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Job Application Form
K&V Limousine


1. Applicant Information

Current Address
Years in Current Address
Does this Cover your last seven years of residency?*

This is the email address the final application package will be sent to for electronic signature. Please make sure you enter a valid and accessible email address that you will check when you click SUBMIT. You will need to DIGITALLY SIGN the application package before you can be considered for employment. DO NOT FORGET THIS, your application is not submitted until you have digitally signed the application. You may need to check your JUNK EMAIL box.

Daytime Phone*
Mobile Phone*
Social Security Number*
Date of Birth

(The Age Discrimination of Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.)

Are you at least 18 Years old?*

2. Emergency Contact Information

Emergency Contact Name*
Emergency Contact Relationship*
Home Address
Emergency Contact Primary Telephone*
Emergency Contact Secondary Telephone

3. Employment Type Desired

What position are you applying for?*
Full time or Part Time Desired?*
Whom were you referred by?
Have you worked for this Company Before?*
How will you get to work?*
Are you willing to work any shift, including nights and weekends?*
Please explain any limitations.
If applicable, are you willing to work overtime?*
If you are offered employment, when would you be available to begin work?*
Are you able to perform the essential function of the job position you seek with or without reasonable accommodation?*
What reasonable accommodation, if any, would you request?

4. Salary Desired

Salary Desired:*
Compensation Unit*
If hired, are you able to submit proof that you are legally eligible for employment in the United States?*

5. Criminal History

Have you ever been convicted of a Felony?*

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

6. Skills and Training

Check those skills that you have. List any other skills that may be useful for the job you are seeking. Please select the particular level of experience for each skill you have listed.

Skill Type*

7. Applicant's Education and Training

Educational Experience*
Did you receive a degree?*
Please indicate any current professional licenses or certifications that you hold:
Please indicate any Awards, Honors or Special Acheivements

8. Military Service

Are you or were you a member of the Military?*

9. Previous Employment

List your current or most recent employer first. Please list all jobs (including self-employment and military service) which you have held, beginning with he most recent, and list and explain any gaps in employment. Four fields will be provided, if additional fields are needed, please explain this in the comments field. Please provide ten years employment history if you have it. Please provide ten years history including school if necessary.

First Company Name*

DRIVER Applicants that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

Years with this engagement:*
Supervisor Name*
We need a good contact option for your previous employer. This may be either a FAX number or a valid email address. Which would you like to provide?*
Company Phone*
Company Address
Job Duties*
Reason for leaving*
Beginning Date of Employment*
Ending Date of Employment*
Does this complete your ten year history?*
Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer*
Name
Address
Phone
Relationship
Name
Address
Phone
Relationship

10. Drivers License Information

Date of Birth
Applicants are required to provide this information.


Gender on license*
Height*

This is used for the Criminal Back Ground Check form that will be populated automatically for you when you submit this form. This is not required, however as a courtesy, this response will automatically fill in the required information on another required document that is allowed to be requested. If you choose not to answer this question, we will have to request additional information at a later date, which will slow down the process of your employment application.

Current Driver's License Number*

If you do not possess a Driver License, Please write "None"

DOL Eye Color Listed on your License:*

If you do not possess a Driver License, Please type in your eye color.

Drivers License Expiration Date*
If you do not possess a Driver License, Please select today's date.
Current License Class*

If you do not possess a Driver License, Please write "None"

Current State of Issue*

If you do not possess a Driver License, Please select the state you were born in.

Do you know how to use GPS?*
Have you worked with a motor coach company before?*

11. Notice to All Applicants

I authorize Hire Right on behalf of K & V Limousine Service LLC, 408 Old Ritchie Road Capitol Heights MD 20743 Tel. 301 476 8111 fax 301 476 8113. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.*
If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its CEO, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of K & V Limousine Service LLC, 408 Old Ritchie Road Capitol Heights MD 20743 Tel. 301 476 8111 fax 301 476 8113, except in a specific written contract of employment signed on behalf of the organization by its CEO, has the power to alter or vary the voluntary nature of the employment relationship.*
The Company may not require a pre-employment medical examination, but does reserve the right to require drug testing and a medical examination after an offer of employment is made to the applicant. All offers of employment are conditional upon the passing of a drug test for the purpose of detecting the illegal use of drugs. Also, if an employment offer is made, you will be asked to answer certain medical questions. Medical examinations and answers to medical inquiries will be maintained on separate forms, and will be treated as confidential medical records. An applicant will not be excluded from employment unless they have medical conditions that prohibit their ability to perform the essential job functions of the position they desire within this company. The Company will make reasonable accommodations to qualified individuals with disabilities in the application process and, if hired, allow qualified individuals with disabilities to perform essential job functions. Written job descriptions are available and will be furnished to applicants upon request. The Company may use the information contained in this application and may contact your former employer(s) for the purpose of investigating your safety performance history information as required by the Federal Motor Safety Regulations (49 CFR 391.23 (d) and (3). Pursuant to 49 CFR 391.23 (i), you have the following rights regarding the investigative information that is provided to The Company by your previous employer(s):*

Please select all of the items above.

12. Fair Credit Reporting Act Disclosure Statement

In accordance with the provisions of the Fair Credit Reporting Act (Public La 91-508) as amended by the Consumer Credit Reporting Act of 1996. I have been informed the Company will procure a motor vehicle report (MVR), criminal background check and reference checks, all of which are defined as a consumer report regarding my driving and background record to determine my suitability for work at the Company. I understand that I have the rights to request, in writing, information pertaining to the nature and scope of the inquiry and a written summary of my rights under the Fair Credit Reporting Act. I understand that I may have additional rights under applicable state and federal laws. I hereby authorize the Company to obtain this information and release and hold harmless any person, firm, or entity that discloses such information in accordance with this authorization. This authorization shall remain on file and shall serve as ongoing authorization for the Company to procure a motor vehicle report (MVR) and a criminal check which is defined as a consumer report at any time during my employment period. Any copy of this authorization shall have the same authority as the original.*

13. Carefully review the following conditions

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.*
Date of application*
If you have any questions regarding the conditions, you should ask for an explanation or clarification from the employment interviewer. Signify your understanding and specific acceptance of each condition by your signature in the space provided at the end of the conditions. I hereby authorize The Company to investigate any and all statements contained in this application. I hereby consent to The Company conducting any checks concerning my background which are deemed necessary, advisable, or helpful by The Company (except contacting my current employer prior to hiring, unless permission is granted above). I understand that if hired, I will receive a copy of The Company rules and regulations and the Company's policies including its drug/alcohol policy. I will read and understand the rules, regulations, and policies; and I acknowledge that I will be required to abide by them. I understand that if hired, I will be required to submit to a drug test as part of this application procedure. I hereby consent to that drug test, agree to cooperate fully with that drug test, and waive any and all objections I might otherwise have to such drug testing. I understand that if I am offered employment, it may be contingent upon passing a medical examination. If so, I hereby consent to such medical examination, and will fully cooperate with any required examination. I understand and agree that if this application results in employment, my employment can be terminated with or without cause and with or without notice, at any time, at the option of either The Company or myself. I understand that no manager or representative of The Company as any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing. I certify and guarantee that all statements made on this application are true and complete to the best of my knowledge and without mental reservations. I understand that falsification of this application may result in my not being considered for employment or, in the event I become employed by The Company in my dismissal, regardless of when such falsification is discovered. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.*

I will click the "SUBMIT" button and then I will receive an email at the email address I provided. I will open this email and follow the instructions to review and sign the document that has been prepared for me.*

READ ME NOW!!!!!!!! The email address you entered for the the final application package will be sent to for electronic signature will need to be checked. Please make sure you enter a valid and accessible email address that you will check when you click SUBMIT. You will need to DIGITALLY SIGN the application package before you can be considered for employment. DO NOT FORGET THIS, your application is not submitted until you have digitally signed the application. You may need to check your JUNK EMAIL box.

DID YOU JUST READ THAT ITEM ABOVE?

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