JOB APPLICATION

JOB APPLICATION
E-Lane Freight Services LLC
E-Lane Freight Services LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:
Applicant Information
Applicant Name*
Address*

Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Telephone Number*
Email Address*
example@example.com
Date of Application*

MonthDayYear
Date
Employment Position
Position(s) applying for: Dispatcher / Back Office/ Owner Operator/Company Driver
How did you hear about this position?
What hours or shift are you available for work?
If needed, are you available to work overtime?
What days are you available for work?
On what date can you start working if you are hired?
Do you have reliable transportation to and from work?
Personal Information
Have you ever applied to or worked for E-Lane Freight Services LLC before?

YesNo
If yes, when?
Do you have any friends, relatives, or acquaintances working for E-Lane Freight
If yes, state name & relationship:

YesNo
If yes, state name & relationship:
Are you 18 years of age or older?

YesNo
Are you a U.S. citizen or approved to work in the United States?

YesNo
What document can you provide as proof of citizenship or legal status?
Will you consent to a mandatory controlled substance test?

YesNo
Do you have any condition which would require job accommodations?

YesNo
If yes, please describe accommodations required below.
Have you ever been convicted of a criminal offense (felony or misdemeanor)?

YesNo
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered
Job Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying:

(Note: E-Lane Freight Services LLC complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )
Education and Training
High School
Name*
Location (City, State)*
Year Graduated*
Degree Earned*
College/University
Name*
Location (City, State)*
Year Graduated*
Degree Earned*
Vocational School/Specialized Training
Name*
Location (City, State)*
Year Graduated*
Degree Earned*
Military:
Are you a member of the Armed Services?*
What branch of the military did you enlist?*
What was your military rank when discharged?*
How many years did you serve in the military?*
What military skills do you possess that would be an asset for this position?
Previous Employment
Employer Name*
Job Title*
Supervisor Name*
Address*

Employer Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Employer Telephone*
Dates Employed*

MonthDayYear
Date
Reason for leaving*
Employer Name*
Job Title*
Supervisor Name*
Address*

Employer Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Employer Telephone*
Dates Employed*

MonthDayYear
Date
Reason for leaving*
Employer Name*
Job Title*
Supervisor Name*
Address*

Employer Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Employer Telephone*
Dates Employed*

MonthDayYear
Date
Reason for leaving*
References
Please provide 3 personal and professional reference(s) below:
Reference
Contact Information
AT-WILL EMPLOYMENT
The relationship between you and the E-Lane Freight Services LLC is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the E-Lane Freight Services LLC. No representative of E-Lane Freight Services LLC has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice- President/Chief Operations Officer or the Company's President.
Applicant Signature*

Clear
Dated*

MonthDayYear
Date
Please send application with Resume

Fax to 972-215-7573 Email info@e-lanefreightservices.com
Should be Empty:

JOB APPLICATION

E-Lane Freight Services LLC

Applicant Information

Employment Position

Personal Information

Job Skills/Qualifications

Education and Training

High School

College/University

Vocational School/Specialized Training

Military:

Previous Employment

References

AT-WILL EMPLOYMENT