Non-Driver Application

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English

Apply For A Non-Driving Position With EAI

Step 1 of 5

Note: This is the NON-DRIVER application.
Authorization and Release
POLICY:

It is the policy of this company to conduct a thorough background investigation of all employees or prospective employee applicants. This background investigation will normally include the following: Stores Protective Association Files, Court Records, Credit Records, School/Education Records, Employment Records, and Personal/Business References.

APPLICATION INSTRUCTIONS
Completeness and accuracy is important in filling out your Employment Application. Failure to reveal prior employment or furnishing any false or misleading information will be grounds for not hiring you or for termination after hire. Frankness and honesty during your interview are equally important.

FAIR CREDIT REPORTING ACT DISCLOSURE STATEMENT
In accordance with the provisions of Section 604(b)(2)(A) of the Fair Credit Reporting Act, Public Law 91-508, as amended by the Consumer Credit Reporting Act of 1996 (Title II, Subtitle D, Chapter I, of Public Law 104-208), you are being informed that "consumer reports" and "investigative consumer reports" verifying your previous employment, previous drug and alcohol test results, and your driving record may be obtained on you for employment purposes. These reports are required by Sections 382.413, 391.23, and 391.25 of the Federal Motor Carrier Safety Regulations, company policy and/or other government regulations.

AUTHORIZATION AND RELEASE
In connection with my being considered for employment, I give the company indicated above the right to investigate my background at any time. I authorize and request all persons, companies and organizations, including credit bureaus, schools, and law enforcement agencies, to furnish any information about me requested by this company. I release from liability any person, company, or organization furnishing such information and release this company from liability arising from any employment decision which is based in whole or in part upon such information.
Signature (Print Your Name)*
Signature*
Use your mouse or finger to sign your name here.
Date*
Date Format: MM slash DD slash YYYY
Print Name*
Social Security Number*
Address*
Street Address Address Line 2 City State ZIP Code
Driver's License State*
Driver's License Number*
Driver's License Class*
Maiden Name or Other Name by Which Known:
Applicant Assisted by Translator/Preparer (Name):
(Address, Phone Number)

Driver's Application For Appointment (Part 1)
Applicant's Name*
First Last
Company*
Address*
Same as previous

Street Address Address Line 2 City State ZIP Code
TO BE READ AND SIGNED BY APPLICANT

I authorize you to make such investigations and inquiries of 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 will be 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 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.
Applicant's Signature (Print Your Name)*
Signature
Use your mouse or finger to sign your name here.
Date of Application
Date Format: MM slash DD slash YYYY

Employment History
All Driver Applicants to drive in Interstate commerce must provide the following information on all employers during the preceding (3) three years. List complete mailing address, street number, city, state, and zip code.

Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall also provide an additional seven (7) years information on those employers for whom that applicant operated such vehicle. (Please Note: List Employers in Reverse Order Starting With The Most Recent.)
Employer #1
Employer #1 Company Name*
Employer #1 Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer #1 Phone*
Start Date at Employer #1*
Date Format: MM slash DD slash YYYY
End Date at Employer #1*
Date Format: MM slash DD slash YYYY
Last Position Held at Employer #1*
Reason For Leaving Employer #1*
Employer #2
Employer #2 Company Name
Employer #2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer #2 Phone
Start Date at Employer #2
Date Format: MM slash DD slash YYYY
End Date at Employer #2
Date Format: MM slash DD slash YYYY
Last Position Held at Employer #2
Reason For Leaving Employer #2
Employer #3
Employer #3 Company Name
Employer #3 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer #3 Phone
Start Date at Employer #3
Date Format: MM slash DD slash YYYY
End Date at Employer #3
Date Format: MM slash DD slash YYYY
Last Position Held at Employer #3
Reason For Leaving Employer #3
Employer #4
Employer #4 Company Name
Employer #4 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer #4 Phone
Start Date at Employer #4
Date Format: MM slash DD slash YYYY
End Date at Employer #4
Date Format: MM slash DD slash YYYY
Last Position Held at Employer #4
Reason For Leaving Employer #4
Employer #5
Employer #5 Company Name
Employer #5 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer #5 Phone
Start Date at Employer #5
Date Format: MM slash DD slash YYYY
End Date at Employer #5
Date Format: MM slash DD slash YYYY
Last Position Held at Employer #5
Reason For Leaving Employer #5

Espanol

Aplicar para una posición en EAI

Haga clic aquí para la Solicitud de Empleo General

Nombre*
Primer Apellido
Aplicar PDF
Accepted file types: pdf.
Resume
Número de Teléfono*
Correo Electrónico*
Dirección*
Dirección Ciudad Estado Código postal
Historia de empleo—de los últimos diez años
Empleador actual o Ultimo trabajo
Título del trabajo Compañía Fechas de empleo
Empleador anterior
Título del trabajo Compañía Fechas de empleo
¿En qué posición está interesado?
Usted puede seleccionar sólo dos posiciones.
- Class A and B Driver
- Mechanic
- Dispatcher
- Route Foreman
- CSR Representative
- Yard Attendant
- Tire Technician
- Admin/Billing Specialist
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Non-Driver Application

Step 1 of 5

Authorization and Release

Driver's Application For Appointment (Part 1)

TO BE READ AND SIGNED BY APPLICANT

Driver's Application For Appointment (Part 2)

General Information

Position(s) Desired

Have You Ever Been Bonded (If Applicable to Position(s) You Are Applying For)

Addresses For The Past Three (3) Years

Education & Military Experience

Employment History

Employer #1

Employer #2

Employer #3

Employer #4

Employer #5

Experience & Qualifications – Driver, If Applicable

Driver Licenses or Permits Held In Last Three (3) Years

Accident Record For Last (3) Years – Most Recent First. If you had none, write NONE

Traffic Convictions & Forfeitures For the Last (3) Years (Other Than Parking Violations); If you had none, write NONE

Experience & Qualifications – Mobile Equipment, If Applicable

Experiences & Qualification - Maintenance, If Applicable

Experiences & Qualification - Administration/Clerical, If Applicable

Experiences & Qualification - Other

TO BE READ AND SIGNED BY APPLICANT

Historia de empleo—de los últimos diez años

Título del trabajo	Compañía	Fechas de empleo