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Application for Employment

WE ARE AN AT-WILL, EQUAL OPPORTUNITY EMPLOYER.
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, marital or veteran status, disability, or any other legally protected status.

 Note: Please see Driver Requirements prior to submitting an employment application.


This application will remain active for 90 days.

Last Name:
First Name:
Middle Name:
Maiden Name:
Email:
Date of Birth:
Present Address:
City:
State: Zip Code:
How long have you lived there?
Home Phone: Cell Phone:
 
Position Applied for:
Salary Desired:
How many hours can you work weekly?:
When will you be available for work?:
Are you available to work:
Full Time:
Part Time:
Full or Part Time:
Days/Hours Available to Work:
No Preference:
Monday:    Till
Tuesday:    Till
Wednesday:  Till
Thursday:  Till
Friday:  Till
Saturday:  Till
Sunday:  Till

Yes No    
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Do you have a Driver's License? Type of License: Check any that apply
Operator:
Commercial (CDL)
Chauffeur
Do you have a Passenger endorsement?
Have you had any accidents during the past three years?
If YES, How Many?: 
Have you had any moving violations during the past three years?
If YES, How Many?: 
Have you ever been placed out of service or fined for Hours of Service or Log violations?
Do you have experience driving through the night? (i.e. From 10 PM to 6 AM)
Are you comfortable driving in heavy city traffic? (i.e. Atlanta and Washington D.C.)
Are you available for charters?
If YES, Describe your schedule and how much notice you need for a trip.
Are you available to be gone for a week or more at the time, more than 30days?
Do you Smoke?
Do you follow any college or professional sports?
Have you ever filed an application with us before? If Yes, give date:
Have you ever been employed with us before? If Yes, give date:
Are you currently employed?
May we contact your present employer?
Are you currently on "Layoff" status and subject to recall?
Can you travel if a job requires it?
Have you ever been in the Armed Forces? If you were in the Armed Forces or are a member of the National Guard, please fill this out:
Specialty:
Date Entered:
Discharge Date:
Are you now a member of the National Guard?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
(Proof of citizenship or immigration status will be required upon employment.)
Have you been convicted of a crime?
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
 

 

 


Education
  Name and Address of School Course of Study Years Completed Level of Completion
High School
Name:
Address:
Undergraduate College
Name:
Address:
Graduate Professional
Name:
Address:
Other (Specify)
Name:
Address:

Indicate any foreign languages you speak, read, and/or write.
  Fluent Good Fair
Speak
Read
Write
 
Describe any specialized training, apprenticeship, skills and extra-curricular activities.
Describe any job-related training received in the United States military.

Employment Experience ( If you were self-employed, give firm name. )
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities, or other protected status.
Employer:
Dates Employed:
From:  To:
Work Performed:
Job Title:
Hourly Rate/Salary:
Starting:   Final:
Employer Phone:
Employer Address:
Reason for Leaving:
Employer:
Dates Employed:
From:  To:
Work Performed:
Job Title:
Hourly Rate/Salary:
Starting:   Final:
Employer Phone:
Employer Address:
Reason for Leaving:
Employer:
Dates Employed:
From:  To:
Work Performed:
Job Title:
Hourly Rate/Salary:
Starting:   Final:
Employer Phone:
Employer Address:
Reason for Leaving:
Employer:
Dates Employed:
From:  To:
Work Performed:
Job Title:
Hourly Rate/Salary:
Starting:   Final:
Employer Phone:
Employer Address:
Reason for Leaving:

Additional Information.
 List professional, trade, business, or civic activities and offices held.
You may exclude memberships that would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status:
 
Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience:
 
State any additional information you feel may be helpful to us in considering your application.

Do you follow any college or professional sports?  If yes, what teams do you follow?

References
Name: Phone:
Address:
Name: Phone:
Address:
Name: Phone:
Address:


 
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