Employment Application Employer Information Employer: 1st Transportation Group Address: 1427-H E. Laurens Road Greenville, SC 29607 Phone: 864.561.6444 Email: contact@1sttransportationgroup.com It is the policy of 1st Transportation Group to provide equal employment opportunities to all applicants and employees without regard to any legally protected status, such as race, color, religion, gender, national origin, age, disability or veteran status. Applicant Information Name * Name First First Last Last Date of Birth * Phone * Email * Street Address * City * State * Zip Code * Social Security Number * Driver’s License (State/Number) * Emergency Contact Contact Name * Contact Name First First Last Last Relationship to You * Contact Phone * Street Address * City * State * Zip Code * Job Details Who referred you to 1st Transportation Group? Do you have any friends or relatives who work here? If yes, please list here: Are you willing to work any shift, including nights and weekeds? * Yes No If no, please state any limitations. Are you willing to work overtime, if needed? * Yes No When are you available to start, if hired? * If hired, are you able to submit proof that you are legally eligible for employment in the United States? * Yes No Applicant Skills List any skills that may be useful for this position. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents minimal ability, while five represents exceptional ability.) Skill Years of Experience Skill Rating (Choose from 1 – 5.) Skill Years of Experience Skill Rating (Choose from 1 – 5.) Skill Years of Experience Skill Rating (Choose from 1 – 5.) Employment History Please list all jobs (including self-employment and military service) which you have held, beginning with your current or most recent, and list and explain any gaps in employment. If additional space is needed, please email this additional information to contact@1sttransportationgroup.com, with “Additional Employment Details” in the Subject line, and include your name and contact information in the email. Employer * Employer Address * City * State * Zip Code * Supervisor Name * Supervisor Name First First Last Last Job Duties * Reason for Leaving * Beginning Date of Employment (Month/Year) * End Date of Employment (Month/Year) * Employer Employer Address City State Zip Code Supervisor Name Supervisor Name First First Last Last Job Duties Reason for Leaving Beginning Date of Employment (Month/Year) End Date of Employment (Month/Year) Employer Employer Address City State Zip Code Supervisor Name Supervisor Name First First Last Last Job Duties Reason for Leaving Beginning Date of Employment (Month/Year) End Date of Employment (Month/Year) Education and Training Name of High School/GED Class * School Address * Did you receive a diploma/certification? * Yes No Name of University/College School Address Did you receive a degree? Yes No If yes, what degree did you receive? Other Training/Degrees (Graduate, Technical, Vocational) Please list any current professional licenses or certifications you hold. Did you serve in the military? * Yes No If yes, please list the branch and any specialized training. Please provide any additional information you believe should be considered with your application, including whether you are bound by any agreement with a current employer. Certification I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorize 1st Transportation Group to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. I have carefully read the above certification and I understand and agree to its terms. Full Name (This will serve as your signature.) * Date * If you are human, leave this field blank. Submit Δ
