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APPLICATION FOR DRIVER POSITION – CLASS A

In compliance with State and Federal employment opportunity laws, qualified applicants are considered for all positions without regard to race, religion, sex, national point of origin, age, or status as a qualified individual with a disability.

PLEASE DO NOT USE “N/A”, IF THE ANSWER IS NONE, PLEASE TYPE “NONE”

SECTION I – APPLICANT’S INFORMATION

+ Date of Application *

First Name *

Middle Initial

Last Name *

OTHER NAMES ALSO KNOWN AS 🛈

PLEASE LIST THE LAST 2 RESIDENCE ADDRESSES (requires physical address), MOST RECENT FIRST

(1) NUMBER & STREET *

(1) CITY *

(1) STATE *

(1) ZIP CODE *

(1) How Long? *

(2) NUMBER & STREET

(2) CITY

(2) STATE

(2) ZIP CODE

(2) How Long?

LIST YOUR MAILING ADDRESS, IF DIFFERENT FROM RESIDENCE ADDRESS.

(3) NUMBER & STREET

(3) CITY

(3) STATE

(3) ZIP CODE

Phone Numbers

Home

Cell *

Email Address *

Have you worked for Apex before? *

Yes

If Yes: Job Title

From Date +

To Date +

Do you have any relatives employed with Apex? *

Yes

If yes: Job Title

Name

How did you hear about us? *

Expected gross weekly income 🛈

Do you have a legal right to work in the United States *

Yes

Social Security Number *

Date of Birth (MM.DD.YYYY) * +

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Sleeper Truck Driver	Full Time	Local Driver
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