Apply for Delivery Driver

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Delivery Driver
ID:1001
Department:Operations
Resume
Resume:
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Survey - Delivery Driver
Please answer all questions to be considered for this position.
* Do you have a CDL?:
Yes
No
* Where did you receive your CDL training?:
* When did you receive your CDL training?:
* What is the current point value on your license?:
* Are you able to perform the essential functions of this job?:
Yes
No
* Do you have experience with manual 10 speed trucks?:
Yes
No
* Have you had any accidents in the past 3 years?:
Yes
No
Please provide details of any accidents.:
* Have you ever been disqualified under Federal Motor Carrier Safety Regulations Guidelines?:
Yes
No
* Have you ever been denied a license, permit or privilege to operate a motor vehicle?:
Yes
No
* Has any license, permit or privilege ever been suspended or revoked?:
Yes
No
* Have you ever been convicted or are any charges pending for driving while under the influence of alcohol, a narcotic drug, amphetamines or derivatives thereof?:
Yes
No
* Have you ever failed or refused any DOT pre-employment drug or alcohol test by any employer where you did not accept or were refused employment as a driver?:
Yes
No
* Are you legally eligible for employment in the United States of America?:
Yes
No
* Do you have a current, valid medical card?:
Yes
No
* Are you trained in or experienced with ELDs?:
Yes
No
* What type of ELD are you experienced with?
* Do you pride yourself on providing excellent Customer Service?:
Yes
No
Application for Employment
PERSONAL INFORMATION
Yes   No
Yes   No
Yes   No
Yes   No
EMPLOYMENT DESIRED
Full Time   Part Time   Seasonal
Yes   No
Yes   No
EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

Yes   No

School 2

Yes   No

School 3

Yes   No

School 4

Yes   No

School 5

Yes   No

EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment

Employer 1

Yes   No

Employer 2

Yes   No

Employer 3

Yes   No

Employer 4

Yes   No

Employer 5

Yes   No

REFERENCES

Please provide three references (not relatives).

Reference 1


Reference 2


Reference 3


AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

Authorization for Drug Screening
URINALYSIS CONSENT AGREEMENT As a condition of my Employment, I consent to the urine sample collection and controlled substance testing I understand a positive test for controlled substances based on the Urinalysis Test may constitute cause for my dismissal or suspension from the company. The medical review officer will maintain the results of the Urinalysis Test. Negative and positive results will be reported to the company. My written authorization is required for the Urinalysis Test results to be given to other parties. I have read and understand the conditions of the Urinalysis Consent Agreement
* URINALYSIS CONSENT AGREEMENT

As a condition of my Employment, I consent to the urine sample collection and controlled substance testing

I understand a positive test for controlled substances based on the Urinalysis Test may constitute cause for my dismissal or suspension from the company.

The medical review officer will maintain the results of the Urinalysis Test. Negative and positive results will be reported to the company.

My written authorization is required for the Urinalysis Test results to be given to other parties.  

I have read and understand the conditions of the Urinalysis Consent Agreement:
Yes
No
* Applicant/Employee Full Name:
* Authorized Date:
* Applicant/Employee Signature:
Authorization for Employment Reference
To Whom It May Concern: I hereby authorize any representative of Staunton Foods, LLC, bearing this authorization to obtain information from my current and previous employers, or other sources including a licensing agency, if applicable, pertaining to my employment history. This authorization includes, but is not limited to: attendance records, disciplinary actions, licensing agency actions, length of employment and performance evaluations. I hereby authorize you to release such information upon request of the bearer. This authorization is executed with the full knowledge and understanding that the information is for official use by Staunton Foods, LLC. I hereby release you, the institution or establishment which you represent, including its officers, employees, and related personnel, both individually and collectively, from any and all liability for damages of whatever kind, which may at any time result to me, my heirs, family or associates because of compliance with this Authorization for Release of Information, or any attempt to comply with it. This Authorization will continue in effect for 90 days from the date of signature. A photocopy of the Authorization shall have the same force as the original.
* To Whom It May Concern:
I hereby authorize any representative of Staunton Foods, LLC, bearing this authorization to obtain information from my current and previous employers, or other sources including a licensing agency, if applicable, pertaining to my employment history. This authorization includes, but is not limited to: attendance records, disciplinary actions, licensing agency actions, length of employment and performance evaluations.

I hereby authorize you to release such information upon request of the bearer. This authorization is executed with the full knowledge and understanding that the information is for official use by Staunton Foods, LLC.

I hereby release you, the institution or establishment which you represent, including its officers, employees, and related personnel, both individually and collectively, from any and all liability for damages of whatever kind, which may at any time result to me, my heirs, family or associates because of compliance with this Authorization for Release of Information, or any attempt to comply with it.

This Authorization will continue in effect for 90 days from the date of signature.  A photocopy of the Authorization shall have the same force as the original.:
Yes
No
* Candidate Name:
* Social Security Number:
* Candidate Signature:
* Authorized date:
Authorization, Request, Consent, and Release for Background Information
Please complete this form with addresses for the past 7 years.
* I Understand that in conjunction with my application for employment, Staunton Foods, LLC will use the services of an outside agency to research and verify the information I have provided on my application for employment including my personal background, character, professional standing, work history and qualifications.  This agency will provide a written report of its findings to Staunton Foods, LLC.  Staunton Foods, LLC uses various agencies to perform its employment related background investigations.

The agency chosen will utilize various sources of information it deems appropriate including but not limited to: credit reporting agencies, Department of Motor Vehicle records, criminal conviction records, current and former employers, military records, professional and personal references.  I request, authorize and consent to the release and disclosure of any and all information including but not limited to the above to Staunton Foods, LLC and the agency of their choice.  

I request, authorize and consent to the procurement of an Investigative Consumer Report and/or Consumer Credit Report and understand that they may contain information about my background, mode of living, character, personal characteristics and general reputation.  This authorization in original or copy form shall be valid for one year from the date indicated next to my signature.  According to the Fair Credit Reporting Act, I will be notified by Staunton Foods, LLC if employment is denied because of information obtained from a Consumer Reporting Agency.  Additionally, I understand that if requested within 60 days, I will be given a full and accurate disclosure as to the nature and substance of all information provided to Staunton Foods, LLC.  I further understand that when requesting a copy of the report, proper identification will be required and I should direct my request to: Staunton Foods, LLC, HR Department.


LAW ENFORCEMENT AGENCIES AND OTHER ENTITIES FOR POSITIVE IDENTIFICATION PURPOSES REQUIRE THE FOLLOWING INFORMATION WHEN CHECKING PUBLIC RECORDS.  IT IS CONFIDENTIAL AND WILL NOT BE USED FOR ANY OTHER PURPOSES.  I HEREBY RELEASE STAUNTON FOODS, ITS OFFICERS, ITS EMPLOYEES AND ITS AGENTS, AND ALL PERSONS, AGENCIES, AND ENTITIES PROVIDING INFORMATION OR REPORTS ABOUT ME FROM ANY AND ALL LIABILITY ARISING OUT OF THE  REQUEST FOR OR RELEASE OF ANY OF THE ABOVE-MENTIONED INFORMATION OR REPORTS.:
Yes
No
* Signature:
* Authorized Date:
* Printed Name:
* Position Applied For:
* Social Security Number:
* Date of Birth:
* Driver's License Number:
* Issued State:
Other names you have used or are also known as:

Provide all Addresses for the past 7 years along with dates of residency (from/ to month and year)

* Current address (City, State, Zip) & Dates of Residency (month & year, from to):
Previous address 1 (City, State, Zip) & Dates of Residency (month & year, from to):
Previous address 2 (City, State, Zip) & Dates of Residency (month & year, from to):
Previous address 3 (City, State, Zip) & Dates of Residency (month & year, from to):
Previous address 4 (City, State, Zip) & Dates of Residency (month & year, from to):
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

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