EMERGENCY CONTACT
EMPLOYMENT INFO
WORK EXPERIENCE
REFERENCES
Please list three people who are able to complete a reference referral on your behalf. Your application cannot be processed until these referrals are returned to us.
EDUCATION
DRIVING HISTORY
(ONLY complete when applying for a position which requires you to drive your personal vehicle.)
CAR USAGE DETAILS
All employees involved in product delivery for the Company using their personal vehicles must have their driving records reviewed before beginning employment and periodically thereafter, and all employees must also meet the following requirements:
• No individual will be allowed to drive any vehicle for our Company without a valid driver’s license from the state of their primary residence. License must be in good standing (i.e., not suspended, revoked or restricted).
• Individuals 18 years of age must have at least a two-year driving history. Individuals 19 years of age and over must have at least a one-year driving history. This must be the year immediately preceding the date of the evaluation. At least three years of driving history may be evaluated for all applicants and employees.
• Individuals must show proof of and maintain auto liability insurance.
• Individuals must have their personal vehicle pass a vehicle safety inspection at the time of hire and periodically thereafter.
• No individual may be hired into a position which requires driving unless their driving record meets the Company’s standards.
I understand that the Company is committed to providing equal opportunity in all employment practices, including, but not limited to, selection, hiring, promotion, transfer, and compensation to all qualified applicants and employees without regard to age, race, color, national origin, sex, religion, disability, citizenship status, or any other category protected by federal, state, or local law.
I authorize the Company to inquire with any current or former employers, professional, work, educational and personal references listed in the application, or any other individuals I may name concerning my work experience.
I understand that the Company reserves the right, to the extent permitted by law, to require drug and alcohol screening tests of an applicant or an employee either prior to beginning employment or anytime during employment.
I understand that this employment application and any other Company documents provided during the application process are not promises of employment.
Subject to any requirements or restrictions by state or local law, I understand and agree that, if hired, my employment is for no definite period of time and either I or the Company can terminate employment at any time, with or without cause, and with or without notice. This at-will employment relationship exists regardless of any other statements and/or policies to the contrary. My signature below indicates that I understand and agree that this at-will relationship may not be modified or amended unless in writing by a document that is signed by an authorized representative of the Company. Any other attempted form of modification is null and void, whether oral, written, expressed or implied.
I certify that the information given by me on this application and during the interview process is true and complete in all respects, and I agree that if the information is found to be false, misleading, or unsatisfactory in any respect (in the Company’s judgment) that I will be disqualified from consideration for employment or subject to immediate dismissal if discovered after I am hired.
I understand that I can contact the Company to determine the time period that this application will be considered active. If I wish to be considered for employment after any time period that this application is considered active, I understand that I must reapply. I further understand that separate applications may be required for each position for which I wish to be considered.
