Delivery Driver Position Application Form

Driver/Independent Contractor Application

Please complete the entire application.
Applicant Information
Employer: Ez Eat Delivery 150 McCravy Ct Powder Springs GA 30127 Telephone: 833 241 2220 Email: ezeatdelivery@gmail.com. It is the policy of Ez Eat Delivery to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Number of years at address?*
Email Address*
Phone Number*

Area CodePhone Number
Daytime Phone Number*

Area CodePhone Number
Evening Phone Number*

Area CodePhone Number
Mobile Phone Number*

Area CodePhone Number
Mobile Phone Provider*
Mobile Phone Data Plan*
Date Of Birth*
Emergency Contact
Name*

First NameLast Name
Relationship to you*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Driver Questionnaire
Whats your Availablity?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
How did you hear about us?*
Do you have friends or relatives that work for us?*
If so who?
Have you applied to our company previously? *
If yes, when?
Are you at least 21 yrs of age?*
Do you have reliable transportation? *
Year, Make & Model
Are you available to work in other areas?*
If offered employment, when would you be available to begin work?*

MonthDayYear
Date
If hired, are you able to submit proof that you are legally eligible for employment in the United States?*
Yes or No
Applicant Skills
List any skills that may be useful for the job you are seeking.
Applicant Employment History
Employer Name*
Supervisor Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you still with employer
Job Duties*
Reason for Leaving*
Employer Name
Supervisor Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you still with employer
Job Duties
Reason for Leaving
References List any two non-relatives who would be willing to provide a reference for you.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other Info
Please provide any other information that you believe should be considered, including whether you are by any agreement with any current employer:
Please list any days you can not work within the next 30 days. if you were hired on by our company:*
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorized The Delivery Chef to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. If an employment relationship is created I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be "at will". In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of The Delivery Chef, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.
Signature*

Clear
Sign Your Name*

First NameLast Name
Should be Empty:

Driver/Independent Contractor Application