Employment Application Form

1
Name* This field is required.
First Name
Last Name
2
Birth Date* This field is required.
Month
Day
Year
3
Phone Number* This field is required.
4
Email
example@example.com
5
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
How did you hear about us?* This field is required.
Walk-In
Referral
Truckers Report
Tenstreet
InteliApp
Newspaper Ad
Recruiter
Facebook
Billboard
LinkedIn
Other (please specify)
7
If a referral, please provide employee name here.
8
Emergency Contact InformationPlease provide information for your emergency contact.
9
What position are you applying for?* This field is required.
Please Select
Please Select
Company Driver
Owner / Operator (Tractor Required)
10
Truck Information (Owner/Operators ONLY)This is a requirement. Without this information, your application will not be reviewed.
Make
Model
Year
VIN Number *REQUIRED*
11
Please submit a photo of your Truck. (Owner / Operators ONLY)This is a requirement. Your application will not be reviewed if no picture is submitted.
12
Resume and Files* This field is required.Resume MUST include past employment for the last 10 years.
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Cancelof
13
References

Please list two (2) work references. These references can not be "Friends" or related to you. They must be previous supervisors or individuals associated with your previous work.
14
Reference 1
15
Reference 2
16
Have you worked for Edwards Transportation INC before?* This field is required.
Please Select
Please Select
Yes
No
Please select. If "NO" Please skip.
If so, please type the month and year of your employment start and end.
What position did you hold?
What was your reason for leaving?
17
Drivers License* This field is required.Please submit a Clear photo of your drivers license.
18
Drivers License Information
Please enter your driver License Number
Please Select
Please Select
Alabama: AL
Alaska: AK
Arizona: AZ
Arkansas: AR
California: CA
Colorado: CO
Connecticut: CT
Delaware: DE
District of Columbia: DC
Florida: FL
Georgia: GA
Hawaii: HI
Idaho: ID
Illinois: IL
Indiana: IN
Iowa: IA
Kansas: KS
Kentucky: KY
Louisiana: LA
Maine: ME
Maryland: MD
Massachusetts: MA
Michigan: MI
Minnesota: MN
Missouri: MO
Mississippi: MS
New Hampshire: NH
New Jersey: NJ
New Mexico: NM
New York: NY
North Carolina: NC
North Dakota: ND
Ohio: OH
Oklahoma: OK
Oregon: OR
Pennsylvania: PA
Rhode Island: RI
South Carolina: SC
South Dakota: SD
Tennessee: TN
Texas: TX
Utah: UT
Vermont: VT
Virginia: VA
Washington: WA
West Virginia: WV
Wisconsin: WI
Wyoming: WY
Issuing State
Expiration
19
Can you drive both a standard and automatic transmission truck?* This field is required.
YESNO
20
Physical Ability Evaluation* This field is required.Please fill out the following to the best of your ability.
What is your Height? (exp. 6'3")
What is your estimate weight? (exp. 240 lbs)
Please Select
Please Select
Yes
No
Can you lift up to 50lbs?
Please Select
Please Select
Yes
No
Do you require assistance with heavy equipment?
21
What is the expiration date of your last DOT physical?* This field is required.
Date
Year
Month
Day
22
What is your highest level of education?
Completed Grade School
Completed High School
Some College
Bachelors Degree
Higher Ed Degree ( Master/PHD)
Trade School Certificate
23
Please answer the following questions to the best of your ability.* This field is required.
Please Select
Please Select
Yes
No
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
Please Select
Please Select
Yes
No
Has any license, permit or privilege ever been suspended or revoked?
Please Select
Please Select
Yes
No
Have you ever been disqualified subject to section 391 of the Federal Motor Safety Regulations?
24
Traffic Convictions and Accidents.* This field is required.Please provide information for any tickets or accident you have received/been in in the past 5 years
Traffic Violations (Type and Date)
Accident Reports (Type and Date)
25
Terms and Conditions* This field is required.
26
Signature* This field is required.By signing this page, you agree that the information and documentation you have provided is 100% accurate and honest.
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