Employment Application ADC Limo






    Employment Application

    Applicant Information






















    Education



















    References

    please list three professional references.
















    Driving Experience

    Class of Equipment

    Type of Equipment(Handicap lift, etc.)

    Dates

    Approx. No. of Miles/Years Driving Vehicle

    From

    To

    Sedan, Non CDL

    Limousine/Small Passenger Van, Non CDL:

    Passenger Van(s)Small Bus CDL License:

    Coach Bus/Other CDL I License:

    What is your accident record for the past three years? Please list if there are any accidents that are still pending.
    ( Attach additional sheets as needed).

    DATE(s)

    LOCATION CITY,STATE

    NATURE OF ACCIDENT( REAR-END, ETC.)

    ANY INJURIES OR FATALITIES?

    LAST ACCIDENT

    NEXT PREVIOUS

    NEXT PREVIOUS


    Please list any traffic convictions or forfeitures for the past three years. Please list any tickets that are still pending (Other than parking violations).

    LOCATION

    DATE

    CHARGE

    PENALTY

    For availability please place an “X” for day available and underneath the day place a time. If you
    are available all day that day please place just an “X” for that day.

    *Non CDL* Previous Employment for the last (3) years





































    Military Service






    If other than honorable, explain:

    Disclaimer and Signature

    I certify that my answers are true and complete to The best of my knowledge. I understand that any information provided by me that is found to be false, incomplete or misrepresented it any respect, will be sufficient cause to (i) eliminate me from further
    consideration for employment, or (ii) may result in my immediate discharge from the employers service, whenever it is discovered. I understand that this employer does not unlawfully discriminate in employment and no question is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law. If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the right to terminate my employment at any time with or without cause and with or without prior notice, except required by law. This application does not constitute an agreement or contract for employment for any specified period or duration. I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an 1-9in this regard.



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