Shift Shuttle Transportation Serivces Driver Application Form

1

Name* This field is required.

First Name

Middle Name

Last Name

2

Date of Birth* This field is required.

Date

3

Phone Number* This field is required.

4

Email* This field is required.

example@example.com

5

Home Address* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

6

Can we call or text this number about Job Application Status?* This field is required.

Call

Text

Both

7

Which Shift are you applying for?* This field is required.Multiple Shifts can be selected

1st Shift

2nd Shift

3rd Shift

On Call (must be available for all shifts)

8

Position Applying for* This field is required.

9

Date available to start work

Date

10

Desired Rate of Pay for this position* This field is required.Please enter in dollar amount

$00.00

11

Are you currently employed?* This field is required.

Yes

No

12

Are you applying for Full-time or Part-time?* This field is required.

Full-Time

Part-time

Either

13

Are you authorized to work in the U.S? * This field is required.

Yes

No

14

Driver License Number* This field is required.Please enter your DL Number as shown on your ID

AA456123

15

Driver License State* This field is required.

State

16

Driver License Expiration* This field is required.

Date

17

Do you have previous driving experience?* This field is required.

Yes

No

18

How many year of driving experience do you have?* This field is required.

0-1 years

1-3 years

2-4 years

5 years +

19

Within last 2 years, have you ever tested positive for drugs or alcohol?* This field is required.

Yes

No

20

Have you ever been denied a license, permit or privilege to operate motor vehicle?* This field is required.

Yes

No

21

Has any license, permit or privilege ever been suspended or revoked?* This field is required.

Yes

No

22

Have you been convicted of/or have a pending DUI/DWI/OVI?* This field is required.

Yes

No

23

Have you been convicted of a felony?* This field is required.

24

If yes please explain, with dates, type of felony and degree and a short description of charge.

25

Would you consent to a Pre-Employment background and Drug Screen?* This field is required.

Yes

No

26

If you have any skills or trainings that will help you as a driver, please write here.

27

Your current or last Employer* This field is required.

28

Date of Hire

Date

29

End Date of Job

Date

30

Name of Company Supervisor

First Name

Last Name

31

Employer's Phone Number* This field is required.

Please enter a valid phone number.

32

Please Upload your most Current Resume

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

33

How Did you hear about Us?

34

Signature* This field is required.

Powered by Jotform SignClear