Bee-Line Delivery Employment Application


Employee Application
Driving Experience MUST be Verifiable

First Name
Middle Initial if Applies
Last Name
Address
City
State	Zip
Primary Phone #
Alternate Phone#
Email Address	or N/A
Date of Birth		mm/dd/yy
Social Security # (optional)


# Verifiable Yrs Driving	(tractor trailer)
Most Recent Employer
Employer's Phone #?	or N/A
Position Held There
Hire Date
End Date	or Still there? Yes
Reason for Leaving?
Felony in Lifetime?
CDL Graduation Date	mm/dd/yy or N/A
CDL State
CDL Classification
Have you worked for Bee-Line Delivery Services, Inc. Before? Yes No If Yes, When? mm/yy
Enter Comments Below (optional)

Your Authorization By submitting this application electronically, I certify that I personally completed this application and that all of the information is true and correct. I hereby request and authorize Bee-Line Delivery Service, Inc to cause to be conducted, at any time, an investigation of my background for qualification purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. In connection with my application for employment, I understand that consumer reports which may contain public record information may be requested from DAC Services. I understand that the completion of this form does not assure me of a position with any company or obligate any company in any way. I have completed this application of my own free will and hold Bee-Line Delivery Service, Inc harmless of all liability for providing this application for my use.