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Driver Work History - Private Fleet

Name

Address

Last:

Street:

First:

City:

Middle:

State:

Social Security
Number:

Zip Code:

Personal

CDL Drivers License Information

Telephone Number:

Class:

E-mail Address:

Number:

Date of Birth:

State:

Availability Date:

Expires on:

Years of
experience:

Have you ever been convicted of a felony?
Yes
No
If yes, explain:

Has your license ever been suspended?
Yes
No
If yes, why?


Any accidents in the last 3 years?
Yes
No

Number of moving violations in the last 3 years?

Current Employer

Name: Phone:
Position: Pay:
From: To:
Past Employer #1
Name: Phone:
Position: Pay:
From: To:
Past Employer #2
Name: Phone:
Position: Pay:
From: To:

Please read the following before submitting:
I understand that my employment is contingent upon satisfactory application and background reports.  I hereby authorize the company to inquire of each of my former employers, references and all other persons having information concerning me. I also authorize the release of my traffic violation record to the company.  This release shall remain in full force and effect until formal withdrawal is filed by me. I acknowledge the company's right to use any recognized investigative technique for the detection of illegal drug or alcohol use or abuse: or for the detection of possession or theft of property on or involving the company's or its customers' property or premises. As a condition of employment, I agree to cooperate fully in any such investigation, including participation in blood or urine test or polygraph test. I understand that this information any any other company documents are not contracts of employment, and that any individual who is hired may voluntarily leave upon proper notice, and may be terminated by the company at any time for any reason. I understand that oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon by any prospective or existing employee or contractor. I also understand that I will be subject to a probationary period. This certifies that I agree with the above information and that all entries on this inquiry are true and complete to the best of my knowledge. I understand that this inquiry I have submitted is voluntary and is not an application, and is used for information purposes only.

TYSON FOODS INC IS AN EQUAL OPPORTUNITY EMPLOYER. WE ENCOURAGE QUALIFIED WOMEN AND MINORITIES TO APPLY.


 

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