Application for Employment
Non-Commercial Driving Position(s)
Date: Phone:
Name: Cell:
Present Address:
City, State, Zip
Social Security Number: Date of Birth: Jan Mar Apr May June July Feb Aug Sept Oct Nov Dec 01 02 03 04 05 06 07 08 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 , Year
Position Applying For:
Salary Desired:
How many hours can you work weekly?
Employment desired Full Time Only Part Time Only Full or Part Time
When are you available to work?
EDUCATION
High School Number of Years Completed
Location Major or Degree
College Number of Years Completed
Bus. or Trade School Number of Years Completed
Professional School Number of Years Completed
Have you ever been convicted of a crime? No Yes
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and types(s) of rehabilitation
Do you have a drivers license? Yes No
What is your means of transportation to work?
Drivers license number State of Issue Operator
Commercial (CDL)
Have you had any accidents during the past three years? Yes No if yes, how many
Have you had any moving violations during the past three years? Yes No if yes, how many
OFFICE SKILLS
Typing Yes No wpm Personal Computer Yes No if yes, PC Mac
10-Key Yes No Word Processing Yes No
Other Skills
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
Please list two references other than relatives or previous employers.
Name Name
Position Position
Company Company
Address Address
Telephone Telephone
MILITARY
Have you ever been in the armed forces? Yes No
Are you now a member of the National guard? Yes No
Specialty Date Entered Discharge Date
WORK EXPERIENCE
Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.
Employer 1
Name of Employer Supervisor
Address Employment Dates
From To
City, State, Zip Pay/Salary
Telephone Start Final
Your Last Job Title
Reason for Leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
Employer 2
Employer 3
Employer 4
May we contact your present employer? Yes No
Did you complete this application yourself? Yes No If no, who did?
Please use the space below to add any additional information or statement that you feel would be pertinent to your application
PLEASE READ CAREFULLY
Application Form Waiver
In exchange for the consideration of my job application by Karl R. Johnson Trucking, Inc. (hereinafter called "The Company"). I agree that:
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist for time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Karl R. Johnson Trucking, Inc., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except instrument sign by the President/General Manager of the Company. Both the undersigned and Karl R. Johnson Trucking, Inc. may end the employment relationship at any time without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies, and procedures such changes may include reduction in benefits.
I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references and others, and hereby release the Company from any liability as a result of such contact.
I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job related physical examinations.
I understand that in connection with the routine processing of the application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such requested by it, as required for the Fair Credit Reporting Act.
I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.
Because this is an on line application and a signature feature is not available, by putting an X in the box below, I am acknowledging the above Waiver and I am giving permission to Karl R. Johnson Trucking, Inc. to proceed with the application process
Karl R. Johnson Trucking, Inc. is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.