APPLICATION FOR EMPLOYMENT
Please supply as much information as you can. Enotrade is an Equal Opportunity Employer. All applicants are subject to drug screen.
Position applying for:
Name, First:
Middle:
Last:
Date of Birth:
Address, Street:
Apt:
City:
State:
ZIP:
Telephone:
E-Mail:
Social Security #:
 
CDL Drivers license # :
Exp. date:
Do you have legal right to work in the US? Yes No
Driving experience (years) Total :
Local:
Long distance/OTR:
 
Hazardous Materials Endorsment: Yes No
If Yes, explain?:
License ever suspended/revoked? : Yes No
If Yes, where and when?:
Number of moving violations in past 3 years:
Any accidents in the last 3 years?: Yes No
If Yes, at fault ? when ? damage amount?:
Type of equipment operated and number of years each:
 
Last employer:
Phone # :
References (names and telephone numbers):
 
Current employer:
Position:
Dates of employment: From: To:
City/state:
Phone # :
 
Past employer:
Position:
Dates of employment: From: To:
City/state:
Phone # :
Why did you leave?:
 
Past employer:
Position:
Dates of employment: From: To:
City/state:
Phone # :
Why did you leave?:
 

I certify that I personally completed this application and that all of the information is true and correct. I authorize Enotrade , Inc. to conduct a thorough background investigation in accordance with state and federal law and authorize my previous employer to release any information requested by Enotrade and hold them harmless of all liability from the release of said information. I understand DAC Services may provide background reports which may include names and dates of previous employers, reason for termination, work experience, accidents, etc. I further understand that such review may contain public record information concerning my driving record and worker compensation claims. Also, in accordance with the provisions of 49 CFR Part 382.413, I hereby authorize and require my previous and/or current employers specifically listed by me on this application to release the results (including any refusal to test) of all drug and alcohol tests taken by me pursuant to the provisions of 49 CFR while in their employment to Enotrade, Inc. by whatever means is most expedient. I AUTHORIZE WITHOUT RESERVATION ANY PARTY OR AGENCY CONTACTED TO FURNISH THE ABOVE MENTIONED INFORMATION.

NOTE THAT BY SUBMITTING THIS APPLICATION YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO THE ABOVE STATEMENT(S).