CALL US TODAY! 770-536-4731 HOME ABOUT SERVICES MULCH YARD EMPLOYMENT CAREER OPTION PORTFOLIO CONTACT Grading 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 the 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 List complete mailing address, street number, city, state and zip code. EMPLOYER (MOST RECENT) DATE EMPLOYER DATE EMPLOYER DATE EDUCATIONAL AND EXPERIENCE 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 EXPERIENCE AND QUALIFICATIONS List all equipment you can operate: List courses, certifications and any special training that would help with he position applied for: 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 describe in the attached job description)? If yes, explain if you wish: If hired, when can you start? Please list any questions or comments that you may have: 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. 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 3. PAST EMPLOYMENT SUPERIOR GOOD FAIR BELOW AVERAGE POOR WRITTEN RECORD ON FILE 4. WRITTEN EXAM SUPERIOR GOOD FAIR BELOW AVERAGE POOR WRITTEN RECORD ON FILEWRITTEN RECORD ON FILE 5. ROAD TEST SUPERIOR GOOD FAIR BELOW AVERAGE POOR WRITTEN RECORD ON FILE 6. CRIMINAL/TRAFFIC CONVICTIONS SUPERIOR GOOD FAIR BELOW AVERAGE POOR WRITTEN RECORD ON FILEWRITTEN RECORD ON FILE SIGNATURE OF INTERVIEWING OFFICER: TRANSFERS TERMINATION OF EMPLOYMENT 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