Employment

Accessible Vans

Online Reservation

Blue Ribbon Taxi
Association

6321 N. Ridge Ave.
Chicago, IL 60601

(773) 508-9100

Copyright 2002

Please fill in the following application for employment. We are an equal opportunity employer. Required fields are in red.

*Personal Information*
First Name:
Last Name:
Street Address:
City:
State/Province:
Zip/Postal Code:
Phone Number:
Fax:
Email:
Social Security #:
*Employment Desired*
Position:
Date you can start:
Employed?:	Yes No If Yes, may we contact your present employer? Yes No
Ever Applied Before?:	Yes No If Yes, Where When

*Education History*
	School & Location	Years Attended	Graduate	Subject Studied
Grammer:
High School:
College:
Trade, Business, Other:

*References*
	Name	Address	Business	Years Known




	"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damages that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws." I have read and agree to the above terms: Check this box

Comments:

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