Digital Application Form

Statement Limousine Application Form

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

CDL Chauffeur w/ Passenger EndorsementNon-CDL ChauffeurDetailerClient Service Representative
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemalePrefer Not to DiscloseOther
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
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?*

Yes, my CDL includes a Passenger Endorsement (P).No, my CDL does not include a Passenger Endorsement (P)
Do you have a current and valid DOT Medical Card?*

Yes, I currently have a DOT Medical CardNo, I do not have a DOT Medical Card
Do you have experience with Microsoft Computer Applications such as Word, Excel, and Outlook and other web-based applications?*

Yes, I have experience with these programs.No, I do not have experience with these programs
Are you comfortable using a computer, cellphone, and office phone regularly and efficiently?*

Yes, I'm very comfortable using the above-listed items efficiently.I'm comfortable with most but still learning some functions.I can use them, but may require additional trainingNo, I am not very comfortable with these technologies
Do you feel comfortable multi-tasking in a fast-paced environment?*

Yes, I do.No, I don't.
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?*

Yes, I am willing to obtain a DOT Medical Card prior to completion of the hiring processNo, I am not willing to obtain a DOT Medical Card.
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?*

Yes, this schedule is acceptable to me.No, I cannot work that schedule long term.
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):*

	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:*

	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?*

YesNo
If yes, please describe the crime:*
Have you ever been convicted of any traffic violation (minor or major)?*

YesNo
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):*

	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?*

YesNo

References (please provide at least one)*

	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