Chandler

Chandler Online Employment Application


The company is an equal opportunity employer. As such, we provide employment opportunities without regard to race, color, religion, national origin, gender, age, disability, veteran status, military service, or other other characteristics protected by law.

Answer all questions on the application. Incomplete applications may not be considered.

Personal Information








If you have lived at your current address less than 3 years please give your previous address




Contact Information




Are you authorized to work in the US?

Have you applied for employment with this company before?


If so, when?

Have you ever worked for this company or any of its affiliates before?


If so, when?

Are you related (by blood, marriage, or law) to anyone who works for the company?


If so:

Position Sought



Are You Currently Employed
Date you are available to begin work:


Days Available to Work:
Overtime Availability:
Weekdays?
Weekends?



How were you referred to us?


If referred by current employee:

Criminal History - All Positions


Have you ever been convicted of (or pleaded guilty or no contest or paid a fine for) ANY criminal offense of ANY type whatsoever? This includes, but is not limited to, felonies, misdemeanors, DWI/DUI, hunting offenses, domestic violence, violating city or county ordinances.

Yes
No

Offense Date Outcome Location (city and state)

Employment History - All Positions


List your employment history, including military service, starting with your present status. All periods of unemployment must be identified as “Unemployed” and dates of unemployment identified. Do not leave time gaps. We need a minimum of 10 years of employment history. If necessary, use Supplemental Employment History form to provide all information.


Employer #1





Employer #2





Employer #3





Employer #4





Employer #5






Additional Employment History Information


Have you ever been involuntarily terminated or asked to resign from employment?




Have you ever been counseled, disciplined, terminated, or asked to resign as a result of a reported workplace harassment, fighting/assault, violation of safety rules, or other inappropriate behavior?




May we contact your current employer?


Education - All Positions


Education Level Name and Location Years Completed Did you Graduate If so, Degree
High School
N/A
Trade School
College
Graduate School
Other


Other Training & Qualifications - All Positions










Is there any reason that you could not perform the essential functions of the job for which you are being considered with or without reasonable accommodation?


Yes
No




Driving Positions Only


Driving History


Do you have a valid driver's license?
Yes
No


If Yes:



Birth Date:

List all other states from which you have held a driver's license and the dates held.


State License Number / Type Dates Held

Has your driver's license, permit, or privileges ever been suspended, revoked, or cancelled?
Yes
No

If yes:

State Date Reason
Have you ever been denied a driver's license, permit, or privilege to drive by a government agency or employer?
Yes
No

If yes:

Date Agency Employer Reason
Have you ever been charged with any traffic related offenses within the past 3 years?
Yes
No

If yes:

Offense Date Location Result
Have you been involved in any vehicle accidents within the past 4 years?
Yes
No

If yes:

Location Date Nature of Accident Was Citation Issued
Check vehicle types you have experience driving:

Straight Truck
Tractor Trailor
Doubles
Mixer
Tanker
Flatbed
Van
Reefer

Note: Be sure that all of these employers, their addresses, dates of employment, and reason for leaving are identified in the Employment History section of the application


During the past two years, have you:


a) Had an alcohol test result of 0.04 alcohol concentration or greater? Yes No


b) Had a verified positive controlled substance test result? Yes No


c) Refused to take an alcohol or drug test? Yes No


References - All Positions


List 3 references of people who know about your experience, skills, and work history. Do not list relatives, domestic partners, or previous employers.


Reference #1





Reference #2




Reference #3




Important Information To be Read By Applicant














Fair Credit Reporting Act Disclosure & Authorization.


For explanation purposes, a "consumer reporting agency" is a person or business that, on a cooperative nonprofit basis, or for monetary fees or dues, regularly assembles or evaluates consumer credit information or other information on consumers for a person who has a legitimate business need for the information or intends to use the information for employment purposes.

A "consumer report" means any written, oral or other communication of any information by a consumer reporting agency bearing on your credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or expected to be used or collected in whole or in part for the purpose of serving as a factor in establishing your eligibility for employment purposes.

An "investigative consumer report" means a consumer report or portion thereof in which information on your character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with your neighbors, friends, or associates reported on or with others with whom you are acquainted or who may have knowledge concerning any such items of information.

In the event an investigative consumer report is prepared, you may request additional disclosures regarding the nature and scope of the investigation requested as well as a written summary of your rights under the Fair Credit Reporting Act.

AUTHORIZATION: By your digital signature below, you hereby authorize us to obtain a consumer report and/or an investigative report about you in order to consider you for employment. If hired, this authorization shall remain on file and shall serve as an ongoing authorization for us to procure consumer reports at any time during the employment period.






Authorization to Obtain Records and Other Information for Employment Purposes




Street Address City State ZIP Years / Months
Current
Previous
2nd Previous






WAIVER


The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement or omission of information on my application form may result in my termination. I further understand that this application is not intended to be a contract of employment, nor does this application serve as an obligation in any way to employ me or not to employ me.

I hereby fully waive any rights or claims that I have or may have against all current and/or former employers, and their agents, employees, and representative and damages that may directly or indirectly result from the use, disclosure or release of any information by any person or party, whether such information is favorable or unfavorable to me. I further waive any claim against you and any outside agency utilized by you as a result of any information which is obtained in this investigation.



Before being able to submit your application, you must:

  • Check off on all items on the Information, Credit Report, and Reference Check tabs.

  • Complete digital signatures on the Information, Credit Report, and Reference Check tabs.


Note: * indicates required fields.