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.