An Equal Opportunity Employer

We do not discriminate on the basis of race, color, religion, national origin, gender, military status, age or disability. It is our intention that all qualified applicants are given equal opportunity and that selection decisions are based on job-related factors. Each question should be fully and accurately answered. No action can be taken on this application until all questions have been answered. In reading and answering the following questions, be aware that the questions are not intended to imply illegal preferences or discrimination based upon non-job-related information.

General Information

Note: Do not answer “yes” or provide any information regarding the following: (A) Arrests that did not lead to conviction, (B) Convictions that have been sealed, expunged, dismissed, or otherwise eradicated by statute or court order.

Educational Background

Starting with your most recent school attended, provide the following information:

Employment History

List names of employers in consecutive order with present or most recent listed first:

For Driving Jobs Only

References

List three business/work references that are not related to you and are not previous supervisors. If not applicable, list three school or personal references that are not related to you:

PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING

I certify all information provided in this employment application is true and complete. I understand any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations names in this application to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I understand if I am extended an offer of employment, it may be contingent upon my successfully passing a complete pre-employment physical, drug screening, background and reference check. I hereby consent to any or all of these pre-employment test/screen/checks as a condition of employment, if required. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.

I UNDERSTAND THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.

I have read, understand and by my signature, consent to these statements.