| PERSONAL
INFORMATION |
|
Today's Date: |
| Full
Name:
SSN# |
| Phone:
E-Mail Address: |
|
| Permanent
Address: |
| City:
State:
Zip Code: |
| |
| EMPLOYMENT
DESIRED |
| Position: |
|
Available
Start Date: |
|
| Hours
Available: |
|
Wage
Desired: |
|
| Are
you currently employed: Yes
No |
| If
so, may we contact your employer? Yes
No |
| |
| DRIVER
APPLICANTS |
|
Insurance
Information |
| Insurance
Carrier: |
Phone: |
| Agent: |
|
|
Driver's
Information |
| Driver's
License # |
|
State
Issued: |
| Expiration
Date: |
|
| Vehicle
Information (For Owner/Operators) |
|
Make: |
Model: Year: |
|
License: |
Odometer Reading: |
|
|
Driving
Violations (Please list all accidents
or violations for the past three years) |
| Violation |
Date |
Location/Description |
|
|
|
|
|
|
|
|
|
|
|
|
| |
| 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your license ever been revoked or suspended?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: |
| Have
you worked in this industry previously? |
Yes
No |
| If
so, for whom? |
| |
| EDUCATION |
| Highest
level of schooling completed: |
|
Trade or other
education: |
|
| |
| FORMER
EMPLOYMENT (Beginning
with the most recent, list four most recent employers) |
| Most
Recent or Current Employer: |
| From
(MM/DD/YY) |
|
Employer:
|
| To
(MM/DD/YY) |
|
Address:
|
|
Supervisor: |
|
Phone: |
|
Position: |
|
Reason for leaving: |
| |
| Previous
Employer |
| From
(MM/DD/YY) |
|
Employer:
|
| To
(MM/DD/YY) |
|
Address:
|
| Supervisor: |
|
Phone:
|
|
Position: |
|
Reason
for leaving: |
| |
| Next
Previous Employer |
| From
(MM/DD/YY) |
|
Employer:
|
| To
(MM/DD/YY) |
|
Address:
|
| Supervisor |
|
Phone:
|
| Position: |
|
Reason
for leaving: |
| |
| Next
Previous Employer |
| From
(MM/DD/YY) |
|
Employer:
|
| To
(MM/DD/YY) |
|
Address:
|
| Supervisor: |
|
Phone:
|
| Position: |
|
Reason
for leaving: |
| |
| REFERENCES
(List three persons not related to for whom you have known at
least 1 year) |
| Name:
Phone:
Years Known: |
| Address:
|
| |
| Name:
Phone:
Years Known: |
| Address:
|
| |
| Name:
Phone:
Years Known: |
| Address:
|
| |
| Name:
Phone:
Years Known: |
| Address:
|
| |
| 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 |
|
| |
| 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. |
| |
| Signed
with my valid e-mail address: |
| On
this date: |
