• PRE-EMPLOYMENT APPLICATION

    Position: Executive Chauffeur
  • Kevin Smith Transportation Group

    3355 Ridge Pike, Suite 2, Eagleville, PA 19403

     

    The Kevin Smith Transportation Group is an equal opportunity employer and will consider all qualified applicants for all positions equally without regard to their veteran status, uniformed service member status, race, color, religion, sex, age, pregnancy, national origin or ancestry, physical or mental disability, genetic information or any other consideration protected by federal, state, or local law.

    This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have bee answered.

  • PERSONAL INFORMATION

  •  /  /
    Pick a Date
  •  /  /
    Pick a Date
  • LICENSE AND DRIVING HISTORY:

  • List all driver's licenses and permits you have held in any state within the last 3 years.

  •  /  /
    Pick a Date
  •  /  /
    Pick a Date
  •  /  /
    Pick a Date
  • EMPLOYMENT DESIRED

  •  /  / Pick a Date

  • EDUCATION


  • CAPABILITY/RELIABILITY

  • WORK HISTORY

  • List names of non-DOT regulated employers for the past 3 years, and names of all DOT regulated employers for the past 10 years in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references.

    PLEASE FILL ADDRESSES OUT COMPLETELY.

  • In accordance with FMCSA regulation 391.21; paragraph (b)(10) the applicant's previous employers will be contacted, for the purpose of investigating the applicant's safety performance history information as required by paragraphs (d) and (e) of 391.23. The prospective employer must also notify the driver in writing of their due process rights as specified in 391.23(i) regarding information received as a result of these investigations.

    ***NOTE: An individual Investigation into Safety Performance History form will be sent to each employer listed above.

  • REFERENCES

    Give three character references that are not relatives or former employers. This section is optional, but encouraged.
  • RESIDENTIAL HISTORY

  • List your residence history for the past 3 years, starting with your current address. Please include street address and state. Do not leave any blank gaps in time.

  • AFFIDAVIT

         I recognize that if I am employed, an initial driving history check and criminal background check are required by Kevin Smith Transportation Group. I also acknowledge that additional driving history checks will be required annually. I hereby consent Kevin Smith Transportation Group to conduct an initial driving history check and criminal backgroud check, as well as annual driving checks for the duration of my employment.

         I certify that my answers to the foregoing questions are true without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application form or during any interviews may be grounds for my immediate discharge.

         I hereby authorize Kevin Smith Transportation Group to contact any company or individual it deems appropriate to investigate my employment history, character and qualifications and I give my full and complete consent to their revealing any and all information they wish as a result of this investigation. I also understand that my employment is "at-will" and may be terminated by myself or by the company at any time for any reason or no reason at all, with or without prior notice.

         This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

     

  • Clear
  •  /  /
    Pick a Date
  • Should be Empty: