On Line Initial Driver Application



First Name: 
Last Name: 
Address:
City:
State:
Zip:
Telephone:
E Mail:
SS#:
Drivers License #:
License State:
Birthdate (MM-DD-YY):
CDL?: Yes No
HazMat Endorsement?:  Yes No
Referred By:
Experience: Years Months

Has your license ever been suspended or revoked?      Yes No
Have you ever been convicted of a DUI?                   Yes No
Has you ever been convicted of a Felony?  Yes No

Employment History

1.) Company Name:
     Phone:    
     Employed From:      Employed To:
     Position:     

2.) Company Name:
     Phone:    
     Employed From:      Employed To:
     Position:     

3.) Company Name:
     Phone:    
     Employed From:      Employed To:
     Position:     

Upon submission, I certify that I personally completed this application for the purpose of employment and that all the information is true and correct. I authorize Comtrak Logistics, Inc. to do a complete background investigation in accordance with federal and state laws. I authorize release of any information by any former employers and hold them harmless of any liability from release of said information.


 

home | about us | services offered | location  
employee services | rates | look at us | employment
Copyright © 2010 Comtrak Logistics, Inc.