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Screening

Contact Information

First Name

Last Name

Address

City

State

ZIP Code

Primary Phone Number (ex: 7012355535)

E-Mail

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Max. size: 100.0 MB

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Screening

After reviewing the requirements of the job desired, are you able to perform the essential functions of the job with or without reasonable accommodation?

Yes No

If hired, can you provide proof that you are legally allowed to work in the United States?

Yes No

Are you capable of performing all of the physical and essential duties of this job as described with or without reasonable accommodations?

Yes No

Are you over 23 with two years of driving history?

Yes No

Are you willing to submit to a Background Check?

Yes No

Have you been convicted of or pled guilty to a DUI?

Yes No

Have you been convicted of or pled guilty to any felony charges in the past seven (7) years?

Yes No

Have you ever been convicted of any criminal charges?

Yes No

If your answer to the previous question was yes, please expand on that.

Are you willing to commit to working 5 days a week for 50 hours a week? NOTE: 11 hours a day with 1 hour break

Yes No

How many years of commercial driving such as taxi driving, truck driving, ride sharing, small package or food delivery, bus driving do you have?

0 1-3 3-5 5-10 10+

Date

Signature Discloser

I certify that my answers are true and complete to the best of my knowledge. If my application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated.

Yes No

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