APPLICANT INFORMATION

DRIVER’S LICENSE & CDL INFORMATION

DRIVING HISTORY

INDUSTRY & EQUIPMENT EXPERIENCE

SAFETY & CERTIFICATIONS 

EMPLOYMENT HISTORY 

MOST RECENT EMPLOYER

PREVIOUS EMPLOYER

PROFESSIONAL REFERENCES 

Please provide two professional references who are not relatives.

Reference #1

Reference #2

RESUME

ADDITIONAL INFORMATION
 

APPLICANT ACKNOWLEDGMENT

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false, misleading, or omitted information may result in disqualification from consideration for employment or, if employed, termination of employment.
I authorize Amerivax to verify information provided in this application and to contact employers and professional references as permitted by law.
I understand that submitting this application does not create a contract or guarantee of employment.
If employed, I understand that employment with Amerivax is at-will, meaning either Amerivax or I may terminate the employment relationship at any time, with or without cause or notice, subject to applicable law.

EQUAL EMPLOYMENT OPPORTUNITY
Amerivax is an equal opportunity employer. Employment decisions are based on qualifications, merit, business needs, and other lawful considerations without discrimination prohibited by applicable federal, state, or local law.