INTERNATIONAL FIRE EQUIPMENT 

APPLICATION FOR EMPLOYMENT (all fields must be completed)        

APPLICATION DATE:                               

PERSONAL INFORMATION

LAST NAME      FIRST NAME                                               

SOCIAL SECURITY NUMBER                                                           

PRESENT STREET ADDRESS                                                                                                             

CITY/STATE/ZIP                                                                                                                              

PHONE NUMBER                                            CELL PHONE NUMBER                                          

DRIVERíS LICENSE NUMBER                                                     

EVER REVOKED OR SUSPENDED?  Yes   No  

If "Yes", for what reason:                                                                                                                       

If you are not a citizen of the United States, please indicate your authorization to be employed                                                                                                                                          

Are you a non-smoker?   Yes   No

DESIRED EMPLOYMENT

POSITION APPLIED FOR:                                                                                   

DATE YOU CAN START:                                                  WAGE DESIRED $                    /hr.

If you have applied to this company before, please indicate when                                                        

Are you currently employed? Yes  No      If so, may we contact your present employer? Yes  No     

If you have any skills, experience, or qualifications related to the position applied for, please explain                                                                                                                                                             

If you have any physical limitations, which would hinder your performance in the position applied for, please list                                                                                                                                                                                               

EMPLOYMENT HISTORY

PRESENT/PREVIOUS EMPLOYER                                                                                                  

ADDRESS                                                                                      PHONE                                        

STARTING DATE                      LEAVING DATE                        JOB TITLE                                     

STARTING PAY  $              /hr.    FINAL PAY  $             /hr.  SUPERVISOR                                    

JOB DESCRIPTION                                                                                                                           

REASON FOR LEAVING                                                                                                                 

May we contact your supervisor?  Yes  No  

PRESENT/PREVIOUS EMPLOYER                                                                                                  

ADDRESS                                                                                      PHONE                                        

STARTING DATE                      LEAVING DATE                        JOB TITLE                                     

STARTING PAY  $              /hr.    FINAL PAY  $             /hr.   SUPERVISOR                                    

JOB DESCRIPTION                                                                                                                           

REASON FOR LEAVING                                                                                                                 

May we contact your supervisor?  Yes  No  

PRESENT/PREVIOUS EMPLOYER                                                                                                  

ADDRESS                                                                                      PHONE                                        

STARTING DATE                      LEAVING DATE                        JOB TITLE                                     

STARTING PAY  $              /hr.    FINAL PAY  $             /hr.   SUPERVISOR                                    

JOB DESCRIPTION                                                                                                                           

REASON FOR LEAVING                                                                                                                 

May we contact your supervisor?  Yes  No  

EDUCATION    

GRAMMAR SCHOOL                                                                                       

CITY/STATE                                                                 Yrs. attended         Graduated? Yes   No

HIGH SCHOOL                                                                                                    

CITY/STATE                                                                 Yrs. attended          Graduated? Yes   No

COLLEGE                                                                                                             

CITY/STATE                                                                 Yrs. attended          Graduated? Yes   No

TRADE, BUSINESS OR CORRESPONDENCE SCHOOL                                                                                

CITY/STATE                                                                 Yrs. attended          Graduated? Yes   No

OTHER SCHOOLING                                                                            

CITY/STATE                                                                 Yrs. attended          Graduated? Yes   No

Have you been convicted of a felony ?   Yes  No     If yes, please explain                                                                                                                                              

SEND

APPLICATIONS CAN BE RETURNED BY:

FAX:  (847) 438-1869

MAIL:  500 Telser Road, Lake Zurich, IL   60047

EMAIL:  JGEISLER@INTLFIRE.COM