DRIVER EMPLOYMENT APPLICATION

Higher Education

PROFESSIONAL REFERENCES Include only individuals familiar with your work ability. Do not include relatives

References*

Are you legally authorized to work in the United States?*

YesNo
Have you ever been convicted of a felony?*

YesNo
If yes, please explain. (This will not necessarily exclude you from consideration)
Please explain.
Have you been convicted of any of the following offenses within the past 3 vears? (Check all that apply) If checked. please describe.
Check All That Apply*

OWI/DUIReckless DrivingSuspended LicenseSpeeding at 25 MPH or more above the speed limitDrug OffenseHit Run/ Leaving the scene of accidentTwo or more at-fault accidentsThree of more moving violationsNone
If checked, Please explain.
CERTIFICATION AND NOTICE
This application form is intended for use in evaluating your suitability for employment It is not an employment contract. Certify that the information you have provided on this application is complete and true to the best of my knowledge and belief. I understand that any false information omissions or misrepresentations of facts may result in rejection of my application or discharge at any time during my employment. I authorize the company or its representatives to investigate all statements contained in this application which may be necessary to arrive at an employment decision
PLEASE SIGN AND DATE HERE
Signed*

Clear
Date*

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Date
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EMPLOYMENT EXPERIENCE