|
To
apply:
Type your information in the fields and click the
"submit" button.
(
*
Indicates
a required area )
or
Print this page and mail or fax to one of the addresses
below,
C/O Human Resources.
Each
member of the Team MUST complete and submit the
application.
Questions ?
Contact Recruiting - 800 928-4030
|
Oswego,
New York
1850 County Route 1
Oswego, New York 13126
Phone: 800 298-6878
Fax:
(315) 342-5318
|
Salt
Lake City, Utah
2319 Foothill Drive #280
Salt Lake City, Utah 84109
Phone: 800 928-4030
Fax: (801) 461-0034 |
|
| *
Name: |
first |
middle |
last
|
| Address: |
street |
p.o. box |
city |
state |
zip code
|
| *
Date of Birth:
/
/
mm/dd/yyyy
|
| |
|
Email Address:
|
| |
| *
Phone: |
*
Social
Security Number:
|
|
(
)
-
|
-
-
|
| *
Drivers
License Information: |
license
# |
state |
/
/
mm/dd/yyyy
expiration date |
| In
case of emergency please contact: |
name |
(
)
-
phone
|
| Previous
address(es) 3 years prior to date of application: |
| #1:
/
/
mm/dd/yyyy |
street
|
p.o. box |
city |
state |
zip code |
| |
| #2:
/
/
mm/dd/yyyy |
street |
p.o. box |
city |
state |
zip code |
| |
| #3:
/
/
mm/dd/yyyy |
street |
p.o. box |
city |
state |
zip code |
| |
| List
any violations of motor vehicle laws or ordinances (other
than Parking Violations)
that you have been convicted of or forfeited bond in the
past 3 years. |
|
Violation
#1 -
/
/
mm/dd/yyyy |
violation: |
location: |
| |
|
Violation#2
-
/
/
mm/dd/yyyy |
violation:
|
location: |
| |
|
Violation#3
-
/
/
mm/dd/yyyy |
violation:
|
location: |
| |
| List
all Motor Vehicle Accidents you have been involved in during
the past 3 years. |
|
Accident
#1 -
/
/
mm/dd/yyyy
|
description: |
location: |
| |
|
Accident
#2 -
/
/
mm/dd/yyyy |
description:
|
location: |
| |
|
Accident
#3 -
/
/
mm/dd/yyyy |
description:
|
location: |
| |
| List
any suspension, or revocation of driving privileges in the
past ten years. |
|
|
| Have
you been convicted of a felony, DUI, or misdemeanor? |
|
If yes,
please give date and explain. ( a conviction will not automatically
bar employment ):
|
| Are
you under the care of a physician? |
|
If
yes, please explain.
|
| List
the name and address of all places of employment over the
past 7years. |
|
Last
Employer: |
Employer: |
Vehicle driven: |
Address, city, state, zip: |
(
)
-
Phone: |
Position
Held: |
From:
/
/
To:
/
/
Dates Employed |
Reason
for leaving : |
| |
|
Previous
Employer #2 |
Employer: |
Vehicle
driven: |
Address,
city, state, zip: |
(
)
-
Phone: |
Position
Held: |
From:
/
/
To:
/
/
Dates Employed |
Reason
for leaving : |
| |
|
Previous
Employer #3 |
Employer: |
Vehicle
driven: |
Address,
city, state, zip: |
(
)
-
Phone: |
Position
Held:
|
From:
/
/
To:
/
/
Dates Employed |
Reason
for leaving : |
| |
|
Previous
Employer #4 |
Employer: |
Vehicle
driven: |
Address,
city, state, zip: |
(
)
-
Phone: |
Position
Held:
|
From:
/
/
To:
/
/
Dates Employed |
Reason
for leaving : |
| |
|
Previous
Employer #5 |
Employer: |
Vehicle
driven: |
Address,
city, state, zip: |
(
)
-
Phone: |
Position
Held:
|
From:
/
/
To:
/
/
Dates Employed |
Reason
for leaving : |
| |
| How
did you find out about our website? |
*
|
|
Thank you
for submitting your application to Metal Transportation
Systems. Please read the Certification and Release information
below. Metal Transportation is required by law to explain
this to you before we can process your application.
map
CERTIFICATION
AND RELEASE: I hereby certify that I personally completed
this application, and that all information herein is true
and correct. I authorize Metal Transportation Systems,
Inc. to conduct a complete investigation of my background,
in compliance with State and Federal laws. I understand
that previous employers for whom I have worked will be
contacted by Metal Transportation Systems, Inc. regarding
my work record, dates of employment, safety record, and
my record regarding drug & alcohol testing. I also understand
that consumer reports, which may include information regarding
my driving record, previous employment records, and drug
& alcohol testing records, may be request from DAC Services,
Inc. of Tulsa, OK. I authorize the release of this information,
and agree to hold harmless any previous employer, their
agents, and DAC Services for any and all information they
may provide to Metal Transportation Systems. I understand
that submitting false information on this application
will result in immediate termination of employment, if
hired.
By electronic
submission of this authorization, I agree that my identity
may be verified by a telephone call in lieu of a signature.
Please type your name and select todays date to complete
your application.
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*
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