Join the BTW Team

Employment Application

Personal Information

Applicant Name(Required)

Applicant Address(Required)

Applicant Phone(Required)

Applicant Email(Required)

Have you ever applied to / worked for Company before?(Required)

Yes

If yes, please explain (include date)

Do you have any friends, relatives, or acquaintances working for Company?(Required)

Yes

If yes, state name & relationship

Are you over the age of 21?(Required)

Yes

If not, do you have an age employment/age certificate?

Yes

Have you been convicted of or pleaded no contest to a felony within the last five years?(Required)

Yes

If hired, are you willing to submit to and pass a physical exam and controlled substance test?(Required)

Yes

Position and Availability

Position(s) applied for(Required)

Are you applying for:(Required)

Casual work?

Regular part-time work?

Regular full-time work?

What days and hours are you available to work?(Required)

What date can you start?(Required)

Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodation?(Required)

Yes

If no, describe the functions that cannot be performed

Education, Training and Experience

High School Name(Required)

High School City, State, ZIP(Required)

HS Number of years completed(Required)

Did you graduate high school?(Required)

Yes

High school degree/diploma earned(Required)

College/University/Vocational Name(Required)

College/University/Vocational city, state, zip(Required)

College/University/Vocational Number of years completed(Required)

Did you graduate College/University/Vocational school?(Required)

Yes

College/University/Vocational degree/diploma earned(Required)

Military Branch

Rank in Military

Total Years of Service

Military skills/duties

Additional Licenses, Skills, Training, Awards (please list)(Required)

Are you currently a Certified Driver Education Instructor in Indiana?(Required)

Yes

If no, are you willing to become certified at your own expense?(Required)

Yes

Do you speak, write, or understand any foreign languages?(Required)

Yes

If yes, describe which language(s) and how fluent of a speaker you consider yourself to be

Employment History

Complete the required information for each position and account for any gaps in employment.

Are you currently employed?(Required)

Yes

If you are currently employed, may we contact your current employer?(Required)

Yes

Company #1 Name(Required)

Supervisor (Company #1)

Company #1 Address(Required)

Company #1 Phone Number(Required)

Company #1 Business Type(Required)

Company #1 Employed from(Required)

Company #1 End Date(Required)

Company #1 Position & Duties(Required)

Company #1 Reason for Leaving(Required)

Company #2 Name(Required)

Supervisor (Company #2)(Required)

Company #2 Address(Required)

Company #2 Phone Number(Required)

Company #2 Business Type(Required)

Company #2 Employed from(Required)

Company #2 End Date(Required)

Company #2 Position & Duties(Required)

Company #2 Reason for Leaving(Required)

Company #3 Name(Required)

Supervisor (Company #3)(Required)

Company #3 Address(Required)

Company #3 Phone Number(Required)

Company #3 Business Type(Required)

Company #3 Employed from(Required)

Company #3 End Date(Required)

Company #3 Position & Duties(Required)

Company #3 Reason for Leaving(Required)

References

List below three individuals – not family members – who have knowledge of your work performance.

Reference #1 Name(Required)

Reference #1 Phone Number(Required)

Reference #1 Email(Required)

Reference #1 Address(Required)

Reference #1 Occupation(Required)

Reference #1 Number of Years Acquainted(Required)

Reference #2 Name(Required)

Reference #2 Phone Number(Required)

Reference #2 Email(Required)

Reference #2 Address(Required)

Reference #2 Occupation(Required)

Reference #2 Number of Years Acquainted(Required)

Reference #3 Name(Required)

Reference #3 Phone Number(Required)

Reference #3 Email(Required)

Reference #3 Address(Required)

Reference #3 Occupation(Required)

Reference #3 Number of Years Acquainted(Required)

APPLICANT’S CERTIFICATION AND AGREEMENT

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Behind The Wheel Driving Academy to verify their accuracy and to obtain reference information on my work performance. I hereby release Behind The Wheel Driving Academy from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions or facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules, and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and either I or the Employer may terminate my employment at any time with or without notice or cause.

Signature of Applicant(Required)

Today's Date(Required)

This field is for validation purposes and should be left unchanged.