FREE estimates! Call 434-239-5386Application For Employment"*" indicates required fieldsStep 1 of 616%Equal Employment Opportunity Statement:Employment decisions will be based on the principles of equal opportunity. All personnel actions (recruiting, hiring, training, promotion, compensation, etc.) are administered without regard to any characteristic protected by state, federal or local law, assuming said characteristic does not interfere with the performance of essential job functions.Reasonable accommodations will be made for disabilities and religious beliefs. Please inform us of any necessary accommodations to the application process.Personal InformationDate of Application* MM slash DD slash YYYY Applicant Name* First Middle Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Social Security Number*Position(s) Applied For*Salary Expected*How did you learn about Bee Line Transport, Inc.? Advertisement Employee Referral Employment Agency OtherSpecify*Employment HistoryHave you applied for a position with us before?* No YesDate* MM slash DD slash YYYY Have you ever been employed with us before?* No YesDate* MM slash DD slash YYYY Position*Are you currently employed?* No YesAre you currently on “lay-off” status and subject to recall?* No YesOn what date would you be available for work?* MM slash DD slash YYYY Are you available to work? Full-time Part-time All shifts TemporaryCan you travel for work if necessary?* Yes NoAre you legally permitted to work in the United States?* Yes NoNOTE: Proof of eligibility will be required within three working days of employment.Are you 18 years of age or older?* Yes NoHave you been convicted of a felony within the last 7 years?* No YesNOTE: Such conviction does not necessarily prevent you from employment. Bee Line Transport, Inc. is an equal opportunity employer.Explain*Are you willing to take drug tests at the Company’s request?* No YesHave you ever gone by a name other than the one listed above?* No YesPlease list*EducationList the last 3 schools attended.Name of School*Location*Years Completed*Degree/Major*G.P.A.*Diploma obtained?* Yes NoName of SchoolLocationYears CompletedDegree/MajorG.P.A.Diploma obtained? Yes NoName of SchoolLocationYears CompletedDegree/MajorG.P.A.Diploma obtained? Yes NoMilitary ServiceHave you ever served in the U.S. military?* Yes NoNOTE: If you answered “no” to the above question, please skip the rest of this section.What was the length of your military service?*YearsMonthsWhat was your rank at time of discharge?*What type of training and work experience did you receive while in the military?*Describe how you most benefited from being in the service:*Describe how you least benefited from being in the service:*Employment HistoryEmployer #1*Supervisor*Address*Phone*Position Title and Duties*Employment DetailsStarting DateEnding DateStarting PayEnding PayWhy did you leave this job?*May we contact this employer?* Yes No LaterEmployer #2SupervisorAddressPhonePosition Title and DutiesEmployment DetailsStarting DateEnding DateStarting PayEnding PayWhy did you leave this job?May we contact this employer? Yes No LaterEmployer #3SupervisorAddressPhonePosition Title and DutiesEmployment DetailsStarting DateEnding DateStarting PayEnding PayWhy did you leave this job?May we contact this employer? Yes No LaterReferencesList*NamePhone NumberYears Known Add RemoveCertification I certify that the information provided in this application is true, to the best of my knowledge.Agreement I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the Company. If I become employed by the Company, I agree to follow all rules and regulations of the Company as they develop and change.Background Investigation I allow the Company to conduct investigations on me, my background and my performance, and am aware that such investigations will become a part of my employment record. With this, I authorize the Company to speak with my acquaintances, personal and professional, to gather information about me.Authorization & Liability Release I authorize all former employers and references to provide any information about me to the Company, and release them of liabilities and damages of all kinds for providing this information. I authorize the Company to verify the accuracy of the information within this application. I also authorize the release of my educational transcripts to the Company for education verification purposes.Liability Release I release Bee Line Transport, Inc. from liability for collecting information about me and using it to make employment decisions.Employment Relationship If I become employed by the Company, I understand that the employment relationship will be “at will,” and that the “at will” status may not change at any time unless specifically approved, in writing, by the CEO of the Company.Employee Responsibility I agree that if I become indebted to the Company, I will be responsible for repaying the total owed upon termination from the Company. If I do not repay the sum prior to my final paycheck being received, the money owed will be deducted from my pay.Timeframe This application for employment is valid for the next 90 days. I understand that if I wish to be considered for employment after this period of time, I must apply again.Proof of Identity*Max. file size: 8 MB.Signature*Date* MM slash DD slash YYYY CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.