Prescreen Application Drivers

  • Personal Information

  • Employment Desired

  • License

  • StateLicense #TypeExperation Date 
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  • DateNature of AccidentFatalitiesInjuries 
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  • Education

  • What college did you attend?
  • Experience

  • Type of Equipment (Flat, Van, Refr, Box, Tanker)FromToApproximate total miles 
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  • FromToApproximate total miles 
  • Employer

  • CompanyCity/StatePhoneDates (mm/yy - mm/yy)Average SalaryDOT regulated? 
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  • Capability/Reliability

  • Authorization

    I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE. I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS OR MISREPRESENTATIONS WHETHER IN THIS APPLICATION OR IN MY INTERVIEW ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY’S RULES AND REGULATIONS. I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY’S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN ITS PRESIDENT, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING. I agree and understand that the COMPANY or its agents may investigate the applicant’s background, all statements made in this application and/or in the interview to ascertain any and all information of concern to applicant’s record, whether same is of record or not, and I release the COMPANY and its agents from all liability for any damages on account of his/her furnishing such information. I understand that, as an applicant for a position with the COMPANY, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job and the essential job functions. I agree to furnish such additional information and complete such examinations as may be required to complete my employment file. I agree and understand that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigative Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living. I understand that I may obtain a copy of this report by requesting it in writing from the COMPANY. I agree and understand that the taking of a drug and/or alcohol test when given pursuant to the COMPANY policy or Federal or State Law is a condition of continued employment and the refusal to take such test when asked will be grounds for immediate termination. If hired, I agree to abide by all the rules and policies of the employer. IF HIRED, MY EMPLOYMENT IS “AT WILL”.
  • Mile Hi Foods is an equal employment opportunity employer and will consider any applicant equally without regard to race, national origin, color, veteran status, disability as defined by the Americans with Disabilities Act, religion, age, gender, marital status or sexual orientation.