Personal Information

Please print clearly. All fields marked with * are required.

Last Name *

First Name *

Middle Name

Phone Number *

Email *

Date *

Addresses of Residency — Past 7 Years

Current Address

Street Address *

City *

State *

Zip *

Years/Months

Previous Address

Street Address

City

State

Zip

Years/Months

Previous Address

Street Address

City

State

Zip

Years/Months

Employment Desired

Tell us about the position and schedule you're looking for.

Position Applying For *

Type of Employment Desired *

Full-time Part-time Temporary

Days and Hours Available to Work

Date Available for Employment

Available for Weekend Work? *

Yes No

Available for Overtime? *

Yes No

Willing to Travel / Relocate?

Yes No

Education Background

High school, university/college, trade schools, etc.

School Name	Address	Degree or Years

Do You Speak, Write or Understand Any Foreign Languages?

Yes No

Background Information

Please answer the following questions.

Do you have any commitments with another employer that might affect your employment?

Have you ever applied to or worked for Best Driver Solutions?

Yes No

Do you have friends or relatives working for Best Driver Solutions?

Yes No

Why are you applying for work at Best Driver Solutions?

Are you at least 18 years old? *

Yes No

Can you present evidence of U.S. citizenship or legal right to work? *

Yes No

Are you able to perform the essential functions of the job?

Yes No

Are you currently employed?

Yes No

May we contact your current employer?

Yes No

Emergency Contact

Name *

Relationship *

Phone *

Employment History

List all present and past employment starting with your most recent employer (last 3 years). Account for all periods of unemployment.

Employer 1 — Most Recent

Company Name *

Address

Phone

Supervisor's Name

Type of Business

From

To

Job Title / Description of Duties

Reason for Leaving

Employer 2

Company Name

Address

Phone

Supervisor's Name

Type of Business

From

To

Job Title / Description of Duties

Reason for Leaving

Employer 3

Company Name

Address

Phone

Supervisor's Name

Type of Business

From

To

Job Title / Description of Duties

Reason for Leaving

References

Please provide three professional references.

Reference 1

Name *

Company

Relationship

Phone

Title

Reference 2

Name

Company

Relationship

Phone

Title

Reference 3

Name

Company

Relationship

Phone

Title

Agreements & Signature

Please read each statement carefully, then sign below.

Applicant Certification

I certify that this application was completed by me and that all entries and information provided are true and complete to the best of my knowledge. I understand that false or misleading information or omissions may result in rejection of my application or, if employed, immediate termination.

I authorize the Company to verify the information provided in this application. I understand that any inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended, in compliance with all applicable federal and state laws. I release former employers, schools, and other persons from liability in responding to inquiries regarding my qualifications or background.

I understand that nothing in this application or conveyed during any interview is intended to create an employment contract. If employed, I understand that my employment is "at-will," which means either I or the Company may terminate employment at any time, with or without cause or notice. No promises or representations contrary to the foregoing are binding unless made in writing and signed by both me and the Company's CEO.

Applicant Signature (optional)

Print Name

Drug-Free Workplace Policy

Best Driver Solutions is committed to maintaining a workplace free from the illegal use of drugs and alcohol abuse. We believe a safe and productive work environment requires employees who are not under the influence of illegal drugs or alcohol, and that substance abuse can endanger employees, co-workers, company property, and the public.

Consistent with federal and California law, the Company prohibits the unauthorized or illegal use, transfer, sale, distribution, manufacture, or possession of alcohol, illegal drugs, or drug paraphernalia on Company premises, in Company vehicles, or during working time. The legal use of prescribed medications consistent with a physician's instructions is not a violation of this policy.

Drug Testing Procedures:

Post-Offer, Pre-Employment Testing: Applicants who receive a conditional offer of employment may be required to submit to a drug test as a condition of hire.
Reasonable Suspicion Testing: Employees may be tested when there is reasonable suspicion of impairment or violation of this policy.
Post-Accident Testing: Employees involved in workplace accidents may be tested when reasonable suspicion exists that they were under the influence of drugs or alcohol.
Follow-Up Testing: Employees who voluntarily participate in a rehabilitation or return-to-work agreement may be subject to follow-up testing consistent with that agreement.

Employees may refuse testing; however, refusal may result in disciplinary action up to and including termination. This policy will be administered in a nondiscriminatory manner and in compliance with all federal, state, and local laws.

Acknowledgment: I acknowledge that I have received a copy of the Company's Drug-Free Workplace Policy and agree to abide by all provisions. I understand that if I am employed, I may be required to undergo drug testing in accordance with the policy and applicable California law.

Applicant Signature (optional)

Print Name

Final Certification and Acknowledgment

I hereby certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false statement, misrepresentation, or omission of material fact may be cause for rejection of my application or termination of employment.

Applicant Signature (optional)

Print Name

Application for Employment

Applicant Certification

Drug-Free Workplace Policy

Final Certification and Acknowledgment