Applicant Information Applicant Name:
Address
City, State and Zip Code:
Telephone Number:
Email Address:
Date of Application:
Employment Position Position(s) applying for: OTR Truck Driver ( full time)
How did you hear about this position?
What days are you available for work?
What hours or shift are you available for work?
On what date can you start working if you are hired?
Salary desired:
Personal Information What document can you provide as proof of citizenship or legal status?
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Job Skills/Qualifications Please list below the skills and qualifications you possess for the position for which you are applying:
(Note: Brave Heart Trucking complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )
Education and Training High Schoo l
Name
Location (City, State)
Year Graduated
Degree Earned
College/University
Name
Location (City, State)
Year Graduated
Degree Earned
Vocational School/Specialized Training
Name
Location (City, State)
Year Graduated
Degree Earned
Military:
Are you a member of the Armed Services?
What branch of the military did you enlist?
What was your military rank when discharged?
How many years did you serve in the military?
What military skills do you possess that would be an asset for this position?
Previous Employment 1.Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:
2.Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:
3. Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:
References
Please provide 3 personal and professional reference(s) below:
Reference
Contact Information
Reference
Contact Information
Reference
Contact Information
Additional Information: What is your date of birth?
What is your driver license number? Please attach a copy of your license.
What is your social security number?
When are you available to start?
Upload Documents Driving License(Front and Back)
Social Security Card(Front and Baclk)
AT-WILL EMPLOYMENT The relationship between you and the Brave Heart Trucking is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Brave Heart Trucking. No representative of Brave Heart Trucking has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.
Applicant Signature:
Dated:
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