Driving Position
All questions in this pre-employment screening form must be completed in their entirety. Incomplete responses or failure to provide the required information may result in disqualification from consideration for the position.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Are you at least 21 years old?
Yes
No
Do you have valid North Carolina License?
Yes
No
Have you had any moving driving violations within the past three (3) years?
Yes
No
Are you open to working a varied schedule with OPEN availability 7 days/week from 6:00AM – 7:00PM 40 hours?
Yes
No
Can you commit to a 3 week training period once approved to start?
Yes
No
Are you available to start Monday, January 6, 2025?
Yes
No
Are you comfortable performing a drug test and background check as a contingency foremployment?
Yes
No
Are you comfortable with the physical requirements that can include: bending, twisting, standing, lifting, assisting clients in/out of wheelchairs in/out of vehicles and sitting for long periods of time?
Yes
No
Are you comfortable with wearing a uniform: white collar shirt (polo ok), black pants and black non-slip shoes?
Yes
No
Are you comfortable driving a 7-passenger mini van?
Yes
No
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Have you had any major offenses or felonies on your background check within the past three (3) years?
Yes (If yes, please list the charge, year of conviction, and state of conviction below.)
No
If Yes, please provide details: Charges, Year of Conviction, State of Conviction
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