Stidham Trucking Inc. - Employment Application

Stidham Trucking, Inc. Employment Application

Employment Application

This Application for Employment Form can be filled out and submitted by e-mail. Use this form when applying for jobs with Stidham Trucking Inc., including positions in sales, dispatch, offices, accounting, mechanics and etc. If you are a driver interested in becoming an owner / operator with Stidham Trucking Inc., please see the information on our Driver Recruitment Program section.

Before completing this Application Form, please read these instructions:

This form must be completed by the applicant only.
Type answers clearly in each provided space.
Be sure to answer each question.

Submission of this form constitutes the applicant's legal signature.

Personal Information
Name:
Your email:
Present Address:
City:
State:
Zip:
Permanent Address:
City:
State:
Zip:
Telephone (with area code):
Social Security Number:
Name and relationship of any relative(s) in our employ
Referred by:
Employment Desired
Position:
Indicate interest in Office Staff, Accounting, Dispatch, Sales, Mechanics, Other....
Date you can start:
Salary desired:
Are you employed now?	Yes: No:
May we contact your employer?	Yes: No:
Have you ever applied to Stidham Trucking Inc. before?	Yes: No:
If Yes, when and with what result?
Education
Grammar School:
City:
State:
Zip:
Graduated (Yes/No):
Major subjects:
GPA:

High School:
Address:
City:
State:
Zip:
Graduated (Yes/No):
Major subjects:
GPA:

College / University:
Address:
City:
State:
Zip:
Graduated (Yes/No):
Major subjects:
GPA:

Other Education (specity):
Address:
City:
State:
Zip:
Graduated (Yes/No):
Major subjects:
GPA:
Other Information
Subjects of Special Study or Research Work:
Special Training:
Activities (civic, athletic, etc.):
Former Employers List the last four employers, starting with present or most recent.
Name of Employer:
City:
State:
Zip:
From (Mo/Yr):
To (Mo/Yr):
Salary:
Position:
Reason for Leaving:

Name of Employer:
City:
State:
Zip:
From (Mo/Yr):
To (Mo/Yr):
Salary:
Position:
Reason for Leaving:

Name of Employer:
City:
State:
Zip:
From (Mo/Yr):
To (Mo/Yr):
Salary:
Position:
Reason for Leaving:

Name of Employer:
City:
State:
Zip:
From (Mo/Yr):
To (Mo/Yr):
Salary:
Position:
Reason for Leaving:
References
Please give the names of three persons not related to you, whom you have known at least one year.
First Reference
Name:
Address:
City:
State:
Zip:
How long known?

Second Reference
Name:
Address:
City:
State:
Zip:
How long known?

Third Reference
Name:
Address:
City:
State:
Zip:
How long known?

In case of emergency, notify Name:
Address, City, State, Zip:
Phone (with area code):
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts clled for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, at the discretion of the employer, be terminates at any time without any previous notice. I hereby certify that this Application Form was completed and submitted by me for Stidham Trucking Inc. and/or its subsidiaries, and all entries and information presented is true and complete to the best of my knowledge, and that submission of this form constitutes my legal signature.
Applicant's Name (signature):
Date signed (submitted):

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	WESTERN DIVISION P.O. Box 308 Yreka, California 96097 1-800-827-9500 530-842-4161 FAX 530-842-2047
	© 2001 Stidham Trucking, Inc. All Rights Reserved