Years in Current Address
Does this Cover your last 3 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.)
2. Emergency Contact Information
Emergency Contact Name*
Emergency Contact Relationship*
Home Address
Emergency Contact Primary Telephone*
Emergency Contact Secondary Telephone
3. Employment Type Desired
Whom were you referred by?
Please explain any limitations.
If you are offered employment, when would you be available to begin work?*
What reasonable accommodation, if any, would you request?
Salary Desired:*
THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.
7. Applicant's Education and Training
Please indicate any current professional licenses or certifications that you hold:
Please indicate any Awards, Honors or Special
Acheivements
9. Previous Employment
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?*
FAX Number
Email Address
Company Phone*
Company Address
Job Duties*
Beginning Date of Employment*
Ending Date of Employment*
Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer*
10. Accident Record For Last 3 Years
If the applicant responds yes
1st Year
Enter a date
Nature of Accident
Number Fatalities
Number of Injury
2nd Year
Enter a date
Nature of Accident
Number Fatalities
Number of Injury
3rd Year
Enter a date
Nature of Accident
Number Fatalities
Number of Injury
11. Traffic Convictions The Last 3 Years. ( No Parking Violations )
1st Year
Enter a date
Violation
State
Penalty
2nd Year
Enter a date
Violation
State
Penalty
3rd Year
Enter a date
Violation
State
Penalty
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).*
Year with this engagement:
Supervisor Name
Company Phone
Company Address
Job Duties
Beginning Date of Employment
Ending Date of Employment
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
Name
Address
Phone
12. Drivers License Information
Date of Birth
Applicants are required to provide this information.
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.
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"
13. 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.
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.
To Be Read And Signed By Applicant
I authorize you to make sure investigations and inquiries to my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history willbe made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company. “I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to: Review information provided by current/previous employers; Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.”
DATE
APPLICANT'S SIGNATURE
This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. You Will Sign Your Application Once You Come To The Office For An In-person Interview.
K & V LIMOUSINE