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General Employment Application

This is an application for general employment. If you are applying as a driver, click here.

Complete all applicable information. Incomplete applications will not be processed.

Position Applying for:

Name of Applicant

First Name
Middle Name
Last Name
Maiden Name, if any

Home Address

Street
City
State
ZIP Code

Home Phone Number

Emergency Contact

Emergency Contact Name
Relationship
Emergency Phone Number

List all addresses at which you have resided during the last three (3) years

Most Recent

Street Address
City
State
ZIP Code
Years at this location

Next Previous

Street Address
City
State
ZIP Code
Years at this location

Next Previous

Street Address
City
State
ZIP Code
Years at this location
Use this space for additional locations. Include the address and number of years.
Date of Birth
Can you provide proof of age?
yesno
Do you have the legal right to work in the United States?
yesno
If yes, please provide legal documentation
Driver's License #
State of Issue
Expiration Date
Social Security Number

Education

High School

Years Complete
Name of School
City
State
Graduated
yesno

College

Years Complete
Name of School
City
State
Graduated
yesno

Tech School

Years Complete
Name of School
City
State
Graduated
yesno

Other

Years Complete
Name of School
City
State
Graduated
yesno

Work History

Attach your resume (pdf, doc, txt, rtf) file size limit: 1Mb
Have you ever been contracted or employed at Cannonball Trucking, Inc. before?
yesno    If yes give dates:
From:
To:
Do you currently have any relatives contracted to or employed by Cannonball Trucking, Inc?
yesno
If yes, whom?:
Do you have any previous commercial driving experience?
yesno
If yes, give details below

List all positions held in the last ten (10) years

LAST EMPLOYER
Address
Supervisors Name
Position
From:
To:
Salary
Contact Name
Phone
If Driver, type(s) of equipment operated
States Travelled
Reason for Leaving
2nd LAST EMPLOYER
Address
Supervisors Name
Position
From:
To:
Salary
Contact Name
Phone
If Driver, type(s) of equipment operated
States Travelled
Reason for Leaving
3rd LAST EMPLOYER
Address
Supervisors Name
Position
From:
To:
Salary
Contact Name
Phone
If Driver, type(s) of equipment operated
States Travelled
Reason for Leaving
4th LAST EMPLOYER
Address
Supervisors Name
Position
From:
To:
Salary
Contact Name
Phone
If Driver, type(s) of equipment operated
States Travelled
Reason for Leaving
5th LAST EMPLOYER
Address
Supervisors Name
Position
From:
To:
Salary
Contact Name
Phone
If Driver, type(s) of equipment operated
States Travelled
Reason for Leaving
Use the space below, as needed, for more employment records

How did you hear about Cannonball Trucking, Inc. for a driving career?

OnlineWebsiteRecruitment resourceNewspaper AdTelevisionOther
If other, please specify
If personal reference, please give name

Certification

I authorize Cannonball Trucking, Inc. to make an investigation of any information in this application, and I release from liability all companies supplying such information. I understand that any false answers or statements made by me in this application shall be considered sufficient cause for my denial of contract and/or employment or termination of employment and/or contract. Upon termination of my contract, for whatever reason, I release Cannonball Trucking, Inc. from all liability for supplying any information concerning my work history to any potential employer. I authorize Cannonball Trucking, Inc. to request a copy of my motor vehicle driving record. I will also submit to a drug screen in accordance with the company's substance abuse policy.

This certifies that I completed this application and that all information given is true and correct to the best of my knowledge.

Applicant Name
Date Signed

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