Name :
Present Street Address :
State :
Street How long have you lived in the area?
E-mail Address :
General
Position applied for
Are you 21 years of age or older?
yes
No
Security
City Telephone
Cellular
Part time
yes
No
Full time
yes
No
Are you able to work a night shift, overtime, or weekends if needed?
yes
No
Are you legally eligible for employment in this country?
yes
No
Are you willing and able to meet travel requirements?
yes
No
Have you been previously employed by the Company?
yes
No
Are you employed now?
yes
No
Have you previously applied for work here?
Driver's license number ( if driving is a part of job function )
How did you hear about this position?
State Employment Source Newspaper
Employment Guide Newspaper
Internet
Other
Have you ever been convicted of or pled guilty to a felony or misdemeanor which has not been expunged, annulled, sealed or statutorily eradicated by the Court?
yes
No
(A conviction or plea of guilty will not necessarily be a bar to employment. Please describe the nature of the conviction or guilty plea, the date, and your rehabilitation since that time.)
(Conviction will not necessarily be a bar to employment. Each instance and explanation will be considered in relation to the position for which you are applying.)
Military Service Record
Have you served in the Armed Forces of the United States?
yes
No
Date of entry in service
Date of discharge
Military training/awards received No Branch of Service Rank at discharge
Education
Employment History
To drive in interstate commerce all driver applicants must provide the following information on all employers during the last three years. List complete mailing address, street number, city, state, and zip code.
Applicants to drive a commercial motor vehicle* in intrastate commerce must also provide an additional seven years information on those employers for whom the applicant operated such vehicle. * Include vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 15 or more passengers, or any size vehicle used to transport hazardous materials in a quantity requiring placarding. List employers in reverse order - starting with the most recent. Add another sheet as necessary.
Unemployment Record
Account for all periods of unemployment of 1-month duration or more since you left school (or last 3 years) until the present time.
References
List name and telephone number of three business/work references who are not related to you.
Please Read Before Signing
This Employment Application will remain active for 30 days. If you are hired by the company, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.
As required by the Americans with Disabilities Act: During the interview process you may be asked about your ability to perform job- related functions. I f you are made a conditional offer of employment you may be required to complete a post-job offer medical history questionnaire and/or undergo a medical examination. All candidates for the same job will be subject to the same medical questionnaire and/or examination and all such information will be kept confidential and in separate files.
I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company.
I understand that any employment is conditioned on a background check. I authorize the Company to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the Company, without giving me prior notice of such disclosure. In addition, I release the Company, any former employers and all references listed above from any and all claims, demands, or liabilities arising out of related to such investigation or disclosure.
I understand and agree that nothing contained in this application, or conveyed during my interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or the Company. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the Company unless made in writing.
If I am offered employment I agree to submit to a drug test before starting work. If employed, I also agree to submit to a drug test at any time deemed appropriate by the Company and as permitted by law. I consent to such testing and I request that the examining doctor disclose to the Company the results of the examination, which results shall remain confidential and segregated from my personnel file. Furthermore, I agree to submit to a drug test at any time deemed appropriate by the Company and as permitted by law. I consent to such testing and I request that the examining doctor disclose to the Company the results of the examination, which results shall remain confidential.
I understand that filling out this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies, and procedures. The Company retains the right to revise its policies or procedures, in whole or in part, at any time.
I agree to be a self-employed/contract/freelance worker/independent contractor, who is technically self-employed.
I agree not to file unemployment so I am not eligible to receive unemployment benefits.
I agree to be fired for a justifiable cause. For example, if your employer alleges misconduct (such as violating a company policy, abuse of company equipment or verbal 'insult' and 'slur') or some other inappropriate/illegal behavior.
I agree to be an independent contractor responsible for paying my own taxes to the IRS and to the state tax department.
I agree to be as an independent contractor who is not to be entitled to benefits, even mandated by law like unemployment and worker's compensation, because I am not employees of Frisco Limousine. I agree to be solely responsible for securing my own medical, dental, and long-term care insurance and all others financial compensation benefits such as unemployment, auto insurance, and all other benefits direct or indirect with no exceptions .
I agree that as an independent/self-emploted contractor, I am required to file my own W9 form
I understand and agree that I will be employed by one of the Frisco Limousine group of companies and that the identity of such employer may change from time to time within such group of companies, in the sole discretion of the Company.
Driving Policy Agreement and MVR Release Form
Purpose:
No applicant will be hired into a position that requires driving as a key aspect of the position, nor will any existing employee be allowed to drive a personal car on Company business or a Company owned leased or rented vehicle, unless the requirements set forth in this procedure have been met.
Scope:
This procedure pertains to any applicant for positions requiring driving, as well as all existing employees who drive a Company owned, leased or rented vehicle or a personal vehicle on Company business. Satisfactory driving performance and behavior is essential for the safety of our employees and the public.
Basic Requirements to Drive:
Applicants and employees must have a valid driver's license. A hardship or restricted license, or learner's permit are not a valid license per this policy.
Employment with Frisco Limousine is contingent upon having an acceptable Motor Vehicle Record (MVR). Applicants must authorize Frisco Limousine to run an MVR
Applicants may be disqualified for employment or driving positions if:
1. The MVR indicates that the applicant's driver's license is currently suspended, revoked, or cancelled, including for administrative reasons (non-safety related).
2. Drivers indicate at risk driving behaviors by evidence of MVR records, call in complaints, direct observation by company employees, preventable collisions or any other valid source.
MVR Release and Policy Agreement:
In connection with any application made by me, I understand that investigative background inquiries may be made on me regarding motor vehicle information. I understand that you may be requesting information from various government agencies which maintain records concerning past driving records.
I
authorize without reservation, any party or agency contacted to furnish the above mentioned information and release all parties involved from any liability for doing so. I hereby consent to my employer, Frisco Limousine, obtaining such information. I recognize that these inquiries may be made randomly in the future and no further authorization is required by me.
I understand the importance of driving defensively safely and that if the company determines my driving record indicates evidence of at risk driving, as described above, my employment can be terminated.