Elite Logistics

 ELITE LOGISTICS APPLICATION

 Name  _____________________ Phone _________ Date_____________

Address  _____________________ City ____________ Zip Code_______

Date of Birth: ____________       Email Address ____________________________

Position applying for: ______________________________

Resume Provide : YES / NO Salary Desired:_______________

MVR provided: YES / NO

If NO, list any moving violations in the last 3 years:

___________________________________________________________________

Last Book you read:____________________________

List your top three (3) goals you would like to achieve in the next three (3) years:

1.__________________________________________________________________

2.__________________________________________________________________

3.__________________________________________________________________

Education History:

Please circles the highest grade completed:

                                                 Grade school: 1 2 3 4 5 6 7 8 9 10 11 12

                                                             College: 1 2 3 4    Post Graduate: 1 2 3 4

Employment History:

Give a COMPLETE RECORD of all employment for the past seven (7) years, including any self employment periods.

From __________To__________Name of Company____________________

Position Held____________Phone _______________

Reason for Leaving____________________ Company Phone_____________

Name of Supervisor:_____________________ Can we contact them?  YES / NO 

From __________To__________Name of Company____________________

Position Held____________Phone _______________

Reason for Leaving____________________ Company Phone_____________

Name of Supervisor:______________________ Can we contact them?  YES / NO 

From __________To__________Name of Company____________________                             Position Held____________Phone _______________

Reason for Leaving____________________ Company Phone_____________

Name of Supervisor:_____________________ Can we contact them?  YES / NO 

From __________To__________Name of Company____________________

Position Held____________Phone _______________

Reason for Leaving____________________ Company Phone_____________

Name of Supervisor:_____________________ Can we contact them?  YES / NO

From __________To__________Name of Company____________________

Position Held____________Phone _______________

Reason for Leaving____________________ Company Phone_____________

Name of Supervisor:_____________________ Can we contact them?  YES / NO

From __________To__________Name of Company____________________

Position Held____________Phone _______________

Reason for Leaving____________________ Company Phone_____________

Name of Supervisor:_____________________ Can we contact them?  YES / NO

From __________To__________Name of Company____________________

Position Held____________Phone _______________

Reason for Leaving____________________ Company Phone_____________

Name of Supervisor:_____________________ Can we contact them?  YES / NO

Job References:     

Name  _____________________         Relationship    ________________ 

Email  _____________________               Cell ______________

Name  _____________________          Relationship    ________________ 

Email  _____________________         Cell _____________

Name  _____________________         Relationship    ________________ 

Email  ______________________         Cell _______________

Driving Experience:

Sprinter Van
From __________ To _________
Number of Years _____________

Cube Van
From __________ To _________
Number of Years _____________

Straight Truck
From __________ To _________
Number of Years _____________

Tractor
From __________ To _________
Number of Years _____________

Other
From __________ To _________
Number of Years _____________

List special course/training completed (PTD/DDC,HAZMAT,ETC):__________________

Forklift Experience: YES / NO 

To Be Read and Signed by Applicant:

It is agreed and understood that any misrepresentation given on this application shall be considered an act of dishonesty.

It is agreed and understood that Elite Logistics or its agents may investigate the applicant’s background to obtain any and all information of concern to the applicant’s record, whether same is of the record or not, and applicant’s releases employers and person named herein from all liability for any damages on account of furnishing such information.

It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigating Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living.

I agree to furnish such additional information and complete such examinations as may be required to complete my application file.

It is agreed and  understood that this application in no way obligates Elite Logistics to employ or hire the applicant.

It is agreed and understood that if qualified and hired, I may be on a probationary period during which time I may be disqualified without recourse.

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.

Applicant Signature__________________________

Date___________