Application for Employment

Position Appling for    Select one Sedan & Limousine Driver Mini Coach Driver Motor Coach Driver School Bus Driver Reservationist Mechanic Car Washer Accounts Payable

Name                   
Current Address   
City                                       
State                     
Zip Code              
Home Phone #      
Other Number      


How Long have you lived at this Address?   
Are you legally allowed to work in the U.S    Yes No
Social Security Number                               
Date of Birth                                               

Have you ever been employed by Joseph's before    No Yes
If yes what position did you have here?         
Reason for leaving?      
                              

Are you currently employed?    No Yes
If not, how long since your last employment?    

Have you ever been convicted of a felony?   
If yes, please explain   
                            

Employment History
Please list at list you employment record for at least the last 5 years.

1.
Employer:              
Address:                
City                       
State                     
Zip                        
Contact                 
Phone                    
Employed From:    
To:                        
Position                 
Salary:                   
Reason for leaving 

2.
Employer:              
Address:                
City                       
State                     
Zip                        
Contact                 
Phone                    
Employed From:    
To:                        
Position                 
Salary:                   
Reason for leaving 

3.
Employer:              
Address:                
City                       
State                     
Zip                        
Contact                 
Phone                    
Employed From:    
To:                        
Position                 
Salary:                   
Reason for leaving 

4.
Employer:              
Address:                
City                       
State                     
Zip                        
Contact                 
Phone                    
Employed From:    
To:                        
Position                 
Salary:                   
Reason for leaving 

Education:
Please select the number of years attended at each option.

High school:            1 2 3 4
Did you receive a H.S Diploma?    Yes NO
College:                   1 2 3 4
Did you graduate from college?      Yes No
What college did you attend?        
What did you receive a degree in?

Do you have any special training or talents that you feel may be helpful to us
in regards to our business operations?
                                   

What class of drivers license to you posses?     Class A Class B Class C Class D
What type of endorsements do you have?         None Passenger Airbrakes Passenger & Airbrakes
Do you have an updated Medical Card?           Yes No
How would you describe your driving record?   Clean Good OK Poor  
Can you provide an updated copy of your driving record?    Yes No

Are you looking for full time or part time employment?    Part-Time Full Time
Please describe you hours of availability?
                                   
When would you be available to start working?   
What is you expected rate of pay?   

Electronic Signature

This certifies that this application was completed by the name listed on the top of this form, and that all entries on it and information in it are true and complete to the best of my knowledge.

I authorize Joseph's Transportation to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. ( generally, inquiries 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 inquiries 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.

Do you agree to the information that you have just read?    Yes No Select One

Please type your name and click the button which validates your signature.
    Name:       
    Date: