DRIVER PRE-APPLICATION FOR EMPLOYMENT
|
| |
|
Referred By
|
|
|
| |
|
|
|
|
|
* IDENTIFIES NECESSARY ENTRY
|
|
*
Your Name
|
Last
|
|
| |
First
|
|
| |
M.I.
|
|
|
*
E-Mail Address
|
|
|
|
*
Social Security No
|
|
|
|
Phone
|
|
|
|
*
Date of Birth:
|
Check if you are at least 25 years old
|
|
|
Present Address:
|
|
|
|
City
|
State
Zip
|
|
|
How long?
|
|
|
|
*
Driver's License Number:
|
State
|
|
| |
|
|
|
|
| |
|
|
|
Do you currently hold a valid California Drivers License? YES
NO
|
| |
|
|
|
Check off driving experience:
|
120" Limousine (Stretch)
|
|
|
180" Limousine (Super Stretch)
|
|
|
SUV Limousine (Hummer or Excursion)
|
|
|
Bus (School or Commercial)
|
|
|
Motor Home (Class -A)
|
|
|
Bobtail Truck (FedEx / UPS)
|
| |
|
Have you ever been arrested for a crime? (Felony or Misdemeanor) YES
NO
If yes, when?
|
| |
|
How many traffic accidents in the past 3 years?
How many traffic tickets in the past 3 years?
|
| |
|
Has your license ever been suspended or revoked? YES
NO
If yes, what year?
|
| |
|
| EDUCATION |
| |
| Check
highest grade completed |
10 11 12 |
| Technical/Trade
School |
1 2 3 |
| College |
1 2 3 4 5 6 7 8 |
|
| PREVIOUS EMPLOYMENT |
| |
| From |
To |
|
| Company
Name |
|
|
| Phone |
|
|
| Address |
|
|
| City |
State Zip |
|
| Position
Held |
|
|
| Reason
for leaving |
|
| Starting
Wages |
Ending
Wages |
|
| |
|
|
| From |
To |
|
| Company
Name |
|
|
| Phone |
|
|
| Address |
|
|
| City |
State Zip |
|
| Position
Held |
|
|
| Reason
for leaving |
|
|
| Starting
Wages |
Ending
Wages |
|
| |
| From |
To |
|
| Company
Name |
|
|
| Phone |
|
|
| Address |
|
|
| City |
State Zip |
|
| Position
Held |
|
|
| Reason
for leaving |
|
|
| Starting
Wages |
Ending
Wages |
|
| |
| Total
years driving experience
|
|
|
| |
| |
|
|
|
|
|
| |
|
|
|
|
|
|
|
*To obtain your Motor Vehicle Record, we need this information.
|
| |
|
Thank you for your interest in TriAlpha Executive Transportation LLC
|
| |
IT IS OUR POLICY TO CHECK
EACH CANDIDATE'S BACKGROUND THOROUGHLY
|
| I
understand that the information in this form will be
used and that prior employers will be contacted for
purposes of investigation as required by 391.23 of
the Motor Carrier Safety Regulations. I authorize
release of any information, including all information
related to my alcohol and controlled substances
testing and training records, by any former employers
and hold them harmless of any liability from release
of said information. |
| |
|
|
|