PRE-INTERVIEW QUESTIONNAIRE

Smart Park, Inc.
900 E. 2nd St.
Essington, PA 19029
Fax: 610-521-3500
Email: positions@smartpark.com
Expresspark South, Inc.
55 Industrial Highway
Essington, PA 19029
Fax: 610-521-0300
Email: positions@expresspark.net
(Pre-employment Questionnaire)

(An Equal Opportunity Employer)
Personal Information
Date
Date
MM slash DD slash YYYY

Name
*
First Middle Last
Present Address
Street Address
Street Address

Address Line 2
Address Line 2

City
City

State
State
Zip Code
Zip Code

Phone Number*
Phone Number
Are you 18 Years or Older?
Are you 18 Years or Older?
Yes
No
Are you Either a U.S. citizen or an alien authorized to work in the United States?
Are you Either a U.S. citizen or an alien authorized to work in the United States?
Yes
No
EMPLOYMENT DESIRED
Position
Position
Start

Start
Salary Desired

Salary Desired
Are you employed now?
Are you employed now?

Yes

No
Inquire of your present employer
Inquire of your present employer

Yes

No
Ever applied to this company before?
Ever applied to this company before?

Yes

No
Where?

Where?
When?

When?
Referred By?

Referred By?
U.S. Military or Naval Service?
U.S. Military or Naval Service?
Yes
No
Rank
Rank

Present Membership in National Guard or Reserves
Present Membership in National Guard or Reserves
Yes
No
*The Age Discrimination in Employment Act of 1987 prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age

FORMER EMPLOYERS (List below last three employers, starting with last one first)
From
From
MM slash DD slash YYYY
To
To
MM slash DD slash YYYY
Name and Address of Employer
Name and Address of Employer
Salary
Salary
Position
Position
Reason for leaving
Reason for leaving
From
From
MM slash DD slash YYYY
To
To
MM slash DD slash YYYY
Name and Address of Employer
Name and Address of Employer
Salary
Salary
Position
Position
Reason for leaving
Reason for leaving
From
From
MM slash DD slash YYYY
To
To
MM slash DD slash YYYY
Name and Address of Employer
Name and Address of Employer
Salary
Salary
Position
Position
Reason for leaving
Reason for leaving
Which of these jobs did you like best?
Which of these jobs did you like best?
What did you like most about this job?
What did you like most about this job?
DRIVERS RECORD INFORMATION: (DRIVERS ONLY)
Driver's License #:

Driver's License #:
State:

State:
Birthdate

Birthdate
Expiration Date:

Expiration Date:
Classes:

Classes:
Endorsements:

Endorsements:
Issue Date:

Issue Date:
Medical Restrictions:

Medical Restrictions:
Insurance Company’s name and address for your personal vehicle
Previous Driving Experience
Previous Driving Experience
- Yes
- No
If you circled yes, what type?
If you circled yes, what type?
- School Bus
- Shuttle Van
- Taxi
- Ambulance
- Public Transportation Vehicle
- Tractor-Trailer
- Other
Other (Please describe)
Other (Please describe)
What shift would you prefer?
What shift would you prefer?
- Part-time
- Full-time
- Weekdays
- 1st Shift
- 2nd Shift
- 3rd Shift
Only Certain Days (choose all that apply)
Only Certain Days (choose all that apply)
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday

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About
Philadelphia Airport Parking Service & Rates
Directions
Reservations
Frequent Flyers
Contact
FAQ

Contacts

Expresspark South Lot
55 Industrial Highway
Essington, PA 19029
Phone: (610)-521-0900
Fax: (610)-521-0300
info@expresspark.net

PRE-INTERVIEW QUESTIONNAIRE

Name

Present Address

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