* = Required Information
Last Name
*
First Name
*
Street Address
*
Apartment/Unit #
*
City
*
State
*
Please select state.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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District Of Columbia
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Puerto Rico
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South Carolina
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Tennessee
Texas
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Virgin Islands
Virginia
Washington
West Virginia
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Wyoming
Zip Code
*
Phone Number
*
Position Applying For?
Please select the position youre applying
Certified Automobile Mechanic
Dispatcher
Driver
General Manager
Secretary
Operations Manager
Safety Director
Email
*
Date Available
*
Desired Salary Hourly Rate
*
Hours available to work
*
Social Security Number (SSN)
*
Driver's License
*
Are you at least 18 years of age?
*
Yes
No
Can you legally work in the United States?
*
Yes
No
Have you ever been convicted of, or plead guilty to, found guilty of, and/or plead nolo contendere to a felony or misdemeanor, except for a minor traffic violation?
*
Yes
No
Have you ever been charged with a crime that has not yet resulted in a plea of guilty, court trial, deferred adjudication or dropping of the charge?
*
Yes
No
Have you ever been discharged (fired, laid-off, etc.) from a job?
*
Yes
No
Have you ever had any professional or occupational license or certification suspended/revoked?
*
Yes
No
Are you able to meet the attendance requirements of this job?
*
Yes
No
Are you able to perform the essential duties of this job, as listed on the job description?
*
Yes
No
Please list any registrations/licenses/certifications that you presently have and status (i.e. current, suspended, revoked, etc.)
*
High School Education
Name of School
*
School Address
*
Areas of Study
*
Year Attended
*
Date Graduated
*
College Education
Name of School
*
School Address
*
Areas of Study
*
Year Attended
*
Date Graduated
*
Trade or Business School
Name of School
*
School Address
*
Areas of Study
*
Year Attended
*
Date Graduated
*
Employment History
Employment 1
From
To
Company Name
Company Address
Name of Employer
Phone Number
Supervisor
Job Title
Position
How long have you worked for the Company?
Starting Salary
Ending Salary
Reason for leaving
May we contact your previous supervisor for a reference?
Yes
No
Employment 2
From
To
Company Name
Company Address
Name of Employer
Phone Number
Supervisor
Position Applying For?
Job Title
Position
How long have you worked for the Company?
Starting Salary
Ending Salary
Reason for leaving
May we contact your previous supervisor for a reference?
Yes
No
Cover Letter/Resume
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
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By submitting and signing below this application, you agree with the disclaimer above.
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