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Driver Employment Application

Do not leave questions unanswered. If application is not completed, it will not be considered.

 
First Name:
Last Name:
Date of Application:
Position Applying for:
Location:
Social Security Number:
 - -
Address Line 1 :
Address Line 2 :
City:
State:
Zip Code :
Phone Number :
 ( ) -
2nd Contact Number :
 ( ) -
Email Address :
How did you learn about this position?
 
  
Do you have Military Experience Beneficial to this Position?
Branch
Entry Date
Discharge Date
Discharge Pay Grade
 
  
 
  
Education
Name of School
City & State
Grade Completed
Date
High School
Business/Trade School
College
Other Relevant Training
CDL Training
 
  
Equipment Familiarity
PC Applications:
Industrial Equipment / Machinery you can operate:
 
  
References
Name three (3) individuals who can, and are willing, to furnish detailed information about your work experience. Please include managers and immediate supervisors when able.
#1
Name:
Mailing Address:
Phone #:
#2
Name:
Mailing Address:
Phone #:
#3
Name:
Mailing Address:
Phone #:
Resume
(Please paste your resume here)
 
  
Employment
Present Employer
Name of Company:
Phone #:
Address:
Position / Responsibility:
Date Started:
Supervisor / Foreman:
Salary / Hrly. Rate:
Reason for Leaving:
*** My Present Employer May Be Contacted ***
Choose One:
 
  
Previous Employment (Last 10 Years)
Last Employer Name:
Phone #:
Address:
Position / Responsibility:
Date Started:
Supervisor / Foreman:
Salary / Hrly. Rate:
Reason for Leaving:
 
  
2nd Last Employer Name:
Phone #:
Address:
Position / Responsibility:
Date Started:
Supervisor / Foreman:
Salary / Hrly. Rate:
Reason for Leaving:
 
  
3rd Last Employer Name:
Phone #:
Address:
Position / Responsibility:
Date Started:
Supervisor / Foreman:
Salary / Hrly. Rate:
Reason for Leaving:
 
  
4th Last Employer Name:
Phone #:
Address:
Position / Responsibility:
Date Started:
Supervisor / Foreman:
Salary / Hrly. Rate:
Reason for Leaving:
 
  
Health
General
Have you ever been injured?:
Explain:
Does your injury require reasonable accomodation?:
If yes, Explain:
Do you smoke?:
General Health?:
 
  
Criminal
Have you ever been convicted of a crime?:
If yes, explain in detail, including dates & locations:
Have you ever had a DUI?:
If yes, explain in detail, including dates & locations:
 
  
Driving
Drivers License Information
State
Number
Date of CDL
Exp. Date
Class or Type
Are you required to wear glasses when driving?:
 
  
Driving Experience
Type of Equipment
Number of Years
Approx. Number of Miles
Automobile
Straight Truck
Tractor & Semi
Tractor & Full Trailer
Bus
What States have you driven in regularly?:
 
  
Traffic Convictions
Date
Charge
Location
Name of Court
Penalty
Points
 
  
How many accidents have you had in the last three years?
If you answered 1 or more above then please explain:
Date
Type of Vehicle
Property Damage
Type of Accident
Injuries
Deaths
 
  
Have you ever had any license or permit denied, revoked, or suspended?
If yes, explain in detail:
 
  
Please write a short paragraph stating why you would like to work for The Silvi Group Companies:
 
  

It is agreed and understood that the answers to the foregoing questions are true and correct and that any misrepresentations of information given on the preceding pages of this application shall be considered an act of dishonesty. Falsified statements on this application shall be considered sufficient cause for dismissal.

It is agreed and understood that the employer or his agents may investigate the applicant's record, whether same is of record or not, and applicant releases employers and person named herein from all liability for any damages on account of furnishing such information.

The applicant agrees to furnish such additional information and complete such examinations as may be required to complete his employment file.

It is agreed and understood that this application for employment in no way obligates the employer to employ the applicant.

It is agreed and understood that if hired, the employee may be on a probationary period during which time he may be discharged without recourse.

By typing my name in the field below I understand that I am certifying that I completed this application and that all entries on it, and information in it, are true and complete to the best of my knowledge.

Date Applicant's Signature
 
  
    
 
  

 

 
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