ZBT Flagger Application Form

CG/Flagger Application Form

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications.
The following documents MUST be attached (see File Uploads below) to submit an application:
• Driver’s License or Passport
• Social Security Card
• OSHA Card
• Union Card
• Flagger Card
Position Applying For:*

Crossing GuardLocal 731 Union - MPT Flagger (must be approved to apply for this position)Local 60 Union Member - MPT Flagger (must be approved to apply for this position)
Personal Data
Name*
Birth Date*

MonthDayYear
Phone Number*
Social Security Number*
Email*
Address*
Ethnicity*

BlackHispanicAsianWhiteOther (please enter)
Date You Can Start Work*

MonthDayYear
Date
Salary Desired*
Do you have a high school diploma or GED?*

YesNo
Have you ever been convicted of a felony?*

NoYes (please explain)
Position Information
Check all that you are willing work.*

Full TimePart TimeDaysEveningsWeekends
Are you authorized to work in the US on an unrestricted basis?*

YesNo
List any special skills that you feel would help you in the position for which you're applying.
How did you hear about this position?*
Previous Employment
Who was your last employer?*
Last day worked?*

MonthDayYear
Date
What kind of work did you perform?*
Why did you leave the job?*
File Uploads
Files (Upload Driver's License or Passport, Social Security card, OSHA Card, Union Card, Flagger Card)*

Cancelof
Applicant Statement
I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

I understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the US.

I also understand that I need to furnish all appropriate credentials required of my position BEFORE I begin employment.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
Signature*

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Date Signed*

MonthDayYear
Date
Please drop off or email any missing forms to Zero Below at employment@zerobelowtrucking.com within 3 days to consider your application completed.
Should be Empty:

Personal Data

Position Information

Previous Employment

File Uploads

Applicant Statement