Employment Application Applicant InformationDateLast Name *First Name *Middle InitialDate of Birth *Street Address *Apartment, suite, etc.CityState / ProvinceZIP / Postal codePhone Number *Email Address *S.S Number *Are you a citizen of the United State? *YesNoIf no, are you authorized to work in the US?YesNoHave you ever been convicted of a felony? *YesNoDrivers License and RecordDrivers License # *State Issued *Exp Date *Have you ever had your drivers license suspended or revoked? *YesNoDo you have a clean driving record with no recent accidents/violations? *YesNoDriving ExperienceHow many years of driving experience do you have? *Have you ever operated a large vehicle or commercial vehicle?YesNoIf yes, please describe your experienceHave you ever worked as a rideshare driver (Uber, Lyft) or in a similar role?YesNoIf yes, please provide details and datesAre you familiar with local roadways and traffic patterns in Miami and the surrounding areas?YesNoDo you have any medical condition that prohibits you from operating a commercial vehicle?YesNoAvailabilityWhen are you available to start work?How many hours per week are you available to work?Are you available to work flexible shifts, including evenings, weekends, and holidays?YesNoWhat is your preferred schedule?WeekdayWeekendBothMilitary ServiceAre you a military veteran or currently serving in the military?YesNoPrevious Employment and EducationPlease provide information on your current or most recent employment and up to 2 prior positions.Current or Most Recent PositionCompanyAddressJob TitleDate (from)Date (To)SupervisorPhoneEmailResponsibilitiesMay we contact your supervisor at this phone number for a reference?YesNoPrevious Employer #1CompanyAddressJob TitleDate (from)Date (To)SupervisorPhoneEmailResponsibilitiesMay we contact your supervisor at this phone number for a reference?YesNoPrevious Employer #2CompanyAddressJob TitleDate (from)Date (To)SupervisorPhoneEmailResponsibilitiesMay we contact your supervisor at this phone number for a reference?YesNoEducationWhat is the highest level of education you have completed?Disclaimer and SignatureI certify that my answers are true and complete to the best of my knowledge.If this application leads to employment, I understand that false, misleading, or omitted information in my application orinterview process may result in termination.Signature (Type your name)DateUpload Drivers LicenseChoose FileNo file chosenDelete uploaded fileSend Message
