Commercial Driver Application for Employment
BVIP LIMOUSINE 887 WEST LIBERTY STREET MEDINA OHIO 44256 330.725.3108
Name *
First and last name
Your answer
Address *
Your answer
Email *
Your answer
Phone number *
Your answer
Which position(s) are you interested in? *
Required
Date Available
MM
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DD
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YYYY
Physical Exam Expiration Date
MM
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DD
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YYYY
Are you a citizen of the United States *
Have you ever worked for us before? *
Have you ever been convicted of a felony? *
Education
High School *
MM
/
DD
/
YYYY
Did you graduate? *
College/Trade School Information *
Your answer
Did you graduate? *
References
Please list 3 professional references
#1 *
Your answer
#2 *
Your answer
#3 *
Your answer
Previous Employment
Please list Company, dates, phone, job title, salary and reason for leaving
Company, dates, phone, job title, salary and reason for leaving *
Your answer
Company, dates, phone, job title, salary and reason for leaving *
Your answer
Company, dates, phone, job title, salary and reason for leaving
Your answer
May we contact previous employers? *
Driving History
What vehicles do you have experience driving? (Check all that apply) *
Required
Accident Report for the past three (3) years. MUST bring Driver's Abstract report from the BMV to in-person interview. *
Your answer
List any accidents in the past three (3) years *
Your answer
Have you ever been denied a license, permit or privilege to operate a motor vehicle? *
Has any license permit or privilege been suspended or revoked? *
Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the job description) ? *
It is agreed and understood that the motor carrier or his agents may investigate the applicant's background to obtain any and all information of concern to applicant's record, whether same is of record or not, and applicant releases employers and person named herein from all liability for any damages on account of his furnishing such information. 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 investigating 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 application file. It is agreed and understood that if qualified and I hired I may be on a probationary period during which time I may be disqualified without recourse. 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. Electronic signature and date below. *
Your answer
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