Your
Information
First
Name: M.I.
Last Name:
Social Security Number:
(xxx-xx-xxxx)
Address:
Apt./Ste./P.O.
City:
State:
MO
KS
Zip Code:
Home
Phone:
(xxx-xxx-xxxx)
Other
Phone:
(xxx-xxx-xxxx)
Date
of Birth
Email Address:
(MM/DD/YYYY)
Driver License Information
CDL
License #:
Expires:
State:
MO
KS
Experience
Years
(MM/DD/YYYY)
Endorsements: HazMat
DBL/TRP
Tank
Other
Have
you ever been convicted of a crime? Yes
No
If
yes, explain:
Was
your license ever suspended/revoked? Yes
No
When?
Where?
Number of moving violations in the last 3 years:
Have
you had any accidents in the last 3 years? Yes
No
When?
Who was at fault?
Type
of equipment operated and number of years each:
Van
Flatbed
Double/Triple
Other
Reference Name:
Phone
Number:
(xxx-xxx-xxxx)
Employment Information
Current/Most Recent Employer
Current Employer:
Position:
Dates
of Employment: From:
To:
(MM/DD/YYYY)
(MM/DD/YYYY)
City:
State:
MO
KS
Phone:
Contact:
(xxx-xxx-xxxx)
Next Previous Employer
Next
Employer:
Position:
Dates
of Employment: From:
To:
(MM/DD/YYYY) (MM/DD/YYYY)
City:
State:
MO
KS
Phone:
Contact:
(xxx-xxx-xxxx)
Next Previous Employer
Next
Employer:
Position:
Dates
of Employment: From:
To:
(MM/DD/YYYY)
(MM/DD/YYYY)
City:
State:
MO
KS
Phone:
Contact:
(xxx-xxx-xxxx)
I certify that I have read and understood all of
this employment application. It is agreed and
understood that the employer or his agent may
investigate my background to ascertain any and all
information of concern to my employment history,
whether same is of record or not, and I release
employers and other persons named herein from all
liability for any damages on account of furnishing
such information. I understand that as an applicant
for a position with this company, I may be asked to
demonstrate that I am capable of performing tasks
pertinent to the job. I also understand that if
offered a job, it may be conditioned on the results
of a physical examination, drug test, references,
MVR and other means necessary to qualify for GFS
Transportation, Inc .
It is also agreed and understood that under the Fair
Credit Reporting Act, Public Law 91-508. I have
been told that this investigation may include an
Investigative Consumer Report, including information
regarding my character, general reputation, personal
characteristics and mode of living.
I agree to furnish such additional information and
complete such examinations as may be required to
complete my employment file.
I also understand that any misrepresentation or
omission of information or facts may result in my
rejection or dismissal.
If hired, I agree to abide by all the rules and
policies of the employer.
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.
Thank you for applying with GFS Transportation, Inc.
When your application is successfully
submitted, you will be automatically redirected to
the GFS Homepage. A represen-tative will be in touch
with you soon regarding your application.