Are you currently employed?*

Yes

Our hours typically run from 5 a.m. to 5 p.m. Can you work these hours?*

Yes

What are your preferred hours to work?

What days and times are you available to work?*

Our hours typically run from 5 a.m. to 5 p.m. Check all that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Salary Desired*

Have you had any accidents during the past five years?*

Yes

Please describe any accidents you’ve had during the past five years?*

Have you had any driving violations in the past five years?*

Yes

Please describe any driving violations you’ve had in the past five years?*

Do you have reliable transportation to and from work?*

Yes

Do you have responsibilities or regularly scheduled appointments other than work that will conflict with our hours of operation?*

Yes

Our policy is if your sick enough to miss work you must provide a doctor’s note. Can you abide by that policy?*

Yes

Do you consent to background checks including but not limited to motor vehicle record?*

Yes

Will you consent to a pre-employment drug test at a medical facility?*

Yes

Please describe your skills including but not limited to trailer towing experience, carpentry, welding, fabrication.*

Personal Details

Full Name*

First Last

Date of Birth*

mm/dd/yyyy

Phone*

Last 4 Digits of Your Social Security Number*

Class of Driver’s License*

Address*

Street Address Address Line 2 City State Zip Code

Submit a photo of your driver’s license*

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