Desired Position
Last Name
Address
City
State
Zip
Phone
Email
Pre-Employment Questionnaire
Yes
No
1. Do you presently have a valid/ current driver’s license?
Yes
No
2. Our runs can start at any hour in a 24-hour time frame. Are you willing to work that type schedule?
Yes
No
3. Although not all days per week, some of our runs do require a 12 to 15 hour work day. Are you willing to work that type of schedule?
Yes
No
4. Are you available and willing to work in any type of weather?
Yes
No
5. Are you willing and able to deliver cartons weighing up to 65 pounds up steps, if necessary?
Yes
No
6. Are you available & willing to drive and make deliveries in metropolitan cities such as New York City, Baltimore, Philadelphia & Washington D.C.?
Yes
No
7. Are you able to drive a vehicle with a manual transmission (stick shift)?
No
Yes
8. Can you drive a 24 foot straight truck or box truck? If yes, please describe how much experience you have driving a straight truck:
Yes
No
9. Have you been charged with a traffic violation including any minor traffic tickets and any non-moving violations within the past 10 years? If yes, state when and with what you were charged:
Yes
No
10. Have you been involved in a motor vehicle accident within the past 10 years? If yes, state when and under what circumstances:
Yes
No
11. Are you willing to submit to a drug screen?
Yes
No
12. Are you willing to take a road driving test to determine your driving abilities?
Education Completed
Former Employers
Reason for Leaving
Salary
Employer Name Address
Position
Date of Employment
Reason for Leaving
Salary
Employer Name Address
Position
Date of Employment
Reason for Leaving
Salary
Employer Name Address
Position
Date of Employment
Reason for Leaving
Salary
Employer Name Address
Position
Date of Employment
I authorize Way Services Inc. to investigate all statements contained in this application questionnaire as well as any accompanying resume or materials, and to make all inquiries as may be necessary in order for the employer to make an employment decision.
The information provided by me is complete and accurate and any misrepresentations or omission of relevant information may disqualify me from employment or may result in termination of employment.