Miller Transportation ,Motorcoach, Charter Bus, Indianapolis IN,IN,Indiana, Louisville,KY, Kentucky,Motorcoach,Charter,Bus,Motorcoach

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Application For Employment:

Pre-Employment Questionaire An Equal Opportunity Employer

* Required Fields - Please do not use symbols in these fields (", ', / % etc...sample O'Neil should be entered as O Neil)

(Name As it Appears On Social Security Card) Last Name:* First Name:*

Home Phone:

E-Mail:

Present Address:

Street: City: State:

Zip Code:

Social Security Number (Optional):      Are you over age 18? Yes    No

Currently employed? Yes No

When can you start?

Are you authorized to work in the U.S. for any employer?   Yes No

Have you ever been convicted of, plead guilty to, or served probation for any crime (excluding minor traffic
violations including DWI)? Yes No

If yes, state the offense, location, date and disposition
NOTE: A conviction will not necessarily disqualify you from employment.

Do you have obligations or other reasons that would limit your ability to travel or work overtime?

Yes No

If yes, please explain:

Would you be willing to relocate? Yes No

Drivers License: (for drivers only) State Type

Employment Desired:

Are you seeking full-time part-time temporary or summer employment

Position applied for Salary desired * Per HourPer Year

Have you applied for our company before? Yes No

Have you worked for our company before? Yes No

If your answer to either of those questions is yes, please state when and where you applied and/or worked.

How did you learn of our company and/or position?

Are there any reasons why you would be unable to perform the tasks involved in the position that you are applying

for? Yes No If yes, please state reasons

Education:

Name and Location		Courses Studied
High School:	Graduate?
City:	State:
College:	Graduate?
City:	State:
Trade School:	Graduate?
City:	State:

Work History:

Begin with your most recent or current employer (including military experience) and list your previous employers for at least the last 10 years (we have allowed for quite a few blocks for employer information. DO NOT leave any gaps in employment history even for periods of unemployment.

Prior to an offer of employment being extended, your current and past employers as well as your references will be contacted. Please click in the following box, if you prefer we not contact your current employer until after an offer of employment (and this offer will be contingent on a positive response from your current employer).

				Please Be Brief and Accurate (Please do not reference your resume.)
Enter Last Job First (06/02)	Former Employer's Name	Nature of Business	Pay Rate	Job Title	Job Duties	Brief Reason For Leaving
From: To:
From: To:
From: To:

Give Three References, Not Relatives or Former Employers

Name	Address	Phone

Please Paste or Type Your Resume Below (Limit to 4000 Characters)

Please do not use symbols in this field (", ', / % etc...)

(please type in your initials acknowledging understanding of the preceding paragraph -->> )*

I understand Miller Transportation does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable Local, State or Federal law. I understand this application remains current for 30 days and only for the position(s) I indicated on the first page. At the conclusion of this 30-day period, if I have not heard from Miller Transportation and still want to be considered for employment, I will need to reapply by completing a new application.

If I am hired, I understand I am free to resign my position at any time, with or without cause and without prior notice, and Miller Transportation reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period of definite duration. I understand no supervisor or representative of Miller Transportation is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the President of our company.

I also understand if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that Federal immigration laws require me to complete an I-9 form in this regard.

I have read and understand the preceding statements. I understand Miller Transportation uses Electronic signature and agreed that when I click the Submit Application button below, I have consented to the use of the electronic signature method to sign this employment application. ( I understand I can revoke this electronic signature method at anytime by submitting the request in writing and faxing it to the HR office).