General Employment Application - B&L Transport, Incorporated

To apply for this position, please fill out and submit the form below. If there is a question that does not apply to you, type "none" or "n/a".

Submitting this application grants permission to the company receiving the application to do a background check and/or order HireRight/USIS/DAC Reports, FMCSA Reports, MVR, Pre-employment Screening Program (PSP) Reports, etc.

Applicants may be tested for illegal drugs.

Date *

Personal Information

First Name *

Middle Initial *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Date of Birth *

Are you eligible to work in the United States? *

Yes

No

Have you been convicted of or pleaded no contest to a felony within the last five years? *

Yes

No

If yes, please explain:

POSITION/AVAILABILITY:

Position Applied For *

Salary Desired *

(be specific)

What date are you available to start work? *

Hours Available

Start Time *

:

End Time *

:

Employment Desired *

Full Time

Part Time

Full or Part Time

Education

Name and Address of School *

Degree/Diploma *

Graduation Date *

Skill and Qualifications: Licenses, Skills, Training, Awards *

Employment History

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Present or Last Position

Employer *

Address *

Phone Number *

Supervisor *

Position Title *

Date Started *

Date Ended

Responsibilities *

Salary *

Reason for Leaving *

Previous Position

Employer *

Address *

Phone Number *

Supervisor *

Position Title *

Date Started *

Date Ended

Responsibilities *

Salary *

Reason for Leaving *

May We Contact Your Present Employer? *

Yes

No

Do you have a driver's license? *

Yes

No

Driver's License Number *

What is your means of transportation to work? *

State of Issue *

Expiration Date *

References: Please list two references other than relatives or previous employers

Reference Name/Title/Address/Phone *

Reference #2 Name/Title/Address/Phone *

I, the applicant, certify that information contained in this application is true and complete. I understand that false information may be ground for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Diesel Mechanic - 2nd Shift

Personal Information

POSITION/AVAILABILITY:

Hours Available

Education

Employment History

Present or Last Position

Previous Position

References: Please list two references other than relatives or previous employers