Employment Application

Employment Application

Thank you for your interest in joining I.R.H. Logistics. We are committed to hiring experienced, safety-focused professional drivers. Please complete this application as accurately and thoroughly as possible. Qualified applicants will be contacted after their application has been reviewed.
Personal Information
First Name
Middle Name
Last Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date of Birth

MonthDayYear
Date
Social Security #
Date of Application

MonthDayYear
Date
Position Applied For
Date Available for Work

MonthDayYear
Date
Legal right to work in the U.S.
Address History
Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Previous Address 1

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Previous Address 2

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Previous Address 3

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Driver’s License Information
Driver's License Number
License Class
Previous Licenses
Driving Experience
Driving experience (select all that apply)

Other
Other driving experience, please explain
Types of loads hauled

Other
Primary vehicle operated
Years of driving experience
Additional driving experience details
Accident Record
Accident 1
Date of Accident 1

MonthDayYear
Date
Location of Accident 1
Description of Accident 1
Accident 2
Date of Accident 2

MonthDayYear
Date
Location of Accident 2
Description of Accident 2
Accident 3
Traffic Convictions
Traffic Conviction 1
Date of Conviction 1

MonthDayYear
Date
Location / Court 1
Charge / Violation 1
Disposition / Sentence 1
Traffic Conviction 2
Date of Conviction 2

MonthDayYear
Date
Location / Court 2
Charge / Violation 2
License Denial or Revocation
Has any motor vehicle license, permit, or privilege ever been denied, suspended, or revoked?
If yes, explain
Provide details of the denial, suspension, or revocation
Employment History
Employer Name
Employer Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Employer Phone
Please enter a valid phone number.Format: (000) 000-0000.
Job Title
Supervisor Name
Supervisor Title
Reason for Leaving
Employment Start Date

MonthDayYear
Date
Employment End Date

MonthDayYear
Date
Starting Salary/Wage
Ending Salary/Wage
Current Employer
May we contact this employer?
Description of Duties
Employment Location
Education
Name and Location of School
Course of Study
Did you graduate?
Dates Attended - From

MonthDayYear
Date
Dates Attended - To

MonthDayYear
Date
Degree / Diploma / Certificate
Name and Location of School
Course of Study / Major
Did you graduate?
Signature and Certification
Applicant Signature
Applicant Name (Printed)

First NameMiddle NameLast Name
Application Date

MonthDayYear
Date
Should be Empty: