APPLICATION FOR EMPLOYMENT Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastDateSocial Security #Present AddressPrevious AddressMain Phone NumberOther Phone NumberEMPLOYMENT DESIRED PositionDate you can startSalary ExpectedEDUCATION Grammar SchoolHigh SchoolGraduatedYesNoCollege NameAddressDegreeLANGUAGES SpokenWrittenAVAILABILITY DaySundayMondayTuesdayWednesdayThursdayFridaySaturdayEMPLOYMENT Employer FromEmployer ToPositionSupervisorPhoneSalaryReason for LeavingAddressREFERENCES Name *Phone Number suspended, Degree School AddressRelationshipDEPARTMENT OF TRANSPORTATION Has your license been suspended, cancelled or revoked within the last 5 years?YesNoHave you had any moving violations within the last 5 years?YesNoPERMISSIONS General consent to background investigation. As a condition of Sunflower Transport LLC, I give permission to investigate my personal, criminal, and employment history. I understand that this background investigation will include, but not limited to, verification of all information on my employment application. Consent to contact previous employers. I give permission to Sunflower Transport LLC to contact all of my prior employers and/or supervisors to discuss relevant personal and employment information. I further give my permission to all current and previous employers and/or supervisors to share and/or discuss any relevant personal or employment related information related to me. I also waive all my rights I may have under the law to receive a copy of any of my former employers to Sunflower Transport LLC. I further agree to indemnify all past employers for any liability they may incur because of their reliance upon this Agreement. Consent to contact private or government agencies. I give permission to Sunflower Transport LLC to arrange for personal and criminal information obtained from any private or governmental agency concerning or relating to me. I consent to the release of such information and waive any rights under the law concerning notification of the request for a release of such information. Cooperation with investigation. I agree to fully cooperate in any background investigation Sunflower Transport LLC does, and to sign any waivers or releases that may be necessary to obtain access to relevant information. In the event that any former employer or federal, state or local governmental agency will not release criminal history information directly to Sunflower Transport LLC, I agree to personally request such information to the extent permitted by law. Guarantee of employment. I understand that this document does not represent a promise or guarantee of employment and that Sunflower Transport LLC may determine not to hire me for any reason. Applicant’s Signature: Clear Signature DateSubmit
