Job Application

First Name *

Last Name *

Home Phone *

Current Address *

City *

State *

Zip *

Email *

Other Phone

Date of Birth *

Position or Type of Position Desired *

Earning Expected: $ *

Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation? *YesNo

If no, please explain

Are you legally eligible to work in the U.S.? *YesNo

Have you worked at Paul Transportation or any of its affiliates before? *YesNo

Have you ever been discharged or asked to resign from any employment?YesNo

If yes, please explain

Days and hours available to work (If employed I will notify my supervisor in writing should my availability change)

Sunday - Start

Sunday - End

Monday - Start

Monday - End

Tuesday - Start

Tuesday - End

Wednesday - Start

Wednesday - End

Thursday - Start

Thursday - End

Friday - Start

Friday - End

Saturday - Start

Saturday - End

Are you available to work overtime?YesNo

Are you available to work weekends if needed?YesNo

Are you available to work holidays if needed?YesNo

If offered a position, date available to start work

If offered a position, is there anything that would interfere with your regular attendance and punctuality?YesNo

If yes, please explain

Paul Transportation is an equal opportunity employer. It is our policy to provide and promote equal employment opportunity to all employees and applicants for employment in accordance with all Federal, state and local laws and regulations governing personnel activities. No person will be discriminated against in employment because of race, color, creed, religion, sex, national origin, age, ancestry, disability, veteran status or any other protected class.

Education and Training

High School Name

Location

Graduated?YesNo

Dates Attended / Year Graduated?

College Name

Location

Graduated?YesNo

Dates Attended / Year Graduated?

Graduate School Name

Location

Graduated?YesNo

Dates Attended / Year Graduated?

Technical School Name

Location

Graduated?YesNo

Dates Attended / Year Graduated?

Describe any academic honors, scholarships, offices held, extracurricular activities, etc.(You need not disclose membership in organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, veteran status or any other protected status)

Military Service

Have you served in the U.S. Armed Service?YesNo

Professional Licenses, Certificates, Registrations or Memberships Held

Include number, where issued, effective date, and expiration date. (You need not disclose membership in organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, veteran status or any other protected status.)

Languages read, written or spoken fluently other than English

Describe any other experience, skills, specialized courses, training, seminars, apprenticeships or other qualifications or skills you believe should be considered by Paul Transportation in evaluating your qualifications for employment

Courses and/or Training not shown elsewhere in this application

General Abilities and Experience

For each item checked, please describe in detail the amount and type of experience you have

Please describe in detail your experience and proficiency with computer hardware and software, including specific software knowledge and skill

Transportation/Logistics Abilities and Experience

For each item checked, please describe the amount and type of experience you have in detail

Employment History

Provide your full employment record, starting with your current or most recent employment, including U.S. Military Service, full-time and part- time employment. Attach an additional sheet if more space is necessary. If any employment was under a different name, indicate that name. Any periods of employment must include name, address and phone number of a person who can verify the information you have submitted. Do not exclude any employment. Paul Transportation reserves the right to contact all listed employers, except as noted below. Previous 3 employers required Account for any period of time since leaving school (high school or college) that you were not working

From

Reason

From

Reason

From

Reason

Current or most recent employer

Company Name *

Employed From *

Employed To *

Are you presently employed? *YesNo

Address *

Phone *

Position Held *

Name and Title of Immediate Supervisor *

Supervisor Contact Information (phone #) *

Starting Rate of Pay

Current or Ending Rate of Pay

Describe your job duties, including number and type of employees supervised

Why do you wish to leave employers?

May we contact this employer? *YesNo

Employer

Company Name #2

Employed From

Employed To

Address

Phone

Position Held

Name and Title of Immediate Supervisor

Supervisor Contact Information (phone #)

Starting Rate of Pay

Ending Rate of Pay

Describe your job duties, including number and type of employees supervised

Reason for leaving?

May we contact this employer? *YesNo

Employer

Company Name

Employed From

Employed To

Address

Phone

Position Held

Name and Title of Immediate Supervisor

Supervisor Contact Information (phone #)

Starting Rate of Pay

Ending Rate of Pay

Describe your job duties, including number and type of employees supervised

Reason for leaving?

May we contact this employer? *YesNo

Conditions of employment are stated below. Please read carefully before you sign and submit this application to Paul Transportation Direct any questions you may have regarding this statement to the Human Resources Department

I CERTIFY THAT ALL INFORMATON AND ANSWERS GIVEN BY ME ON THIS APPLICATION, OR ON ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT THE FALSIFICATION, MISPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT IF I AM ALREADY EMPLOYED, REGARDLESS OF WHEN OR HOW SUCH INFORMATION IS DISCOVERED.

I understand and agree that nothing contained in this employment application, any accompanying or required documents, or in the granting of an interview is intended to create a contractual relationship, either expressed or implied, between me and Paul Transportation for either employment or the provision of any benefits.

I understand that if offered a position with Paul Transportation, I am subject to a pre-employment drug/alcohol screening as a condition of employment. I hereby consent to the collection of a breath alcohol test and/or urine sample by the medical facility chosen by Paul Transportation for testing of the presence of alcohol and/or non-prescribed illegal substances, I understand and agree that a positive test result for alcohol and/or non-prescribed illegal substances based upon this drug/alcohol screening, or any refusal to cooperate with or attempt to affect the results of such drug/alcohol screening test will disqualify me from further consideration for employment by Paul Transportation, or if already employed by Paul Transportation, be cause for my immediate termination of employment. I understand and agree that if I am hired, I will be subject to drug/alcohol testing under Paul Transportation's Drug-Free Workplace Policy in effect at the time of my employment or as it may change from time to time during my employment.

If I am hired by Paul Transportation, I agree to abide by any and all of the Paul Transportation's policies, procedures, rules, regulations, and guidelines governing my employment in effect at the time of my hire and thereafter, and as such may change from time to time during my employment and, if applicable, after my employment terminates. I understand and agree that such abiding is a condition of employment. I further understand and agree that Paul Transportation, and all of its representatives or agents shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, or otherwise change all policies, procedures, rules, regulations, guidelines, documents, and/or benefits or other terms and conditions of employment from time to time with or without notice to me.

In the event I am hired by Paul Transportation, I further understand and agree that my employment with Paul Transportation will be AT WILL, for no specified duration, and may be terminated with or without cause, with or without notice, at any time, at the option of either Paul Transportation or me. I further understand and agree that no promise, representation, statement, document, policy, procedure, or agreement contrary to the foregoing, whether oral or written, by any representative or agent of Paul Transportation, at any time, can constitute a contract of employment, either expressed or implied, between me and Paul Transportation for any length of time or contrary to the foregoing, except as mutually agreed upon in writing between the President, CEO & CFO of Paul Transportation and me, and signed by both parties.

I acknowledge that I have read and understand the above statements, and hereby authorize Paul Transportation, its representatives, agents or vendors to investigate, be supplied with, and obtain information about any and all statements and information contained in this application and any accompanying or required documents, I understand and agree that information to be obtained or supplied about me includes, without limitation, information concerning my character, general reputation, mode of living, criminal record, work habits, financial responsibility, job performance, experience, employment, and/or reasons for employment termination. I understand that if Paul Transportation requests an investigative consumer report, I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. In so authorizing, I hereby release and hold harmless any person or organization, including but not limited to any and all schools, employers, references, courts and/or anyone else who supplies information about me to Paul Transportation and/or any of its representatives, agents or vendors, and also release and hold harmless Paul Transportation, and/or any and all of its representatives, agents or vendors from any and all liability, claims and damages of whatever kind and nature that could result by reason of providing or obtaining such information, and/or having an employment decision based on making an investigation and/or utilizing such information to do so.

I understand this application is considered current for three months from the date entered on the first page herein. If I wish to be considered for employment after this period I must complete and submit a new application. further acknowledge that by signing this application I do so willingly and voluntarily.

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