Are you eligible to work in the United State? YesNo
If you are under 18, do you have an employment/age certificate? YesNo
Have you been convicted of felony within the last five years? YesNo
If yes, please explain:
Can you drive a stick shift? YesNo
Do you have reliable transportation to and from work? YesNo
Do you have a cell phone? YesNo
Do you have a Commercial Driver's License (Class A)
Commercial Licence Permit(CLP) holder choose No
Can you pass a drug test? YesNo
In the last 5 year, how many of each of the following have you had?
Arrests for Driving Under the influence (DUI's)*
Position Applied For:
Days/Hours Available MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What date are you available to start work?
Name and address of School - Degree/Diploma - Graduation Date:
Skills and Qualifications: Licenses, Skills, Training, Awards:
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in future if I am hired. I authorize the verification of any or all information listed above.