In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered or all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.
All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code.
Applicants to drive a commercial motor vehicle* in intrastate commerce shall also provide an additional 7 years'
information on those employers for whom the applicant operated such vehicle.
(NOTE: List employers in reverse order starting with the most recent. Add another sheet as necessary.)
* Includes vehicles having GVWR of 26, 001 lbs. or more, vehicles designed to transport 15 or more passengers,
or any size vehicle used to transport hazardous materials in a quantity requiring placarding.
IF NONE, WRITE NONE
If none, leave blank
By submitting this form I certify 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. I authorize you to make such investigations and inquires of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (generally, inquires 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 all liability in responding to inquires 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.
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Union Gap, Washington, USA 98903
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