Digital Application Form

Statement Limousine Application Form

Chauffeur / Office / Detailer
Statement Limousine Applicant Information
Position you're applying for
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender

Other
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Driver's License # and State.
If applying for a customer service position, you may use N/A
Address

Street Address

Street Address Line 2 (if applicable)

CityState / Province

Postal / Zip Code
You have selected CDL Chauffeur. All CDL Chauffeurs must have a Passenger (P) Endorsement on their license. Does your CDL include a Passenger Endorsement?
Do you have a current and valid DOT Medical Card?
Do you have experience with Microsoft Computer Applications such as Word, Excel, and Outlook and other web-based applications?
Are you comfortable using a computer, cellphone, and office phone regularly and efficiently?
Do you feel comfortable multi-tasking in a fast-paced environment?
All chauffeurs are required to possess a valid DOT Medical Card, regardless of whether they are applying for a CDL or Non-CDL position. The average cost of obtaining a DOT Medical Card is approximately $100.00. A valid DOT Medical Card must be obtained and provided prior to the completion of the hiring process. Are you willing to obtain a DOT Medical Card prior to the completion of the employment process?
The specific shift we are looking to hire for is weekdays from 1:00pm to 9:00pm. Initial training will be weekdays from 9:00am to 5:00pm until your skills are proficient enough, at which point you will transition to the 1:00pm to 9:00pm shift. Are you willing to work this shift permanently?
Work Experience

Please provide your most recent work experience. We are looking for experience from your past 4 positions or 10 years, whichever is fulfilled first.
If you have selected CDL or Non-CDL Chauffuer;

Please note: We require 5 years of commercial driving experience.

(Uber, Lyft, Spark, and Flex do not count. Commercial driving experience must be in a company-provided vehicle)

Fill in the table below with the past 4 positions you've held or 10 years of job history (whichever comes first):

Rows	Company Name	Duration of Employement	Position/Title	Responsibilities
1
2
3
4

Education Background

Please provide your educational background by completing the table below, including any diplomas or degrees you have earned.

Fill in the table below:

Rows	School Name	School Location	Years Attended	Gradutated?	Diploma/Degree Earned
1
2
3

Others
What are the skills you possess that is useful for this job position?
What are your areas of specialization and expertise?
Have you ever been convicted of any crime?
If yes, please describe the crime:
Have you ever been convicted of any traffic violation (minor or major)?
If yes, please explain more about the violation:

Please select your general availability (Check ALL that apply, at least one answer is required for every row):

Rows	12:00 am to 8:00 am	8:00 am to 4:00 pm	4:00 pm to 12:00 am	Available All Day	Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Any notes about your availability that we should know?
Do you have reliable transportation?

References (please provide at least one)

Rows	Name	Relationship	Company	Phone Number	Email
1
2
3

By entering your name here, it will serve as your digital signature on this document.

First NameLast Name
Date Signed

MonthDayYear
Date
Should be Empty:

Statement Limousine Application Form

Statement Limousine Applicant Information

Work Experience

Education Background

Others