JOB APPLICATION - WASHINGTON, INDIANA You must have JavaScript enabled to use this form. Position Applying For What shift are you applying for? - Select -DayEveningNightAny Name Date of Birth Phone Number Email Address Mailing Address Address Street Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Emergency Contact Name Emergency Contact Phone Number Married? - Select -YesNo Military Service? - Select -YesNo U.S. Citizen - Select -YesNo Do you have any relatives currently or previously employed at any Eagle Railcar location? If there are any relatives who have been employed at Eagle Railcar, please list their name, location and whether they are a current or past employee. How did you hear about Eagle Railcar Services? How did you hear about Eagle Railcar Services? - Select -BillboardEmployee ReferralInternet Job BoardSocial MediaWebsiteOther… Enter other… Who referred you? Are you currently employed? - Select -YesNo How long since your last employment? Highest Level of Education - Select -8th grade or lower9th grade10th grade11th gradeHigh School Graduate1 year of college2 years of college3 years of collegeCollege GraduateGraduate School Have you ever been convicted of a felony? - Select -YesNo If Yes, please explain in the box below. Conviction of crime is not an automatic bar to employment. All circumstances will be considered. Employment Record Employer 1 Please include information and number them as follows: 1) Current Employer 2) Supervisor's Full Name 3) Full Address 4) Zip Code 5) Phone number 6) Position Held 7) What time frame? Month and year. (Example: June/2011- October/2013) 8) Salary: 9) Your Reason for Leaving Employer 2 Please include information and number them as follows: 1) Current Employer 2) Supervisor's Full Name 3) Full Address 4) Zip Code 5) Phone number 6) Position Held 7) What time frame? Month and year. (Example: June/2011- October/2013) 8) Salary: 9) Your Reason for Leaving Employer 3 Please include information and number them as follows: 1) Current Employer 2) Supervisor's Full Name 3) Full Address 4) Zip Code 5) Phone number 6) Position Held 7) What time frame? Month and year. (Example: June/2011- October/2013) 8) Salary: 9) Your Reason for Leaving The U.S. Department of Transportation requires that driver applications show all employment for the past three years. They must also show commercial driver employment for the seven years immediately proceeding this three year period. S391.21(b)(10),(11) Start with your current position, including military experience, and work back. Please provide 3 references Please include the names and the phone numbers of the 3 references. Leave this field blank Protected by Spam Master
