• Employment Application (Driver Only)

    Employment Application (Driver Only)

  • In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, maital status or non-job related disibility

  • Date Applied*
     - -
  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Right to Work*
  • How did you hear about us?
  • When type of employment are you seeking?*
  • Can you work overtime when necessary?*
  • What is your highest education level?*
    • Driving Record Questions 
    • 1. What type of driver's license do you have?*
    • 4. Do you currently have a TWIC card?*
    • 5. Have you received any safe driving awards?*
    • 6. What types of trucks have you driven? (check all that apply)*
    • 7. Do you have special skills, awards, certifications or knowledge you would like for us to consider?*
    • 8. Have you ever been convicted of driving under the influence (DUI)?*
    • 9. Have you ever failed or refused to submit to a drug or alcohol test?*
    • 10. Have you been involved in any traffic accidents in the last 3 years?*
    • 11. Have been convicted for any traffic violations in the last 3 years?*
    • 12. Have you ever been denied a license or privilege to operate a motor vehicle?*
    • 13. Have you ever had any license, permit or privilege suspended or revoked?*
    • 14. Have you ever been convicted of a felony?*
    • Current Employment 
    • Starting Date
       - -
    • Ending Date
       - -
    • Can we contact for reference?
    • Format: (000) 000-0000.
    • Employment Reference #2 
    • Starting Date
       - -
    • Ending Date
       - -
    • Can we contact for reference?
    • Format: (000) 000-0000.
    • Employment Reference #3 
    • Starting Date
       - -
    • Ending Date
       - -
    • Can we contact for reference?
    • Format: (000) 000-0000.
    • Employment Reference #4 (optional) 
    • Starting Date
       - -
    • Ending Date
       - -
    • Can we contact for reference?
    • Format: (000) 000-0000.
    • Employment Reference #5 (optional) 
    • Starting Date
       - -
    • Ending Date
       - -
    • Can we contact for reference?
    • Format: (000) 000-0000.
    • Personal References 
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • Section to end previous section 

    • CERTIFICATION

      I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

      In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Easy-Haul Inc.

      I understand that information I provide regarding my current and/or previous employer(s) may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:

      1. Review information provided by previous employers;

      2. Have errors in the information corrected by previous employer(s) and for those previous employer(s) to re-send the corrected information to the prospective employer; and

      3. Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

      I certify that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

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