APPLICATION FOR EMPLOYMENT

5771 S Padre Island Hwy, Brownsville, TX 78521

Personal Information


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Address


Previous three years residency


Last residency


Second last residency


Third last residency


CDL information


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Driving experience


Accident record


Traffic convictions and forfeitures


Other


A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?

B. Has any license, permit or privilege ever been suspended or revoked?

C. Have you worked in this company or in a sister company before?

D. How did you find out about this position?

Employment record


Authorizations


I authorize you to make sure investigations and inquiries to 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 the Company.

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: