Crew Leader / Driver New Hire Form Full Name *Date Today *Current Address *Phone *Email *Interest Explanation *Upload CL / Resume *Allowed Type(s): .pdf, .doc, .docxEmployment HistoryPlease List Your Last Two Employers if Applicable. Previous Employer Name *May We Contact Your Previous Employer? * Yes NoPrevious Employer Phone *Start Date *End Date *Job Title *Salary or Hourly? * Salary HourlyDid You Quit? * Yes NoWere You Fired? * Yes NoReason For Leaving? *Previous Employer Name *May We Contact Your Previous Employer? * Yes NoPrevious Employer Phone *Start Date *End Date *Job Title *Salary or Hourly? * Salary HourlyDid You Quit? * Yes NoWere You Fired? * Yes NoReason For Leaving? *Personal & Background InformationLast 4 of SSN *DOB *Do You Have a Valid Drivers License? * Yes NoIf Yes, How Many Points ? *Driver License Number *State of Issue *Have You Ever Been Charged/Convicted of a Crime? * Yes NoIf Yes, This Does Not Bar You From Employment. Please Explain. *ReferencesPlease List Three References. Name *Phone *Relationship to Reference *Name *Phone *Relationship to Reference *Name *Phone *Relationship to Reference *Emergency ContactPlease list a person you would like us to contact in case of an emergency. Name *Phone *Relationship to Contact *AcknowledgementTHE UNDERSIGNED DOES HEREBY ATTEST THAT ALL OF THE INFORMATION GIVEN IS TRUE & ACCURATE. SIMPLY HAULING HAS BEEN GIVEN AUTHORIZATION TO VERIFY ANY AND/OR ALL OF THE INFORMATION PROVIDED. ELECTRONIC SIGNATURE *BY USING THIS FORM YOU AGREE WITH THE STORAGE AND HANDLING OF YOUR DATA BY THIS COMPANY'S WEBSITE. *
