Career

Application For Job

(pre-employment questionnaire) (an equal opportunity employer)

Date :		SS #:
Email Address:
Name Last:		First:
Date Of Birth:
Current Address:
City:		State:	Zip:
Phone Home:		Cell:
Department:
Position:
Type of Work Desired:	Full Time Part Time Temporary
Date Available:

Falsification of information on this application can be grounds for disciplinary action up to and including dismissal. LTC or employees of LTC may terminate the employment relationship at will, at any time.

General Information. If any question below requires further explanation please use the space provided at the end of section.

1:	Have you ever applied for a job with us in the past? If yes, please give the date of application and the position for which you applied. State your name at that time, if different from the present name.	Yes No
2:	Have you ever been employed by us? If yes, please give the dates of employment, positions held, and state your name while employed, if different from present name	Yes No
3:	Do you have any physical or mental health problems, disablities, or handicaps that will prevent you from satisfactorily performing the job(s) for which you are applying? If yes, please explain:	Yes No
4:	Will you be able to work during the normal days and hours required for the Position(s) for which you are applying ? If not, please explain:	Yes No
5:	Do you have any commitments to another employer that might affect your Employment here? If yes, please explian:	Yes No
6:	State law requires employees in a manufacturing facility be at least 18 years Of age. Can you furnish proof that you are 18 or older? If no, please explain:	Yes No
7:	Can you furnish proof that you are eligible to work in the united states? If no, please explain:	Yes No
8:	Do you have reliable transportation to and from this location?	Yes No
9:	Have you been convicted of a felony, or released from prison in the past 10 years? Note: a yes answer does not automatically disqualify you from employment since the nature of the offense, date, and type of Job for which you are applying will be considered. If yes, please explain:	Yes No
10:	Have you been charged with a crime that has not yet resulted in a plea Of guilty, court trial, or a dropping of the charge: note: a yes answer will not automatically disqualify you from employment. If yes, please Explain:	Yes No
11:	Do you have any language abilities (such as reading or speaking a foreign language) that might help you perform the job(s) for which you are applying? If yes, please explain:	Yes No
12:	Do you have any experience from your military service that would be relevant to the job(s) for which you are applying? If yes, please explain:	Yes No

13: Special questions:

a:	Do you have a valid driver's license?	Yes No
b:	During the past seven years, have you been denied a driver's License or been convicted of a moving traffic offense, including, But not limited to, driving while intoxicated or reckless driving? If yes, please explain:	Yes No
c:	Do you have all the licenses and professional certifications necessary to perform the job(s) for which you are applying? If no, please explain:	Yes No
*	Questions where the job involves manual labor
aa:	Are you physically able to lift 50 lb. Sacks on a continued Hour-by-hour, day-by-day basis?	Yes No
bb:	Do you agree to take a test, at your own risk of injury, to Prove your ability?	Yes No

Additional Information:

14: Employment history:
Present & former employers (list most recent first)

May we contact your present employer?

Yes No

Company Name:
Company Address:
Company Phone #:
Date Of Employment From:		To:
Supervisor Name:
Reason For Leaving:

Give a detailed description of your job duties from the time of employment to present:

Company Name:
Company Address:
Company Phone #:
Date Of Employment From:		To:
Supervisor Name:
Reason For Leaving:

Give a detailed description of your job duties:

Company Name:
Company Address:
Company Phone #:
Date Of Employment From:		To:
Supervisor Name:
Reason For Leaving:

Give a detailed description of your job duties:

15. Educational data: (must have at least a high school diploma or ged)

	Name of School Attended	Grade Completed	School Location	Did You Graduate	Degree Diploma/Certification	Major Courses Of Study
High School				Yes No
Technical, vocational, business or military training				Yes No
College Or University				Yes No
Graduate School				Yes No
Professional Seminars				Yes No

Additional job-related seminars, short courses, workshops, or other educational experiences:

16. Resume & Cover Letter

File Attachment:

Cover Letter:

Release

I hereby give Lufthansa Technik the right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I understand continued employment is contingent on verification of references provided herein and results of security background checks. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information. I hereby knowingly and voluntarily execute this release.

Name:		Date:
SS#:
DOB: