Street Fleet | World-Class Courier Service

Employment Application

Applicant Information

First Name:

MI:

Last Name:

SS #:

Email Address:

Address:

City:

State:

Zip Code:

Day Phone:

(digits only)

Evening Phone:

(digits only)

Date available for employment

Desired salary:

Date:

Position:

Are you a citizen of the United States? Yes No

If no, are you authorized to work in the United States? Yes No

Have you ever worked for this company? Yes No
If yes, when?

Do you have any physical disabilities that would preclude you from performing the work for which you are considered?
Yes No NOTE: DRIVER POSITIONS HAVE A MINIMUM LIFTING REQUIREMENT OF 50 LBS
If yes, explain:

Education

	Name and Location	Course of Study	Years Completed	Cert, Diploma or Degree
High School or Equivalent
Postsecondary Vocation School
College or University
Other Education/Special Training/ Military Schools

Employment History (Most Recent Jobs First)

Company:

Dates:

Address:

Supervisor:

Phone:

May we contact your
supervisor/employer?

Yes No

May we contact
you at work?

Yes No

Job title and duties:

Company:

Dates:

Address:

Supervisor:

Phone:

May we contact your
supervisor/employer?

Yes No

May we contact
you at work?

Yes No

Job title and duties:

Company:

Dates:

Address:

Supervisor:

Phone:

May we contact your
supervisor/employer?

Yes No

May we contact
you at work?

Yes No

Job title and duties:

Company:

Dates:

Address:

Supervisor:

Phone:

May we contact your
supervisor/employer?

Yes No

May we contact
you at work?

Yes No

Job title and duties:

Military Service

Branch:

Dates:

Rank at discharge :

Discharge type:

If other than honorable, explain:

References
Please list three professional references.

Name:

Occupation:

Address:

Phone:

Name:

Occupation:

Address:

Phone:

Name:

Occupation:

Address:

Phone:

I hereby give Street Fleet Courier Service the right to make a thorough investigation of my past employment, education
and activities and I release from all liability all persons, companies, schools and corporations supplying such
information. I indemnify Street Fleet Courier Service against any liability which might result from making such an
investigation. I understand that any false answer or statements or implications made by me in this interview or on the
application for business relationship may be considered cause for denial of business relationship.

To apply for this position, click the "Submit Application" button to indicate that you understand and accept these terms. Your application will then be submitted. If you are the successful candidate, you will be asked to sign a copy of this application.