Driver’s Employment Application

General Shelters of Texas, LTD.

Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or in the presence of a non-related medical condition or disability.

First Name *

Middle Name

Last Name *

Date *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone *

Social Security # *

Are you a U.s. Citizen? *YesNo

If you are not a US citizen, are you eligible to lawfully be employed in this country? *YesNo

Have you applied here before? *YesNo

When? *

Driving

Driver's License # *

State *

Type *

Expiration *

Is this the only current commercial driver's license held? *YesNo

Driving Experience

Class of Equipment

Type of Equipment

Dates of Operation

From-To

Total Miles of Operation

Bus

Type

Dates

Miles

Straight Truck

Type

Dates

Miles

Tractor and Semi-Trailer

Type

Dates

Miles

Other

Type

Dates

Miles

Safe driving awards you now hold and from whom?

Accident Record for the Past 3 Years

Attach additional sheets if needed below

Date of Accident

Nature of Accident

(head-on, rear-end, upset, etc.)

No. of Fatalities or Injuries if Any

Last Accident

Date

Employment History

Start with your present job. Include military assignments and other volunteer activities.

Employer 1

Street Address

City

State/Province

ZIP / Postal Code

Phone

Job Title

Reason for leaving

FromDates of employment

ToDates of employment

Employer 2

Street Address

City

State/Province

ZIP / Postal Code

Phone

Job Title

Reason for leaving

FromDates of employment

ToDates of employment

Employer 3

Street Address

City

State/Province

ZIP / Postal Code

Phone

Job Title

Reason for leaving

FromDates of employment

ToDates of employment

Qualifications

Please give any further information which may be helpful to us in considering your qualifications. *

Read and sign this agreement before submitting the application.

I hereby give General Shelters of TX, LTD the right to make a thorough investigation of my past employment and activities including a check of State Motor Vehicle Records and prior employers, and I release from all liability, all persons, companies and corporations supplying such information.

I agree to furnish such additional information and complete such examinations as may be required to complete the selection process.

I understand that any false answer or statements or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

Date *

Signature *

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