PLEASE NOTE:
BY COMPLETING THIS APPLICATION
I certify that I personally
completed this application and that all of the information is true and
correct. I hereby request and authorize West Side Transport, Inc. to cause
to be conducted, at any time, an investigation of my background for
employment purposes, which may include, but is not limited to, any
information relating to my character, general reputation, personal
characteristics, mode of living, criminal history, past work experience,
educational background, alcohol or drug test results, or failure to submit
to an alcohol or drug test, or any other information about me which may
reflect upon my potential for employment gathered from any individual,
organization, entity, agency, or other source which may have knowledge
concerning any such items of information. I have completed this application
of my own free will and hold West Side Transport, Inc. harmless of all
liability for providing this application for my use.
Application
will be active for sixty days, only.
Application
Personal
Name (First, MI, Last)
Birth Date
Soc.Sec.No.
--
Present Address
City
State
Zip
Phone
--
E-mail address
Employment History
Please list present, or most recent employer.
Name of company From to
Position Held
Number or traffic violations in past 3 years:
Number of accidents (preventable or non preventable) in past 3 years:
Did you ever test positive or refuse a drug or alcohol test? yes
no
Current Drivers License
STATE
LICENSE NO.
Additional Comments:
How did you hear about us?
(Referred by, magazine, newspaper, internet, etc.)
Equal Opportunity
Employer
All
offers of employment are contingent upon
passing a pre-employment physical and drug screen.
