GENERAL APPLICATION
PERSONAL INFORMATION
Full Name:
Address:
City:
State / Zip
Email:
Home Phone:
Cell Number:
REQUIRED
AT ALL TIMES
Date of Birth: Mo/Day/Year
Yes
Are You a United States Citizen?
No
WHAT IS YOUR PRIMARY VEHICLE?
WHAT IS YOUR SECONDARY VEHICLE IF ANY?
None
Box Truck 14'-24'
Cargo Van
Compact Car
Full Size Car
Full Size Pickup w/coveror shell
Full Size SUV
Mini Van
Small Pickup w/Shell or cover
Small SUV
Other
None
Box Truck 14'-24'
Cargo Van
Compact Car
Full Size Car
Full Size Pickup w/coveror shell
Full Size SUV
Mini Van
Small Pickup w/Shell or cover
Small SUV
Other
Must have proof of Insurance/ Current Registration
Drivers License Number
How did you learn about our Company?
Available Start date:
Are you currently employed?
ARE YOU PHYSICALLY ABLE TO LIFT 70 POUNDS WITHOUT ASSISTANCE?
Yes
No
HAVE YOU DRIVEN PROFESSIONALLY BEFORE?
Yes
No
Tickets or Accidents?
Dates/Year
Have you ever been convicted of a felony/misdemeanor or pleaded (no contest) to a felony/misdemeanor,
or pleaded guilty to a felony/misemeanor, or been found guilty of a felony/misdemeanor? (Include any and
all instances of these foregoing even if adjudication was withheld.)
EDUCATION
Name and Location
Graduate - Degree?
Major / Subject of Study
High School:
College or University:
Specialized Training,
Trade School, ect...:
Other Education:
Please list your areas of highest proficiency, special skills or other items that may contribute to your abilities in
performing the above mentioned position.
PREVIOUS EXPERIENCE
Please list beginning from most recent
Dates Employed
Location
Role/Title
Company Name
Job notes, tasks performed and reason for leaving: (Please supply Phone number for each Job)
Dates Employed
Company Name
Location
Role/Title
Job notes, tasks performed and reason for leaving: (Please supply Phone number for each Job)
While we attempt to process applications as quickly as possible. Greenwalt Delivery Service (GDS) cannot
guarantee a specific turnaround time. If your application is approved, please expect that you will receive an
email and/or phone call from GDS to complete any remaining application materials at our facility. GDS
response time will vary assuming that your application is complete and does not need extensive changes or
clarification.
This application is just to get general information about you only
.
All drivers must go through a
background check before the end of the hiring process. You give GDS the right to contact any employer
you state on this application. Fill out as much information on this application as you can. Drivers must own a
cell phone. All drivers vehicles must be in good working order and be insured and current registration is
required. Drivers vehicles must be enclosed. No open beds allowed.
I Agree, Sign with your initials
Comments:
We may need additional information from you to complete application process if you are excepted
