Join Our Team

Date of Application

MM

DD

YYYY

Name *

First Name

Last Name

Phone *

(###)

###

####

Do you have the legal right to work in the United States?

Yes

No

Can you provide proof of age?

Yes

No

Are you now employed?

Yes

No

Are you able to do some heavy lifting , tarping / untarping and securing of loads?

Yes

No

Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the attached job description)?

Yes

No

Do you have a valid FAST card?

Yes

No

Have you split b-trains for deliveries or loading?

Yes

No

A

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Yes

No

B

Has any license, permit, or privilege ever been suspensed or revoked?

Yes

No

Applicant Agreement *

I authorize you to make such investigations and inquiries of my personal, employment, financial, or medical history and other related matters that may be necessary in arriving at employment decisions. (Generally inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from 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 policies and procedures of the Company.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.