Application for Employment   

SAFE Transportation is always accepting applications.  If you think you have what it takes and would like to become a valuable team member, please take a few moments to fill out the application.  All information submitted on the application is confidential and can only be retrieved by SAFE Transportation’s Personnel Department.

Each question should be fully and accurately answered.  No action can be taken on this application until all questions have been answered.  Please contact us if you do not have enough room on this form.  All information given will be available only to those who have a "need to know" or as required by law.  This company will make reasonable accommodation in the application process.  If needed.

This application is current for (30) days, at the conclusion of which time if you have not heard from us and still wish to be considered for employment, it will be necessary to fill out a new application.

Please provide the following information:
First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
E-mail
Job applied for?   

When are you available for employment?     

Which type of employment are you seeking?

Full Time        Part Time        Temporary or Summer

Current / Most Recent Employer
Name of Employer   

Address    

Telephone       

Type of Business       

Employed From           Employed To  

Starting Rate of Pay      Ending Rate of Pay   

Reason for Leaving       

Supervisor's Name and Title       

List the jobs you held, duties performed, skills used or learned, advancements or promotions.


May we contact your current employer?        Yes        No
Next Most Recent Employer
Name of Employer    

Address    

Telephone    

Type of Business    

Employed From:        To:    

Starting Rate of Pay        Ending Rate of Pay    

Reason for Leaving    

Supervisor's Name and Title    

List the Jobs you held, duties performed, skills used or learned, advancements of promotions.
Next Most Recent Employer
Name of Employer    

Address    

Telephone    

Type of Business    

Employed From :       To :   

Starting Rate of Pay      Ending Rate of Pay  

Reason for Leaving    

Supervisor's Name and Title    

List the jobs you held, duties performed, skills used or learned, advancements or promotions.

Have you ever been convicted of a criminal offense? Yes No

If yes, please explain:  

Are you over 18 years of age? Yes No

Are you authorized to work in the United States? Yes No

Do you have a valid driver's license? Yes No

License Number and State Issued

Education (Check last year completed)
Elementary & Jr. High     5     6     7     8

School Name    

High School     9     10     11     12

Name of School    

Major Subjects    

College     1     2     3     4

Name of School    

Major Subjects    

Other (Business, Vocational, Military)  
Please list 3 personal references:

Name

Telephone

Today's Date  

This Employment Application is used to notify and scope of an investigation, if one is conducted include such general identification information as residence verification, and, as applicable, information concerning my employment, education, credit record, general reputation, character, personal characteristics, and habits, and that such information may be developed through personal interviews with third parties. Such as family members, neighbors, friends, associates, former employers, educational institutes, financial sources, custodians of official records or other sources.  Only job-related information developed from such a report will be considered in evaluating me employment application or continued employment.  I hereby authorize these persons, companies, organization or corporation to answer all questions or release any information regarding the items listed in this paragraph.  I hereby release them from any liability and hold them harmless form any claim for releasing any truthful information within their knowledge and/or records.

I authorize the Company to release to any person, firm, entity or organization with whom I may seek employment in the future, any truthful information concerning my work experience with the Company.  I hereby release and hold the Company harmless from any claim for releasing any truthful information within it's knowledge and/or records.

By submitting this form I certify that the answer given by me to the foregoing questions and during any interviews are true and correct without consequential omissions, and understand that, if employed, omissions and/or false statements of this application or during any interviews may result is dismissal.  I understand and agree that, if hired, my employment is for no defined period and either the Employment or I may terminate our relationship at will at any time, without notice or any reason, and that this employment application does not constitute an employment contract.

SAFE Transportation Confidentiality Statement:

In your work you may have access to confidential information.  Many things which you think of as common knowledge may actually be sensitive business information.  Confidential information includes all information acquired during the course of work which in not generally available to the public.  Since many times it is difficult to distinguish between common and sensitive information, the best rule to follow is not to discuss business activities with anyone not directly involved.

          

Copyright © 2002 SAFE Transportation. All rights reserved.
Revised: January 30, 2002