Application for Employment

We appreciate your interest in a career with Black Gold Transport (the "Company"). The Company is an equal employment opportunity employer. The Company's policy is not to unlawfully discriminate against any applicant or employee based on race, color, sex, religion, national origin, age, disability, or any other basis protected by applicable federal, state, or local laws.

General Information

Applicant Name

First, Middle Initial, Last

Street Address

Address

City, State, Zip Code

Phone Number

Phone

Email Address

Position Applying For

Do you have a CDL?

Yes

Position Location

Wage/Salary Desired

Date Available to Start

mm/dd/yyyy

Are you at least 18 years old?

Yes

Are you legally authorized to work in the United States?

Yes

Are you available to work overtime as needed?

Yes

Have you ever worked for Black Gold Transport in the past?

Yes

Do you have any relatives currently employed by Black Gold Transport?

Yes

Work Experience

Please list your complete full-time and part-time employment history, including self-employment. You may include any verified work performed on a volunteer basis. Begin with your current or most recent employer.

Upload Resume (optional)

Drop your files here

Company Name - previous employment

Telephone

Phone

Position Held and Summary of Responsibilities

Name and Title of Supervisor

Dates of Employment

From (month/year), To (month/year)

Ending Wage/Salary

Reason for Leaving

Company Name (2) - previous employment

Telephone (2)

Phone

Position Held and Summary of Responsibilities (2)

Name and Title of Supervisor (2)

Dates of Employment (2)

From (month/year), To (month/year)

Ending Wage/Salary (2)

Reason for Leaving (2)

Company Name (3) - previous employment

Telephone (3)

Phone

Position Held and Summary of Responsibilities (3)

Name and Title of Supervisor (3)

Dates of Employment (3)

From (month/year), To (month/year)

Ending Wage/Salary (3)

Reason for Leaving (3)

Employers may be contacted to verify the information provided.

May we contact your current employer?

Yes

Professional References

Professional Reference 1

Name, Title, Relationship, Phone Number, Years Known

Professional Reference 2

Name, Title, Relationship, Phone Number, Years Known

Professional Reference 3

Name, Title, Relationship, Phone Number, Years Known

Education and Training

High School

Name and location, number of years completed

College

Name and location, number of years or degree completed

Business/Trade/Technical School

Name and location, number of years or program completed

Skills

Please list experience, skills, and qualifications relevant to the position you are applying for

Please list software and technology with which you have experience

Have you been convicted of a felony in the last seven (7) years?

Yes

By submitting this application I agree to the following:

I certify that all of the information furnished on this application and during the application process is true, complete and correct to the best of my knowledge. I understand that any misrepresentation or omission of facts called for may result in refusal to hire or, if hired, may result in my dismissal at any time regardless of when the false answer or omissions are discovered.
I recognize that this employment application is not an offer of employment. I agree that if I am hired by the Company, I will be an at will employee, meaning that either the Company or I may end the employment relationship at any time with or without cause or notice.
I understand that if I am offered employment, I will be required to read and acknowledge the Employee Handbook.
I understand that the Company may share the information contained in this application with other Company employees for employment and administrative purposes and hereby consent to such transfer.
I hereby authorize the Company to conduct any necessary investigation regarding my background as it relates to the position I am seeking and to the extent permitted by federal, state, and local law. I agree to complete the required authorization forms for the background investigation. I hereby release all parties from any liability in connection with the provision and use of such information.

Electronic Signature

By typing my name in the box below, I attest that I have given the Company true and complete information on this application. I agree with the conditions listed above. I authorize the Company to conduct employment verification and reference checks. I consent to the electronic signing of this application.

Form Date Field

Send me a copy of my responses

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