Driver Employment Application

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Data submitted by this form will be used by Markstein Sales Company and no one else. We ask for your full name and phone number so our human resources representatives can expedite the hiring process for potential candidates. Any additional information can be found in our Privacy Policy Notice.

Post offer background checks, physical and drug screen are required for all positions.

Personal Information

First Name*

Middle Initial

Last Name*

E-mail*

Home Telephone*

Mobile Telephone

Best Time To Contact* AM PM

Present Address

Street and Apt. #* City* State* Zip Code* Permanent address is same as Current Address

Permanent Address

Street and Apt. # City State Zip Code

Address for past three years, if different from present address

Street and Apt. #

City

State

Zip Code

Position Applying For

All applications must attach a copy of a current DMV printout, CA Drivers License and Proof of Auto Insurance. Accepted upload file types: PDF, jpeg, jpg, tiff.

Position Applying For*

Upload Your DMV Printout

Upload Your CA Drivers License

Upload Your Proof of Auto Insurance

Upload Your Resume

Are you applying for regular full-time work?* Yes No

Are you applying for regular part-time work?* Yes No

Are you applying for temporary work e.g. summer or holiday work?* Yes No

What days and hours are you available for work?*

If applying for tempoary work, during what time period will you be available?

Are you available for work on weekends?* Yes No

Will you be available to work overtime, if necessary?* Yes No

When would you be able to start?

How did you hear Markstein Sales Company?

If other, please describe

Military Information

If you answer "Yes" to Military service, please enter the rest of the Military Service information.

Have you obtained any special skills or abilities as the result of service in the U.S. Military? Yes No

If so, describe

Employment History

Current Employer

Are you currently employed?* Yes No May we contact? Yes No Employer Address City State Zip Code Telephone Your Position Duties Start Date End Date Supervisor Reason for leaving

Past Employer #1

Please list below all present and past employment starting with your most recent employer (the last
10 years is sufficient). Account for all periods of unemployment, attach additional pages if necessary.

You must complete this section even if attaching a resume.

Attach an additional sheet if more space is needed (upload field available at the end of this section - accepted file types: pdf, doc, docx, rtf, txt)

Note: DOT Requires that Employment for at least 3 Years and/or Commercial Driving Experience for the Past 10 Years be shown.

Employer Address City State Zip Code Telephone Type of business Supervisor Your Position Duties Start Date End Date Reason for leaving May we contact? Yes No

Past Employer #2

Employer Address City State Zip Code Telephone Type of business Supervisor Your Position Duties Start Date End Date Reason for leaving May we contact? Yes No

Past Employer #3

Employer Address City State Zip Code Telephone Type of business Supervisor Your Position Duties Start Date End Date Reason for leaving May we contact? Yes No

Past Employer #4

Employer Address City State Zip Code Telephone Type of business Supervisor Your Position Duties Start Date End Date Reason for leaving May we contact? Yes No

Additional Employment Record Information

Education

High School

Did you attend high school? Yes No

Name & Address

Did you graduate? Yes No

If you did not graduate, did you receive your GED? Yes No

Special honors or awards

Technical or Vocational School

Did you attend Technical or Vocational school? Yes No

Name & Address

Did you graduate? Yes No

Degree or Certification

Specialty

Special honors or awards

College or University

Did you attend college or university? Yes No

Name & Address

Did you graduate? Yes No

Degree or Certification

Specialty

Special honors or awards

College or University

Did you attend a second college or university? Yes No

Name & Address

Did you graduate? Yes No

Degree or Certification

Specialty

Special honors or awards

Driver Experience. Training and Qualifications

State

License Number

Type

Expiration Date

State

License Number

Type

Expiration Date

State

License Number

Type

Expiration Date

Type of Equipment (Van, Tank, Flat, etc.)

From

To

Approximate number of miles

Type of Equipment (Van, Tank, Flat, etc.)

From

To

Approximate number of miles

Type of Equipment (Van, Tank, Flat, etc.)

From

To

Approximate number of miles

Traffic Convictions

Location

Date

Charge

Penalty

Location

Date

Charge

Penalty

Location

Date

Charge

Penalty

License History

Have you ever been denied a license, permit or privilege to operate a motor vehicle?* Yes No

Has your license/certification ever been revoked or suspended?* Yes No

If yes to either questions above, please give a statement of details

References

List three professional references that are not physically related to you

Reference #1

Name* Position* Company* Address* City* State* Zip Code* Telephone* Years known*

Reference #2

Name* Position* Company* Address* City* State* Zip Code* Telephone* Years known*

Reference #3

Name* Position* Company* Address* City* State* Zip Code* Telephone* Years known*

Position Information

Acknowledgement

Please Read Carefully, Initial Each Paragraph and Sign Below

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.*

I hereby authorize the company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.*

I hereby agree to submit to binding arbitration all disputes and claims arising out of the submission of this application. I further agree, in the event that I am hired by the company, that all disputes that cannot be resolved by informal internal resolution which might arise out of my employment with the company, whether during or after that employment, will be submitted to binding arbitration. I agree that such arbitration shall be conducted under the rules of the American Arbitration Association. This application contains the entire agreement between the parties with regard to dispute resolution, and there are no other agreements as to dispute resolution, either oral or written.*

I understand that nothing contained in the application, or conveyed during any interview, which may be granted or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the company's designated representative.*

Signature

I, the applicant for this Employment Application, warrant the truthfulness of the information provided in this application.

(Type in their name as you would normally sign an official document)

I understand that checking this box constitutes a legal signature confirming that the above application form was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.* Electronic Signature* Date

Anti-SPAM

Thank you for your interest in working with Markstein Sales Company

We are always on the lookout for exceptional talent to join our team.

Your application has been received and will be reviewed by our Human Resources team. If your skills and experience are a match for any of our open positions, you will be contacted for an interview.

Please note: Due to the large number of applications we receive, we are unable to respond to telephone inquiries regarding the status of individual applications at this time.

Employment History

Education

References

Position Information

Thank you for your interest in working with Markstein Sales Company

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