To avoid delays, please fill out all required fields. Eveningstar Drive is a drug free workplace. We conduct background and drug screens on all considered for employment.

* Indicates a Required Field

*Name:

*Address:

*City: Zip Code:

*Phone Number:

Cell Phone:

*E-Mail:

Education

*High School:

College:

Other:

Employment History

(Company and address of current employer or last)

Company Name:

*Address:

*City: *Zip Code:

*Phone Number: Employment Dates:

*Supervisor's Name:

*May we contact?

Yes
No

*Have you ever worked for a driving school before?

Yes
No

If yes, which driving school did you work for?

Are you a licensed instructor in the state of Ohio?

Yes
No

If yes, what is your license number?

Miscellaneous Information

*Do you have reliable transportation?

Yes
No

*If hired, when can you start?

* Have you ever been convicted of a crime?

Yes
No

* If yes, please explain:

* What location are you interested in working at? Select Location BEDFORD BEREA BLACK RIVER H.S. BRUNSWICK H.S. CLOVERLEAF H.S. ELYRIA FAIRVIEW PARK GRAFTON M.C.C.C. H.S. MEDINA MEDINA H.S. N. ROYALTON PARMA WESTLAKE WESTLAKE H.S.

MY RECORDS AND REFERENCES

I AUTHORIZE Eveningstar Drive TO CONDUCT REFERENCE CHECKS, CRIMINAL AND DRIVING RECORD CHECKS, AND OTHER CONSUMER REPORT INVESTIGATIONS. I RELEASE ALL PARTIES FROM ANY LIABILITY FROM PROVIDING SUCH INFORMATION TO Eveningstar Drive.

INFORMATION CERTIFICATION

I CERTIFY THAT THE INFORMATION THAT I HAVE PROVIDED Eveningstar Drive IS TRUE AND COMPLETE. I AGREE TO NOTIFY Eveningstar Drive IMMEDIATELY IF I AM LATER CHARGED WITH ANY CRIMES DURING MY TIME OF EMPLOY. I AGREE THAT ANY FALSE INFORMATION OR OMISSION ALLOWS Eveningstar Drive TO REFUSE TO HIRE ME, OR TO TERMINATE MY EMPLOYMENT AT ANY TIME.

* BY TYPING YOUR NAME IN THE BOX BELOW YOU ATTEST THAT ALL INFORMATION HEREIN IS ACCURATE AND HONEST.
Date: