Coulee Region Taxi Employment Application
Thank you for your interest in working for Coulee Region Taxi. Just tell us a little about you below:
Date Of Birth *
MM
/
DD
/
YYYY
Name *
First and last name
Address *
Phone number *
E-Mail
Position Applying For *
Positions Available (check all that apply): *
Required
How many hours are you available to drive per week?
Education (Check all that apply) *
Required
Tell us more about your special skills, abilities or anything else that may help in this position *
Do you have any driving violations? *
If yes, please provide details
Do you have any physical reasons that you are unable to lift a minimum of 50 lbs or drive a vehicle?
Clear selection
If yes, please provide details
Will you consent to a background check?
Clear selection
Will you consent to a random drug test?
Clear selection
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