Driver Employment Application
Please complete the form below to apply for a position with us.
Full Name
First Name
Middle Name
Last Name
Phone Number
Please enter a valid phone number.
Is the phone number you provided a cell phone?
Yes
No
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Available Start Date
/
Month
/
Day
Year
Date
Do you have a High School Diploma or GED?
Yes
No
Position Information
Full Time
Part Time
Are you authorized to work in the U.S. on an unrestricted basis?
YES
NO
Have you ever been convicted of a felony? Convictions will not necessarily disqualify an applicant for employment)
Yes
No
Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job?
Yes
No
Can you perform these essential functions of the job with or without reasonable accommodation?
Yes
No
References
Name
Address/City/ State
Phone
Relationship
Reference #1
Reference #2
Reference #3
Work History
Company Name
Start Date
End Date
Supervisors Name
Phone #
Job #1
Job #2
Job #3
Reason for leaving your current job?
Does your current employer know you are looking for employment elsewhere?
Yes
No
N/A
How did you hear about us?
I certify that the facts set forth in this application for employment are true to the best of my knowledge. I understand that if I am employed under false statements, omissions or misrepresentation may result in dismissal. I authorize my employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.
I acknowledge and understand that the company is an "at will" employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
Date
-
Month
-
Day
Year
Date
Copy of Drivers License
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Copy of Medical Card
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