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Employment Application
Date
*
YYYY dash MM dash DD
Name
*
First
Middle
Last
Complete address including city and zip code
*
Phone number
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Date of birth
Driver license number
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Insurance carrier on vehicle
*
Insurance policy number
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Person to contact in case of emergency (include name and phone number)
*
Email Address
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How did you find out about this position
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Do you have a legal right to remain in the U.S.A. and accept full time work?
*
How long have you lived in the Greater Los Angeles Metropolitan area?
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What areas of L.A. have you primarily lived in?
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Do you have any outstanding traffic tickets?
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Do you have any night time commitments? (school, other jobs etc...)
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How many miles are on your vehicle?
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What is the year, make and model of your vehicle?
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Employment history. Please provide your most recent or current job, your position and employer's business name and address
*
Dates of employment
*
Reason for leaving
*
Employment history. Please provide your other most recent or current job, your position and employer's business name and address
*
Dates of employment
*
Reason for leaving
*
Employment history. Please provide your other most recent or current job, your position and employer's business name and address
*
Dates of employment
*
Reason for leaving
*
Please provide a professional reference *(must be a former manager or coworker)
*
Please provide a professional reference *(must be a former manager or coworker)
*
High School Name, City and State
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High School Graduate?
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Yes
No
College Name, City and State. Degree or grade completed
*
On surface streets, are you more likely to be in the fast (lane1) or the second lane, lane 2?
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What is your preferred GPS application? How would you rank your experience with it on a scale of 1-5?
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Please tell us how you would be a great fit for this position?
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Are you comfortable speaking with customers on the phone to coordinate delivery details?
*
