EMPLOYMENT Leslie Equipment Co. is always looking for experienced, motivated and hard-working employees. If that describes you, please apply today by filling out our form below. Play Video Please fill in all required fields. Applicant Information First Name First Name Last Name Last Name Phone Phone Email Email Address Address City City State State Select A StateAlabamaAlaskaAlbertaAmerican SamoaArizonaArkansasArmed Forces AAArmed Forces AEArmed Forces APBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFederated States Of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundland and LabradorNorth CarolinaNorth DakotaNorthern Mariana IslandsNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPalauPennsylvaniaPrince Edward IslandPuerto RicoQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingYukon Zip/Postal Code Zip/Postal Code Are you a citizen of the United States? Are you a citizen of the United States? Yes No If no, are you authorized to work in the U.S.? If no, are you authorized to work in the U.S.? Yes No Have you ever worked for this company? Have you ever worked for this company? Yes No If so, when? If so, when? Have you ever been convicted of a felony? Have you ever been convicted of a felony? Yes No If yes, explain If yes, explain Position Position Applying For Position Applying For Choose one TechnicianTruck SalesParts DeliveryParts CounterOutside Parts SalesOffice/Clerical Desired Salary Desired Salary Shift Preference Shift Preference Choose one 1st (7:00am - 3:30pm) 2nd (3:00pm - 11:00pm) No Preference Date Available Date Available Education High School Name of High School Name of High School Complete Mailing Address Complete Mailing Address Number of Years Completed Number of Years Completed Major or Degree Major or Degree College Bus. or Trade School Name of School Name of School Complete Mailing Address Complete Mailing Address Number of Years Completed Number of Years Completed Major or Degree Major or Degree Professional School Name of School Name of School Complete Mailing Address Complete Mailing Address Number of Years Completed Number of Years Completed Major or Degree Major or Degree Previous Employment (list up to three) Employer 1 Name of Employer Name of Employer Name of Last Supervisor Name of Last Supervisor Dates of Employment Dates of Employment Salary Salary Employer Address Employer Address Employer Phone Employer Phone Last Job Title Last Job Title Reason For Leaving (Be Specific) Reason For Leaving (Be Specific) List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company May we contact your employer: May we contact your employer: Yes No Employer 2 Name of Employer Name of Employer Name of Last Supervisor Name of Last Supervisor Dates of Employment Dates of Employment Salary Salary Employer Address Employer Address Employer Phone Employer Phone Last Job Title Last Job Title Reason For Leaving (Be Specific) Reason For Leaving (Be Specific) List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company May we contact your employer: May we contact your employer: Yes No Employer 3 Name of Employer Name of Employer Name of Last Supervisor Name of Last Supervisor Dates of Employment Dates of Employment Salary Salary Employer Phone Employer Phone Last Job Title Last Job Title Reason For Leaving (Be Specific) Reason For Leaving (Be Specific) List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company May we contact your employer: May we contact your employer: Yes No Please List Three Professional References Reference 1 Name Name Position Position Company Company Phone Phone Reference 2 Name Name Position Position Company Company Phone Phone Reference 3 Name Name Position Position Company Company Phone Phone Skills Skills Skills Use this space to add any additional information necessary to describe your full qualifications for the position which you are applying: Use this space to add any additional information necessary to describe your full qualifications for the position which you are applying: DISCLAIMER AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. This application does not constitute a contract of offer of employment and Leslie Equipment Company is an at-will employer. By signing this application I give Leslie Equipment Company the permission to conduct all necessary reference checks. All Applications will be kept for a period of no less than one year and then will be destroyed. Signature (Enter Full Name) Signature (Enter Full Name) Date Date Choose the car: Choose the camera: Add Widget Our Locations Select State Add Widget Add Section
