Custom Transfer Inc. Employment Application

Thank you for your interest in applying for the OTR Driver Position with Custom Transfer Inc.

Before you start the application please CLICK HERE to read HIRING FOR EXCELLENCE and JOB DESCRIPTION.

I have read and agree to the HIRING FOR EXCELLENCE and JOB DESCRIPTION

I agree

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First Name

Middle Initial

Last Name

Address

City

State

Zip

Phone

Drivers License #

State of Issue

Date of Birth

MM/DD/YYYY

Social Security #

REQUEST OF INFORMATION FROM PREVIOUS EMPLOYER

Custom Transfer Inc. requires a request of information from previous employer(s) - Past 3 years or an explanation of employment lapse. Please fill out the below section completely.

Custom Transfer will send out this form (Preview Here ) to you previous employer(s).

Employer Name

Contact Name

Street Address

City

Zip

State

Employed from

Employed to

Add Additional Employeer

Lapse in employment explanation (Past 3 years) - Required by Federal Motor Carrier Safety Reg 391.21

Please account for a portion of your employment record which cannot be verified by any other means.

Lapse from

Lapse to

Lapse Explanation

Add Additional Lapse

CONSENT FOR RELEASE OF INFORMATION AND BACKGROUND STUDY

Custom Transfer Inc. requires a release of information and a background reports regarding your driving and safety inspection history from the Federal Motor Carrier Safety Administration. Please CLICK HERE to read these documents.

I have read and give my full consent to the Driver Notification and Release and Background Study

I Agree & Initial Below

Initials

ELECTRONIC SIGNATURE

AGREEMENT: By signing this Electronic Signature Acknowledgment Form, I agree that my application information is correct and true and claim full responsibility for errors or mis-leading information. My electronic signature is the legally binding equivalent to my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

Draw your signature (Clear)