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HR Express
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Hr Express Drivers





Career service Provider

HR Express & Logistics is a fast growing, dynamic delivery Courier Service. We are always looking for Employee Drivers in and around the Greater Los Angeles Area to provide Courier Service. If you think you'd make a good driver and fit our culture, please fill out this application. We will be in contact with you shortly.

We are your choice for a Driver Job in Los Angeles. Several different driver positions in Los Angeles are available.

  Driver Application
 Personal Information
 
 First Name  Middle Name
   
 Last Name  Phone Number
   
 Emergency Phone Number  Age
   
 Date of Birth  Social Security Number
   

* The age discrimination of employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less then 70 years of age.

  *E-Mail
   
 Current and Three Years Previous Addresses
  
  Address   From   To
     
     
     
     
 Present or Last Employer:
 Name  Street
   
 City   State / Zip Code
   
 From  To

   
 Position Held  Reason for Leaving
   
 Previous Employer:
 Name  Street

   
 City   State / Zip Code
   
 From  To
   
 Position Held  Reason for Leaving
   
 Previous Employer:
 Name  Street
   
 City   State / Zip Code
   
 From  To
   
 Position Held  Reason for Leaving
   
 Driving Experience
Class of Equipment Date Approximate # of Miles
From To
 Straight Truck    
 Car    
 Other  
List states operated in for the last five years:

List special courses/training completed (PTD/DDC, HazMat, etc)
   
 List any safe driving awards you hold and from whom:
 Award  From
   
   
   
 Accident record for past three years:
 Date of Accident Location of Accident # of Fatalities # of people Injured
Nature of Accident (Head on, rear end, upset, etc.)
 
 Nature of Accident (Head on, rear end, upset, etc.)
 
Nature of Accident (Head on, rear end, upset, etc.)
 
 Traffic Convictions and Forfeitures for the last three years
 (other than parking violations)
Date Location Charge Penalty
 Driver License (List all driver's license held in the past three years)
State License # Type Endorsements Expiration Date
A Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes No
B Has any license, permit or privilege ever been suspended or revoked? No
C Have you ever been convicted of a felony? Yes No

If answer A, B, or C is yes, give details    
 Personal References
 Name  Address  Phone #
     
     falsi
     

It is agreed and understood that any misrepresentation given on this application shall be considered falsification of information.

I give the motor carrier and its agents or representatives the right to investigate all references and to secure additional information about my employment background. I hereby release from all liability for damages the motor carrier and its agents or representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

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

It is agreed and understood that this application for qualification in no way obligates the motor carrier to employ me.

It is agreed and understood that if qualified to operate motor carrier equipment. I may be on a probationary period, during which I may be disqualified without recourse.

I certify that I have read, fully understand and accept all terms of the foregoing application statement. I agree that the electronic submission of this application acts as my signature for all legal purposes pertaining to this application.

 Applicant

Date

 

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