Job Application

POSITION:

Position Sought*

How did you learn about this opportunity?*

PERSONAL INFORMATION:

First Name*

Middle Name

Last Name*

Preferred First Name

Former Name (If Applicable)

Mother's Maiden Name

Social Security Number*

Date of Birth*

Phone*

Phone Type*

Email*

EMERGENCY CONTACT INFORMATION:

Contact Name*

Relationship to Applicant*

Phone*

Address*

RECENT ADDRESSES:

Recent Address*

Add Another Recent Address

Add Another Recent Address

Recent Address #2*

Add Another Recent Address

Add Another Recent Address

Recent Address #3*

COMMERCIAL DRIVING HISTORY:

Total Driving Experience as a Commercial Driver*

Vehicle Class*

Fuel Type*

Motor Carrier Name*

Employer Name*

Start Date*

End Date*

Employer Address*

Type of Business*

Supervisor Name*

Employer Phone*

Reason For Leaving*

Explain*

Add Another Commercial Driving History

Add Another Commercial Driving History

Vehicle Class*

Fuel Type*

Motor Carrier Name*

Employer Name*

Start Date*

End Date*

Employer Address*

Type of Business*

Supervisor Name*

Employer Phone*

Reason For Leaving*

Explain*

Add Another Commercial Driving History

Add Another Commercial Driving History

Vehicle Class*

Fuel Type*

Motor Carrier Name*

Employer Name*

Start Date*

End Date*

Employer Address*

Type of Business*

Supervisor Name*

Employer Phone*

Reason For Leaving*

Explain*

NON DRIVING HISTORY

Employer Name*

Position Held*

Start Date*

End Date*

Employer Address*

Type of Business*

Supervisor Name*

Employer Phone*

Reason For Leaving*

Explain*

Add Another Non Driving History

Add Another Non Driving History

Employer Name*

Position Held*

Start Date*

End Date*

Employer Address*

Type of Business*

Supervisor Name*

Employer Phone*

Reason For Leaving*

Explain*

Add Another Non Driving History

Add Another Non Driving History

Employer Name*

Position Held*

Start Date*

End Date*

Employer Address*

Type of Business*

Supervisor Name*

Employer Phone*

Reason For Leaving*

Explain*

MILITARY EXPERIENCE HISTORY

Branch of Military Service

Start Date

End Date

Primary Specialty

Rank at Discharge

Type of Discharge

UNEMPLOYMENT HISTORY

Start Date

End Date

Is this your current status?

Start Date

End Date

Is this your current status?

LICENSE

License Number*

State

Date Issued*

Expiration Date*

License Type*

Have you ever had either your personal or commercial motor vehicle operator's license, permit, or privilege denied, revoked or suspended?

Yes
No

If Yes, which of the following apply:*

Denied
Revoked
Suspended

License Number*

License Type*

Date Issued*

Expiration Date*

Length of Suspension*

Comments*

EDUCATION

Type of School*

Name of School*

Address*

Start Date*

End Date*

Number of Years*

Did You Graduate?*

LEGAL QUESTIONS

Are you eligible to lawfully work in the United States?*

Yes
No

Are you able to read and speak English?*

Yes
No

Are you 21 years of age or older?*

Yes
No

Have you ever been convicted of a crime, or do you have any criminal charges pending under your current or any other name?*

Yes
No

Have you ever been convicted of or forfeited bond for violation of motor vehicle laws or ordinances other than parking during the last 3 years, or do you have any pending matters relating to motor vehicle laws or ordinances?*

Yes
No

Date of Violation*

State*

Nature of Violation*

Vehicle*

Penalty*

Points*

Have you had any motor vehicle accidents in the past 3 years?*

Yes
No

Date of Accident*

State*

Accident Type*

Vehicle Type*

No. of Injuries*

No. of Deaths*

Nature of Accident*

Extent of Damage*

DOT INFORMAITON

Date of Last DOT Physical*

Name of Physician*

Name of Practice*

Practice Address*

DRIVING CERTIFICATIONS, ENDORSEMENTS, ETC.

Do you possess your Doubles Endorsement?*

Yes
No

List your Doubles Endorsements*

SUBMIT APPLICATION

This certifies 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 Agree

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Apply for a job at Night Flyte, Inc.

JOB APPLICATION

POSITION:

PERSONAL INFORMATION:

EMERGENCY CONTACT INFORMATION:

RECENT ADDRESSES:

COMMERCIAL DRIVING HISTORY:

NON DRIVING HISTORY

MILITARY EXPERIENCE HISTORY

UNEMPLOYMENT HISTORY

LICENSE

EDUCATION

LEGAL QUESTIONS

DOT INFORMAITON

DRIVING CERTIFICATIONS, ENDORSEMENTS, ETC.

SUBMIT APPLICATION