APPLICATION FOR EMPLOYMENT
I authorize you to make such investigations and inquiries of my personal, employment, financial medical history and or any and all other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) hereby release employers, school, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the company. I understand that information I provide regarding current and or previous employers may be used
I understand that I have the right to:
Review information provided by current and or previous employers
Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer
Have a rebuttal statement attached to the alleged erroneous information, and if the previous employer(s) and I cannot agree on the accuracy of the information
Past 3 Year Residency
ADDITIONAL PERSONAL INFORMATION
WE ARE AN EQUAL OPPORTUNITY EMPLOYER AND COMMITED TO EXCELLENCE THROUGH DIVERSITY.
POSITION
PLEASE FILL OUT ALL INFORMATION TO YOUR FULLEST KNOWLEDGE
EDUCATION
School Name
Location
Year Attended
Degree Received
Major
REFERENCES
Name
Title
Company
Phone
EMPLOYMENT HISTORY
All applicants wishing to drive the interstate commerce must provide the following information on all employers during the preceding three years. You must give the same information for all employers for whom you have driven a commercial vehicle seven years prior to the initial three years (total of 10 year employment record).
You are required to list the complete mailing address: street number and name, city, state, and zip code for all of the below employment records
Current /Last Employer
Second to Last Employer
Third to Last Employer
