CALL US TODAY! 770-536-4731 HOME ABOUT SERVICES MULCH YARD EMPLOYMENT CAREER OPTION PORTFOLIO CONTACT Driver Application For Employment In compliance with Federal and State equal employment opportunity laws, qualifed applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability. Name List your addresses (starting with the most current) for the past 3 years: Current Address: Previous Addresses Do you have teh legal rigth to work in the United States? Yes No Have You Worked For This Company Before? Yes No Dates: Are you now employed? Yes No Employment History All the driver applicants to drive in interstate commerce must provide the following information on all employees during the preceding 3 years. List complete mailing address, street number, city, state, and zip code. Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an additional 7 years’ information on those employers for whom the applicant operated such vehicle. (NOTE: List employers in reverse order starting with the most recent. Add another sheet as necessary.) EMPLOYER DATE Position Held EMPLOYER Address DATE EMPLOYER DATE *- Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 15 or more passengers, or any size vehicle used to transport hazardous materials in a quantity requiring placarding. DRIVING RECORD FOR THE PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED) IF NONE, WRITE NONE. DATES DATES DATES TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS) IF NONE, WRITE NONE (ATTACH SHEET IF MORE SPACE IS NEEDED) EDUCATION HIGHEST GRADE COMPLETED 1 2 3 4 5 6 7 8 HIGH SCHOOL 1 2 3 4 COLLEGE 1 2 3 4 LAST SCHOOL ATTENDED: 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? YES NO (If the answer is to either A or B is yes, attach a statement giving details) DRIVER EXPERIENCE (If none, write none) CLASS OF EQUIPMENT STRAIGHT TRUCK TRACTOR AND SEMI-TRAILER TRACTOR - TWO TRAILERS MOTORCOACH-SCHOOL BUS OTHER List states operated in for the last five years Show special courses or training that will help you as a driver Which safe driving awards do you hold and from whom EXPERIENCE AND QUALIFICATIONS - OTHER Show any trucking, transportation, or other experience that may help in your work for this company List courses and training other than shown elsewhere in this application List any special equipment or technical materials you can work with (Other than those already shown) Is there any reason you may be unable to perform the functions of the job for which you have applied (as described in the attached job description)? If yes, explain if you wish TO BE READ AND SIGNED BY THE APPLICANT 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. I authorize you to make such investigations and inquires of my personal, employment, financial, medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquires regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understood, also, that I am required to abide by all rules and regulations of the Company. PROCESS RECORD / EVALUATION (IF REJECTED, SUMMARY REPORT OF REASONS SHOULD BE PLACED IN THE FILE) THIS SECTION TO BE FILLED IN BY RESPONSIBLE OFFICER OR COMPANY REPRESENTATIVE 1. APPLICATION SUPERIOR GOOD FAIR BELOW AVERAGE POOR WRITTEN RECORD ON FILE 2. INTERVIEW SUPERIOR GOOD FAIR BELOW AVERAGE POOR WRITTEN RECORD ON FILEWRITTEN RECORD ON FILE BROWSE OUR WEBSITE Home About Services Mulch Yard Employment Driver Application Grading Application Career Option Portfolio Contact CONTACT INFORMATION Address: 1364 Candler Rd Gainesville, Ga. 30507 Phone: 770-536-4731 Fax: 770-503-0289 Email: haleysimpson@simpsontrucking.com HOURS OF OPERATION Office : Mon - Thu 7:00 am - 6:00 pm Friday 7:00 am - 5:00 pm Sat - Sun Closed Mulch Yard: Mon - Fri 8:00 am - 5:00 pm Saturday 8:00 am - 2:00 pm Sunday Closed Let's Talk! Thanks for stopping by! We're here to help, please don't hesitate to reach out. Schedule Now