Employee Application Form

Melodey Enterprises

132 Hamlin Rd, Fredericksburg, PA 17026

(717-327-4952)

contact@melodeyenterprises.com

Melodey Enterprises is a trucking company sourcing live poultry mainly from the Midwest and supplying to the East coast. We are a growing company and currently looking for new employees.

Please complete all information in full.

Applicant Information

What position are you applying for?

Truck Driver

Safety & Compliance Manager

Fleet Maintenance Manager

Office Position

First Name

Middle Initial

Last Name

Phone #

Phone

Date of Birth

mm/dd/yyyy

Social Security #

Date of Application

mm/dd/yyyy

Date Available for Work

mm/dd/yyyy

Documents

Please upload a photo/scan of the front and back of your current driver's license.

You may also attach a resume here, if applicable.

Drop your files here

Residency Information

Current Street Address

City

State

Zip

Driver's License Information

No person who operates a commercial motor vehicle shall at any time have more than

one valid driver’s license. I do certify that I do not have more than 1 vehicle license, the

information for which is listed below.

License State

License #

Type/Class

Endorsements

Expiration Date

mm/dd/yyyy

Please provide a brief description of what has led you to seek employment in Mel-o-dey Enterprises.

What are the approximate working hours per week that you would like to be employed in?

Would you prefer to have weekends off?

Would you prefer to be paid on a salary basis or on a hourly wage?

What are your wage expectations?

Employment History

Current (Most recent) Employer

Contact Name

Contact Phone

Address

Position Held

Reason for leaving

Job References

List 3 persons who would be able to provide a referral for you.

Reference #1

Reference #1 Name

Reference #1 Phone

Reference #1 Address

Reference #2

Reference #2 Name

Reference #2 Phone

Reference #2 Address

Reference #3

Reference #3 Name

Reference #3 Phone

Reference #3 Address

Other comments/questions that you might have.

Affirm

I affirm that all information is spelled correctly, is true, up to date, and correct.

Affirm

Send me a copy of my responses

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