Employment Application
Join the WSI Transport Team
Employment Application
Personal Information
Name:
*
First
Middle
*
Middle
Last
*
Last
Have you ever used another legal name (maiden name, alias, or AKA)?
*
Yes
No
Please List:
Address:
*
Address:
Street
Street
Suite or Apt #
Suite or Apt #
City
City
State
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip
Zip
Primary Phone:
*
Secondary Phone:
Email Address:
*
Date of Birth:
*
Today's Date:
*
FedEx Experience
If you have worked for FedEx in the past please provide your badge number:
Driver License
DL Number:
*
State of Issuance:
*
Endorsements:
*
Last Name on License:
*
Expiration Date:
*
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
*
Yes
No
Reason:
Has any license, permit, or privilege ever been suspended or revoked? If so, details.
*
Yes
No
Reason:
Address History - Previous 10 Years
Please list all addresses for the last 10 years including the time frame (dates) that you lived at each. There cannot be any time gaps: After each address, click the "add" button below to add more addresses.
Address:
*
Address:
Street
Street
Suite or Apt #
Suite or Apt #
City
City
State
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip
Zip
Dates at this address (month/year)
*
From:
To:
*
To:
Add
Remove
Criminal Information
Have you ever been convicted of a crime (other than a minor traffic violation)?
*
Yes
No
Have you had an accident within the last three years?
*
Yes
No
Have you had a traffic conviction or forfeiture within the last three years?
*
Yes
No
Have you been convicted or forfeited bond or collateral on account of any traffic violation during the past 12 months
*
Yes
No
If you answered yes to any of the above questions, please list offense, City/County, State & date the offense occurred.
Employment History - Last 7 Years
Please list your job history for the last 7 years including the time frame (dates) that you worked in each. Include any gaps in work history as a separate entry indicating unemployed, self-employed, in school, etc.
Employment Type:
*
Full-Time
Part-Time
Self-Employed
Unemployed
Attending School
Contractor
Job Classification:
*
Non-Driver
Class A CDL Driver
Type of Equipment:
*
Type of Equipment:
Business Name:
*
Position Held:
*
Contact Name:
*
Contact Email
*
Phone #:
*
Address:
*
Address:
Street
Street
Suite or Apt #
Suite or Apt #
City
City
State
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip
Zip
Dates of Employment (month/year)
*
From:
To:
*
To:
Add
Remove
Experience & Qualifications
List driver related training or certifications:
*
Certification
All of the above information is true to the best of my knowledge. I understand that it will be used to conduct background and employment reviews for the purposes of securing a DOT driving position with WSI Transport, Inc. I also understand that intentionally falsifying or distorting this information would disqualify me from obtaining any position with WSI Transport, Inc.
Signature:
Clear
Date:
Printed Name:
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