EMPLOYMENT APPLICATION

APPLICATION FOR EMPLOYMENT
TRANSPORTATION SOLUTIONS

DBA of: ROAD RUNNER EXPRESS, Inc & GNAT ENTERPRISES, Inc

Phone: 509-525-1995 Fax: 509-204-2132 Email: hr@transols.com

Mailing: PO Box 1572, Walla Walla, WA 99362
GENERAL INFORMATION
Name (Last)*
Name (Middle)*
Name (First)*
Address*

Address (Mailing Address)

Street Address Line 2

(City)State / Province

Postal / Zip Code
E Mail Address*
example@example.com
Primary Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
POSITION
Position Applying For*
If Selecting Other: List What Location You are In
Full-TimePart-TimeTemporary
DaySwingGraveyard
Date Available To Start*

MonthDayYear
Date
YesNo
WorksourceNewspaperIndeedOther
EDUCATION & TRAINING
YesNo
If No, enter the highest grade completed:*
Optional
2. Name of College/Business School/Military Attended
Type in Name of College/Business School Attended
From (Month/Year)
To (Month/Year)
Total Credits Earned (if applicable)
YesNo
Degree & Year
Enter Degree Earned and Year Obtained
Other Certifications, Occupational License or Registration
Enter Degree Earned and Year (ex. Associates, 2005)
Where Was Certification Issued
Enter State (i.e. Oregon)
Date Certification Expires

MonthDayYear
Date
VETERAN INFORMATION

Enter Most Recent Service First
Branch of Service*
Example: Army, Navy
Date of Entry

MonthDayYear
Date
Date of Discharge

MonthDayYear
Date
BACKGROUND/CRIMINAL HISTORY

CHECK YES OR NO TO THE FOLLOWING QUESTIONS
In your lifetime -
YesNo
YesNo
YesNo
4. If you answered "Yes, to any of the above 3 questions, please list reason or nature of incident and year(s) of occurence:*
Example: Speeding Ticket, 2005
YesNo
REFERENCES

List 3 Professional References (i.e. former co-workers, mentors, supervisors).
Reference #1: Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Relationship*
Example (Co-Worker, Mentor, Supervisor, Team Lead)
Reference #2: Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Relationship*
Example (Co-Worker, Mentor, Supervisor, Team Lead)
Reference #3: Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Relationship
Example (Co-Worker, Mentor, Supervisor, Team Lead)
WORK EXPERIENCE

List work experience, most recent first. You may include voluntary work and military experience.
1. Employer Name*
Employer Address*

Street Address

CityState

Zip Code
Job Title*
Phone Number*
Format: (000) 000-0000.
Did You Supervise Any Employees? If so, how many?*
From (Month/Year)*
To (Month/Year)*
Hours Per Week*
Last Salary (optional). Mark N/A if you do not wish to disclose.*
Supervisor Name*
Briefly List Specific Duties. Please do not put "See Resume".*
Reason for Leaving*
YesNo
2. Employer Name*
Employer Address*

Street Address

CityState

Zip Code
Job Title*
Phone Number*
Format: (000) 000-0000.
Did You Supervise Any Employees? If so, how many?*
From (Month/Year)*
To (Month/Year)*
Hours Per Week*
Last Salary (optional). Mark N/A if you do not wish to disclose.*
Supervisor Name*
Briefly List Specific Duties. Please do not put "See Resume".*

0/1000
Reason for Leaving*
YesNo
3. Employer Name*
Employer Address*

Street Address

CityState

Zip Code
Job Title*
Phone Number*
Format: (000) 000-0000.
Did You Supervise Any Employees? If so, how many?*
From (Month/Year)*
To (Month/Year)*
Hours Per Week*
Last Salary (optional). Mark N/A if you do not wish to disclose.*
Supervisor Name*
Briefly List Specific Duties. Please do not put "See Resume".

0/1000
Reason for Leaving*
YesNo
AGREEMENT & ACKNOWLEDGMENT
By signing this application, I am confirming that what I have listed on this application is true, correct, and complete. I understand that, if employed, false statements reported or omittedon thisapplicationmay be considered sufficient cause for dismissal. It is agreed and understood that TRANSPORTATION SOLUTIONS may investigate my background to determine that all information concerning my employment history, is consistent with what I have listed on this application. I hereby acknowledge, that as an applicant for a position with this company, I have reviewed the job description for the position I applied for and am comfortable performing the duties and physical requirements listed.

I agree and understand that by applying for this position, I must successfully pass all stages of Transportation Solutions screening processes - which requires completing and successfully passing a 10-Panel Drug and Alcohol Breath Test, a State Patrol fingerprint & background criminal check, a clean driving/abstract record, and satisfactory former employer reference checks.

I understand and agree, that if I should receive and accept an employment offer with Transportation Solutions, I will be considered temporary status for 90 days until I have successfully completedalland credential requirements. Failure to pass any of Transportation Solutions screening processes will be considered sufficient cause for employment background,training dismissal.Once employed, I may be asked to demonstrate that I can perform tasks which are pertinent to the job. I understand that I may be required to participate in a random and/or annual10-panel drug & alcohol test screening, participate in scheduled, fully conducted & approved fingerprint and background check, and annually provide clean driving/abstract records for the duration of my employment with Transportation Solutions.
Signature of Applicant*

Clear
Date*

MonthDayYear
Date
Should be Empty:

APPLICATION FOR EMPLOYMENT

GENERAL INFORMATION

POSITION

EDUCATION & TRAINING

VETERAN INFORMATION

BACKGROUND/CRIMINAL HISTORY

REFERENCES

WORK EXPERIENCE

AGREEMENT & ACKNOWLEDGMENT