DRIVER APPLICATION FOR EMPLOYMENT
We would like to Thank You for your interest in seeking employment at Synergy Cooperative. It is our belief that each employee contributes directly to our success and takes pride in being a member of our team. Our mission is to be our customers preferred partner through innovative products and services. If after our review process, your experience and expectations seem to match those of the position we want to fill, we will contact you to discuss the possibility of employment with Synergy Cooperative.

Pre-Employment Hiring
All potential employees of Synergy Cooperative must complete ALL DOCUMENTS in the Driver’s Application for Employment Packet. The packet contains: an application for employment, “release of information forms” which allow Synergy Cooperative to obtain information regarding past driving records, employment dates and duties, along with drug and alcohol test information from all previous employers within the preceding two years and Synergy Cooperative’s Drug and Alcohol Policy.

CDL Endorsement
Synergy Cooperative has concern for the safety, health and well-being of its employees as well as an obligation to comply with the Department of Transportation (DOT) regulations. As a condition of employment, Synergy Cooperative requires all employees to possess a valid CDL before active employment may begin.

Should you have any questions, please feel free to ask for the person in charge of the position you are applying for. Again, thank you for your application and the best of luck to you.

Driver Application for Employment and Driver Release of Information (required for operators of commercial motor vehicles)
Company: Synergy Cooperative

Street Address: P.O. Box 155

City, State, ZIP: Ridgeland, WI 54763

First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Date of Birth: *
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Social Security Number: *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Have you lived at the above address for (3) years or more? *
If "no" please provide all addresses for the three (3) years preceding the date of this application.
Your answer
Phone Number *
Your answer
Alternate Contact Number
Your answer
E-mail Address *
Your answer
Date available for work *
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DD
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YYYY
Are you legally authorized to work in the United States? *
Do you now, or will you in the future, require immigration sponsorship for work authorization (e.g., H-1B)? (If hired, verification will be required consistent with federal law.) *
How were you referred to Synergy Cooperative?
Your answer
Do you have any friends or relatives working for Synergy Cooperative?
If yes list name, location and relationship
Your answer
Have you signed or otherwise agreed to any non-solicitation, non-competition or other similar agreement with any prior employer?
If yes, explain:
Your answer
Type of Work Desired? *
Required
If Other, please list type of work desired
Your answer
Applying for *
Location Desired
Your answer
Hourly Rate/Salary Range Expected
Your answer
Schedule Availability (Check all that apply) *
Required
Education/Skills/Licenses
Completed Education (Check all that apply) *
Required
Licenses/Endorsements (check all valid)
Other Certifications, Skills or Licenses
Your answer
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