Abilene Motor Express is an Equal Opportunity Employer


INSTRUCTIONS: This application provides us with enough information to match your qualifications to job opportunities as they arise. We may require additional information later. Transferring data over the Internet is relatively secure, but absolute security cannot be assured. If you prefer, you can print this form and fax it to 804-271-7680; or mail the completed form to Abilene Motor Express, 1700 Willis Road, Richmond, VA 23237, Attn: Recruiting. Please answer all questions. Enter "none" for those that don't apply.
Personal Information
FULL NAME			SOCIAL SECURITY
STREET ADDRESS			TELEPHONE
CITY,STATE,ZIP			Voice Mail or Cell
DATE OF BIRTH			EMAIL
CLASS A LICENSE#	^STATE	^HEIGHT ^WEIGHT
Current Employer
COMPANY			DATE EMPLOYED
TELEPHONE			POSITION
Previous Employer
COMPANY			DATE EMPLOYED
TELEPHONE			POSITION
Please answer yes or no to all of the following:
Do you have a minimum of 2 Years experience in the position that you are applying for?			YES NO
HAS YOUR LICENSE EVER BEEN SUSPENDED OR REVOKED?			YES NO
HAVE YOU EVER BEEN CITED FOR DRIVING UNDER THE INFLUENCE OF ALCOHOL OR DRUGS?			YES NO
HAVE YOU EVER TESTED POSITIVE FOR DRUG USE?			YES NO
HAVE YOU EVER BEEN CHARGED OR CONVICTED OF A FELONY OR MISDEMEANOR?			YES NO
HAVE YOU BEEN CONVICTED OF A MOVING VIOLATION IN THE PAST 36 MONTHS?			YES NO
Thank you for your application. Your information is confidential and will be held for a period of up to six months. In submitting it to Abilene for employment consideration, you extend permission to use this information to access your Motor Vehicle and DAC records. Abilene Motor Express is an Equal Opportunity Employer.