Brownsville&Rio Grande International Railroad

Employment Form

APPLICATION FOR EMPLOYMENT

ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, MARITAL OR VETERAN STATUS, THE PRESENCE OF A NON-JOB RELATED HANDICAP OR ANY OTHER LEGALLY PROTECTED STATUS.

Position Sought
How did you learn about the position?

Name
Date
Address
City
State
ZIP
Home Phone
Office Phone
Other Phone
Email Address
On what date would you be available for work?
Desired Wage/Salary $
Are you a U.S. citizen, or are you otherwise authorized to work in the U.S. without any restriction?
Have you ever been convicted of a felony?
If yes, please describe circumstances
Have you ever been involuntarily terminated or asked to resign from any position of employment?
If yes, please describe circumstances
If selected for employment, are you willing to submit to a pre-employment drug screening test?

Education

School Name
Location
Years Attended
Degree Received
Major
School Name
Location
Years Attended
Degree Received
Major
School Name
Location
Years Attended
Degree Received
Major
School Name
Location
Years Attended
Degree Received
Major
Other training, certifications, or licenses held
List other information pertinent to the employment you are seeking

Employment History

(Most Recent First.)

Employer 1
Job Title
Dates employed From
To
Prior Position Held within Company (if any)
Address
City
State
ZIP
Phone
Supervisor
May we contact?
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving
Employer 2
Job Title
Dates employed From
To
Prior Position Held within Company (if any)
Address
City
State
ZIP
Phone
Supervisor
May we contact?
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving
Employer 3
Job Title
Dates employed From
To
Prior Position Held within Company (if any)
Address
City
State
ZIP
Phone
Supervisor
May we contact?
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving
Employer 4
Job Title
Dates employed From
To
Prior Position Held within Company (if any)
Address
City
State
ZIP
Phone
Supervisor
May we contact?
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving

ACKNOWLEDGMENT AND AUTHORIZATION

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

This completes your Employment Inquiry Form. Please click the send button to send your inquiry via e-mail to BRGRR.