Driver Application

Personal Information
242 US HWY 70 W Havelock, NC 28532 - 5226 Narron Business Dr. Morehead City, NC 28557 - 5175 US HWY 70 E New Bern, NC 28562
(252) 447-3241 Office - (252) 447-3241 Fax - dispatch@graystowing.net

Dispatcher/Lot Attendant Application
Full Name

First NameMiddle NameLast NameSuffix
Present Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
Have you lived at this address for more than 3 years?

YesNo
List address history for past 3 years:
Date of Birth*

MonthDayYear
Social Security Number*
***-**-****
Phone Number*
***-***-****
E-mail*
example@example.com
List any additional names you may have used:
Example: maiden name, name change, nicknames
Salary desired:
Position Applying For: (more than one may be selected)*

DispatcherLot Attendant
Available Start Date*

MonthDayYear
Date
Are you willing to work any shift, including nights and weekends?*

YesNo
If no, please state any limitations:
Are you eligible to work in the U.S.?*

YesNo
Are you at least 21 years of age or older?*

YesNo
Do you have personal automobile insurance?*

YesNo
Do you have a current and active Driver's License?*

YesNo
License Number*
State of Issue*
License expiration date*

MonthDayYear
License Class*
Have you had any moving violations in the last 5 years?*

YesNo
Please list date, offense/conviction, city/state, commercial or personal vehicle, and any related comments.
Has your license ever been denied, revoked, or suspended?*

YesNo
Please list date, offense, city/state, and any related comments.
Have you had any accidents in the last 5 years?*

YesNo
Please list date, nature of accident, tickets recieved, commercial or personal vehicle, and city/state of incident.
Have you ever been convicted of a felony?*

YesNo
Please list date, offense/conviction, city/state, and any related comments.
Have you ever been convicted of a misdemeanor?*

YesNo
Please list date, offense/convicition, city/state, and any related comments.
Have you ever had a DUI, DWI, or OVI?*

YesNo
Please list date, offense/conviction, city/state, and any related comments.
Were you ever in the military?*

YesNo
Branch of service
Please list dates enlisted
Enlist date - Discharge date
Did you receive an honorable discharge?

YesNoOther
Do you have, or can you obtain your DD214?

YesNoI can obtain one
EMPLOYMENT HISTORY
List current or most recent employment first.

Applicants must provide 3 years employment history. This may be used, and your prior employers may be contacted, for the purpose of investigating your background.
Have you ever worked for this company before?*

YesNo
Do you have any friends or relatives working here?*

YesNo
Have you ever been terminated or resigned from any job*

YesNo
Do you have any commitments to any other employer which may affect your employment here?*

YesNo
Start date*

MonthDayYear
Ending date*

MonthDayYear
Employer Name*
City, State*
Employer Phone*
***-***-****
Position Held*
May we contact this employer?*

YesNo
Is this your current employer?*

YesNo
Starting Salary*
Ending Salary*
Job Description*
Reason for leaving*
PREVIOUS EMPLOYER
Start date

MonthDayYear
Ending date

MonthDayYear
Employer Name
City, State
Employer Phone
***-***-****
Position Held
Starting Salary
Ending Salary
Job Description
Reason for leaving
PREVIOUS EMPLOYER
Starting date

MonthDayYear
Ending date

MonthDayYear
Employer Name
City, State
Employer Phone
***-***-****
Position Held
Starting Salary
Ending Salary
Job Description
Reason for leaving
PREVIOUS EMPLOYER
Start Date

MonthDayYear
End Date

MonthDayYear
Employer Name
City and State
Employer Phone
***-***-****
Position
Job Description
Reason for leaving
If you need additional space for past employment, please enter it here and include ALL information previously asked for.
EDUCATION & SKILLS
Name and City/State of High School
Name and City/State of College (if applicable)
Please select education level completed:
Select any of the following skills that you not only possess but believe yourself to be proficient in:

Typing - ability to type quickly and accuratelyCommunication Skills - listening, talking, observing, and empathizingMicrosoft Office Suite (Word, Excel, etc.) - ability to open, create, save and modify documents in Word and Excel and also send and receive email in OutlookActive Listening - ability to focus completely on the person who you're communicating withCustomer Service - Interact with customers via telephone, email, online chat, or in person to provide support and information on products or servicesProper Telephone Etiquette - use of greetings, word choice, tone of voice, active listening, greetings and general manners on the phoneTime Management - being conscious of timing and completing tasks and projects before deadlinesOrganizational Skills - abilities to manage time effectively, prioritize tasks, set goals, and develop systems for achieving those goalsMultitasking - juggle multiple responsibilities or tasks simultaneously, while staying focused on deadlines without loss of efficiencyCritical Thinking - analysis of available facts, evidence, observations, and arguments in order to form a judgementProblem Solving - determine the root of a problem and quickly find an effective solution for all partiesAttention to Detail - your ability to efficiently allocate your cognitive resources to achieve thoroughness and accuracyAccounting/ Bookkeeping - process and recording of financial transactions pertaining to a business while summarizing and analyzing transactionsMechnical Knowledge of Equipment/Machinery - Knowledge of machines and tools, including their designs, uses, repair, and maintenanceKnowledge of Vehicles and Basic Mechnical Knowlege - differentiating between vehicle make and models, drivetrain, and functions of the engine, transmission, suspension, braking, and tire components
Please list any additional job related experience:
By signing, I agree I have read the above statements: *
Should be Empty:

Personal Information

242 US HWY 70 W Havelock, NC 28532 - 5226 Narron Business Dr. Morehead City, NC 28557 - 5175 US HWY 70 E New Bern, NC 28562 (252) 447-3241 Office - (252) 447-3241 Fax - dispatch@graystowing.net

EMPLOYMENT HISTORY

EDUCATION & SKILLS

242 US HWY 70 W Havelock, NC 28532 - 5226 Narron Business Dr. Morehead City, NC 28557 - 5175 US HWY 70 E New Bern, NC 28562
(252) 447-3241 Office - (252) 447-3241 Fax - dispatch@graystowing.net