PERSONAL INFORMATION |
Today's Date:
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Full Name:
SSN#
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Phone:
E-Mail Address:
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Permanent Address:
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City:
State:
Zip Code:
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EMPLOYMENT DESIRED |
Position: |
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Available Start Date: |
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Hours Available: |
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Wage Desired: |
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Are you currently employed:
Yes
No |
If so, may we contact your employer?
Yes
No |
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DRIVER APPLICANTS |
Insurance Information |
Insurance Carrier: |
Phone:
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Agent: |
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Driver's Information |
Driver's License # |
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State Issued:
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Expiration Date: |
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Vehicle Information (For Owner/Operators) |
Make: |
Model:
Year:
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License: |
Odometer Reading:
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Driving Violations (Please list all accidents or violations for the past three years) |
Violation |
Date |
Location/Description |
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Do you have HAZMAT certification? |
Yes
No |
Are you CDL endorsed? |
Yes
No |
Do you have 4 years professional driving experience? |
Yes
No |
Has your license ever been revoked or suspended? |
Yes
No |
Have you ever been convicted of a violation involving alcohol or reckless driving? |
Yes
No |
You may need to get in and out of a vehicle 50 times a day, climb stairs, and operate a 2-way radio or alpha-numeric pager. Can you perform these functions? |
Yes
No |
Are you a United States Citizen or do you have the right to be legally employed in the US? |
Yes
No |
Have you ever been convicted of a crime? |
Yes
No |
If so, explain:
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Have you worked in this industry previously? |
Yes
No |
If so, for whom?
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EDUCATION |
Highest level of schooling completed:
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Trade or other education: |
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FORMER EMPLOYMENT (Beginning with the most recent, list four most recent employers) |
Most Recent or Current Employer: |
From (MM/DD/YY) |
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Employer:
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To (MM/DD/YY) |
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Address:
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Supervisor: |
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Phone:
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Position: |
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Reason for leaving:
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Previous Employer |
From (MM/DD/YY) |
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Employer:
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To (MM/DD/YY) |
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Address:
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Supervisor: |
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Phone:
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Position: |
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Reason for leaving:
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Next Previous Employer |
From (MM/DD/YY) |
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Employer:
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To (MM/DD/YY) |
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Address:
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Supervisor |
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Phone:
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Position: |
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Reason for leaving:
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Next Previous Employer |
From (MM/DD/YY) |
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Employer:
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To (MM/DD/YY) |
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Address:
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Supervisor: |
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Phone:
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Position: |
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Reason for leaving:
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REFERENCES (List three persons not related to for whom you have known at least 1 year) |
Name:
Phone:
Years Known:
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Address:
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Name:
Phone:
Years Known:
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Address:
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Name:
Phone:
Years Known:
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Address:
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Name:
Phone:
Years Known:
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Address:
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OPTIONAL SKILLS ASSESSMENT |
Please share with us any skills or abilities which you think might be of value during your employment with SONIQ Transportation and Warehouse |
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SONIQ Transportation and Warehouse is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, or sexual orientation. SONIQ Transportation and Warehouse maintains a drug free workplace. Management reserves the right to request testing for drugs or alcohol at any time prior or during employment.
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts in this application may be cause for dismissal. Furthermore, I understand and agree that my employment with SONIQ Transportation and Warehouse is for no definite period and may, regardless of payment of my wages or salary, be terminated at any time without previous notice.
I understand that, if accepted as a courier owner operator, I must always furnish a vehicle meeting company requirements, and I am solely responsible for auto insurance and expenses. Furthermore, my employment is subject to an equipment lease agreement and that if said equipment lease is terminated, my employment will be terminated. I also understand that my continued employment must be suitable to SONIQ Transportation and Warehouse and its insurance company standards. If hired as a full-time employee, I will have SONIQ Transportation and Warehouse listed on my insurance policy as additional insured. Failure to fulfill any of these obligations will result in my dismissal.
I hereby indicate my understanding and agreement with all parts of this application with my valid e-mail address in lieu of a written signature, and hereby authorize SONIQ Transportation and Warehouse to consider me for employment. |
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Signed with my valid e-mail address:
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On this date:
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