M EE M A I L
    MARITALSTATUS:             SINGLE LJ                   MARRIEDU
B
E
                                                                                                  DATEOF BIRTH
F            SPOUSE
I
L         CHILDREN
L
E
D
o
U
T
B                r
    P E R S O N S O B E N O T I F I E DN C A S EO F E M E R G E N C Y :
                                      I
Y
    (1)NAME                                                                RELATIONSHIP-
E
M   ADDRESS                                             CITY                         STATE               ZIP CODE
P   H O M EP H O N E                                                             S
                                                                          BUSINESPHONE
L
o
Y   (2)NAME                                                                RELATIONSHIP
E   ADDRESS                                             CITY                         STATE               ZIP CODE
E
    H O M EP H O N E                                                             S
                                                                          BUSINESPHONE
              VOLUNTARY EEO INFORMATIONFORM
The Mustang Companiesare subject to certain governmentalrecordkeeping  and reporting
requirements the administration civilrightsand regulations. orderto complywith these
           for               of                           In
laws,the Companyasks employees self-identify
                              to            gender,race and ethnicity.

Submission this information voluntary
           of             is         and your decisionnot to provideit will not affectthe
consideration are beinqqivenfor emplovment subiectvou to anv adversetreatment.The
            vou                            or
information be keptconfidentral willnot be madepartof vouremplovment
          will               and                                          application.




AreyouHispanic Latino?
            or
   tr Yes
    DNo
lf you checked"no" on the previousquestion,
pleaseidentifyyour race.
    D    wnite
    fl   Black African
              or      American
    E    NativeHawaiian Pacific
                      or      lslander
    B    Asian
    E    AmericanIndian Alaskan
                      or        Native
    E    Twoor moreraces




                  PrintedName                                   Date


                    Signature


Hispanicor Latino: A person Cuban,
                            of         Mexican, PuertoRican,Southor Central  American. other
                                                                                      or
Spanishculture originregardless race
               or                of
White: A personhavingoriginsin any of the original
                                                 peoplesof Europe,the MiddleEast,or NorthAfrica.
Black: A personhavingoriginsin any of the blackracialgroupsof Africa.
Native Hawaiianor Other Pacific lslander. A personhavingoriginsin any of the peoples Hawaii,
                                                                                    of
Guam,Samoa, otherPacific
               or           lslands
Asian: A person havingorigins any of the original
                             in                  peoples the Far East,Southeast
                                                         of                      Asia,or the
Indian             including, example,
       Subcontinent,        for          Cambodia, China,lndia, Japan,Korea,  Malaysia,Pakistan,
             lslands,
the Philippine      Thailand, Vietnam.
                             and
Americanlndianor AlaskanNative: A person     having       in
                                                   origins any of the originalpeoples Northand
                                                                                     of
SouthAmerica  (including
                       Central America), who maintain
                                        and              tribalaffiliation community
                                                                         or        attachment.
Two or More Races(not Hispanicor Latino): All persons   who identify withmorethanone of the above
five races.

								
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