APPLICATION FOR EMPLOYMENT Please enable JavaScript in your browser to complete this form.Position Applied ForTruck DriverMechanicAdministrative/ClericalName *FirstMiddleLastEmail *AddressStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCityZip CodePhoneDo you have the legal right to work in the United States?YesNoDate of BirthCan you provide proof of age?YesNoHave you worked for Foster Sales & Delivery before?YesNoReason for LeavingAre you currently employed?YesNoIf not currently employed, how long has it been since leaving last employment?Who referred you?Rate of pay expectedIs there any reason you might be unable to perform the functions of the job for which you have applied?YesNoIf yes, explain if you wish:Employment History Employer NameAddressContact PersonPhone NumberDates WorkedPosition HeldSalary/WageReason for Leaving Employer NameAddressContact PersonPhone NumberDates WorkedPosition Held Salary/WageReason for Leaving Employer NameAddressContact PersonPhone NumberDates WorkedPosition HeldSalary/WageReason for LeavingDriving History Accident Record for Past 3 Years or More Date of Last AccidentNature of AccidentHead on, rear end, upset, etc.FatalitiesInjuriesNext PreviousNature of AccidentHead on, rear end, upset, etc.FatalitiesInjuriesNext PreviousNature of AccidentHead on, rear end, upset, etc.FatalitiesInjuries Traffic Convictions and Forfeitures for the Past 3 Years. (Other than parking violations) LocationDateChargePenaltyLocationDateChargePenaltyLocationDateChargePenaltyEducationHighest Grade Completed123456789101112High School1234College1234Last School AttendedExperience and Qualifications - Driver Driver Licenses StateLicense NumberTypeExpiration DateStateLicense NumberTypeExpiration DateStateLicense NumberTypeExpiration DateHave you ever been denied a license, permit, or privilege to operate a motor vehicle?NoYesHas any license, permit, or privilege ever been suspended or revoked?NoYesIF THE ANSWER TO EITHER OF THESE QUESTIONS IS YES, ATTACH A STATEMENT GIVING DETAILS. Driving Experience Class of EquipmentStraight TruckTractor and Semi-TrailerTractor Two TrailersType of EquipmentVan, tank, flat, etc.Dates From/ToApproximate Number of MilesClass of EquipmentStraight TruckTractor and Semi-TrailerTractor Two TrailersType of EquipmentVan, tank, flat, etc.Dates From/ToApproximate Number of MilesClass of EquipmentStraight TruckTractor and Semi-TrailerTractor Two TrailersType of EquipmentVan, tank, flat, etc.Dates From/ToApproximate Number of MilesList states operated in for the last five years.Show special courses or training that will help you as a driver.Which safe driving awards do you hold and from whom?Experience and Qualifications - OtherShow any trucking, transportation or other experience that may help in your work for this company.List courses and training other than shown elsewhere in this application.List special equipment or technical materials you can work with other than those already shown.To be read and signed by applicantThis certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company. Date *Type your name here. *CommentSubmit