Application for Employment
Please respond to each question accurately. Intended submission of false information may lead to disqualification for employment.
First Name (Legal)
Last Name (Legal)
Middle Initial
Are you at least 25 years or older?
*
Yes
No
Date of Birth
*
-
Month
-
Day
Year
Date
Address, City , State, Zip
*
Home Address
Email
Phone number
How were you referred to us
*
Indeed/Zip Recruiter/CareerBuilder/Monster
Social Media (IG, Facebook, LinkedIn)
Google Search
Friend/Current Employee
Position applied for:
*
Please Select
Driver
Monitor/Aide
Administrative/Operations
Supervisor
Date available to start position
*
-
Month
-
Day
Year
Date
Availability
*
AM(5:00AM-9:59AM)
MID(10:00AM- 12:59 PM)
PM (1:00PM- 6:00 PM)
Employment Status Desired
*
Full Time
Part Time
Temporary
On-Call/ Per Diem
Are you a citizen of the United States?
*
Yes
No
Are you authorized to work in the United States?
*
Yes
No
Do you have reliable transportation?
*
Yes
No
Have you ever been convicted of or plead guilty to, any crime other than a minor traffic violation?}?".
*
Yes
No
Have you ever been convicted of a felony or misdemeanor, including sexual- or child abuse-related offenses?
*
Yes
No
Did you graduate from High School?
*
Yes
No
What is the highest level of education you have completed ?
*
Please Select
High School/ GED
Associates Degree
Undergraduate Degree
Masters Degree or Higher
Background checks, drug/substance, alcohol screening, Tuberculosis Testing (TB), and US DOT Medical Certification is required for employees of Lync Transportation Services LLC.
Do you consent to drug/substance and alcohol screening?
*
Yes
No
Do you consent to a background check?
*
Yes
No
Back
Next
Driver's Information
What class of driver's license do you currently have?
*
Class A
Class B (GWR > 26,001 pd )
Class C (GWR<26,000 pd)
Operator
If you selected CLASS B, please specify your endorsement
*
S(School Bus)
P (Passenger)
I (Air Break)
N/A
Do you have medical restrictions on your Driver's License
*
Please Select
YES
NO
If you answered yes to the above question, please specify the restriction. If you don't have a restriction, please enter N/A
How many years of Professional Driving Experience do you have?
How many years of commercial driving experience do you have?
Has your Driver Privileges ever been suspended/revoked
*
Yes
No
If you answered yes to the above question, please list the year(s) when your DL was suspended/revoked
Number of moving violations in the last 5 years?
*
Please Select
0
1-3
3-5
5 or more
Number of vehicle accidents in the last 5 years?
*
Please Select
0
1-3
3-5
5 or more
Number of DUI/DWI in the last 5 years?
*
Please Select
0
1-3
3-5
5 or more
Back
Next
Voluntary Questions
All questions listed in this section are completely voluntary. None of the answers provided can/will be used as a consideration of employment. All responses are completely confidential.
Can you perform the main duties of the position, with or without reasonable accommodations?
Yes
No
Are you currently serving in the military or a veteran?
Yes
No
Do you have any health conditions that will affect your ability to complete any work duties?
Yes
No
Back
Next
Provide Three Professional References
List: Name, Relationship, Phone Number and Email
Reference 1
Reference 2
Reference 3
Submit
Should be Empty: