Hull Enterprises CDL Application
In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

I authorize you to make such investigations and inquires of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Hull Enterprises, Inc.

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:

· Review information provided by previous employers;

· Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and

· Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.
Authorization for above statements: (By checking yes below is an acknowledgement of my electronic signature to the terms listed above) *
Applicant's Name *
First and last name
Your answer
Phone number *
Your answer
Email *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Social Security Number *
Your answer
Which position(s) are you interested in? *
Required
Who referred you (if any)?
Your answer
Current Address & Duration at this address *
Your answer
1) Previous Address & Duration at this address
Your answer
2) Previous Address & Duration at this address
Your answer
3) Previous Address & Duration at this address
Your answer
4) Previous Address & Duration at this address
Your answer
Do you have the legal right to work in the United States? *
Have you ever been convicted of a felony? *
If you answered yes to the above question please explain fully here. Conviction of a crime is not an automatic bar to employment, as all circumstances will be considered.
Your answer
Are you currently employed? *
Rate of pay expected?
Your answer
Education (Check those that apply)
Most recent school (Name, City, State):
Your answer
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