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TDF Enterprises, LLC Job Application

TDF Enterprises, LLC

Employment Application

Position Applying for:

Personal Information

First Name:

Middle Name:

Last Name:

Street Address:

City, State, Zip Code:

Phone Number:

E-mail address:

Social Security Number

Date of Birth

Are you a US Citizen or do you have a qualifying legal status for employment in the US?

Have you been convicted of, or pleaded no-contest to, a felony within the last 10 years? (NOTE: Felony convictions are not an automatic disqualifier for employment)

If yes, please describe the nature of the crime(s), when and where convicted, and the disposition/final settlement of the case:

Have you ever applied to / worked for TDF Enterprises before?

If yes, please explain (include dates):

Do you have any friends or relatives, working for TDF Enterprises?

If yes, state name & relationship:

License Information

State:

License Number:

CDL Class:

Passenger Endorsement:

Air Brake Endorsement (No restriction):

Have you had a CDL for at least 1 year:

Have you ever been denied a license, permit, or privilege to operate a motor vehicle?

Has any license, permit, or privilege ever been suspended or revoked?

If you answered YES to either of the 2 above questions, please provide detail:

Please describe your driving experience (type of vehicle and number of years and approximate mileage:

Please provide information about any accidents going back 5 years, regardless of at-fault or in a personal/commercial vehicle. Provide dates and any details including fatalities and injuries:

Please provide information about any traffic violations and license revocations going back 5 years. You may omit parking violations. Provide dates, type of violation, date, and any penalty assigned:

Availability

Are you subject to USDOT FMCSA Hours of Service restrictions in any other employment or capacity?

Please list your general hours of availability for work.

Weekday nights (Sun-Thurs)

Weekday days (Mon-Fri)

Friday Nights

Saturday days

Saturday nights

Sunday days

Any other comments or information regarding availability?

Do you have an Android or Apple (iPhone) smart phone and data plan for using the company time-clock and scheduling app?

Employment History - Please go back 10 years.

Are you currently employed?

For each employer going back 10 years, please provide:
- Name of Employer
- Phone Number
- Email address (if applicable)
- Business Type
- Complete Address
- Dates of Employment

References

Please provide 3 (non-family member) professional references. For each, please provide:
- First & Last Name
- Phone number
- Email address
- Complete Address

Emergency Contacts

Contact:

Relationship:

Phone number(s):

Certification

I certify that the information contained in this application is true and complete.

I acknowledge that I am applying for a W-2 employee position and will not be treated or paid as an independent contractor.

I understand that false information may be grounds for not hiring me or for immediate termination of employment if I am hired.

I also acknowledge that my hiring is subject to insurance underwriting and if the Employer is unable to insure me for reasonable costs then I may not be hired or if already hired my employment may be terminated.

I authorize the verification of any and all information listed above, including previous employer driving, drug, and alcohol checks.

I acknowledge I have the following rights:

(i) The right to review information provided by previous employers;
(ii) The right to have errors in the information corrected by the previous employer and for that previous employer to re-send the corrected information to the prospective employer
(iii) The right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.

I authorize TDF Enterprises LLC and its agents to pull my Motor Vehicle Record (MVR), USDOT Pre-Employment Screening, and/or other similar reports.

Documents

Please upload a photo of the front of your drivers license:

DL-Front

Please upload a photo of the back of your drivers license:

Back of drivers license

Please upload a photo of either your social security card of passport ID page:

Social Security Card or Passport

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

February 26, 2020 12:40 am CDT

TDF Enterprises, LLC Job Application Uploaded by The City Limo & Party Bus - info@thecitylimo.com IP 108.160.230.66