Employment Application

Notice At Collection

We collect certain categories of personal information about you to facilitate employment opportunities and for other reasons internal to Crystal Springs Trucking. Find out more information about the categories of information we collect and the manner in which it is used in our Privacy Policy.

Position

Position Applying For
Type of employment?
Desired Annual Salary
Desired Hourly Wage
Are you willing to travel?
If yes
Are you willing to work extended hours as business needs warrant; may include nights and weekends?
If hired, date on which you anticipate being able to start? Select month, year and then date.

Personal

Last Name
First Name
Middle Initial
Street Address
City
State
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip
Email address
Primary Phone Number
Alternate Phone Number
How did you hear about the position you are applying for?
Are you legally authorized to work in the US?
Have you previously been interviewed for employment with Crystal Springs Trucking and/or its affiliates?
If yes, date interviewed: Select month, year and then date.
Will you now, or in the future, require sponsorship for employment visa status?
If under the age of 18, can you produce the necessary work certificate at the time of employment?
Have you ever been employed by Crystal Springs Trucking and/or its affiliates?
List the dates of employment and reason for separation below.

Complete if position requires driving for work and/or operating a company vehicle

Do you have a current valid driver’s license?
Has your license ever been suspended or revoked?
If yes, explain
Do you have personal automobile insurance?
If no, explain
Have you ever been denied personal automobile insurance or has it ever been terminated or suspended?
If yes, explain

Work History

Beginning with your current/most recent employment including internships, verified volunteer service and military service (if applicable), providing a full accounting of your work experience. Students would list all summer and part-time jobs.

#1

Employment Type
Employment Internship Verified Volunteer Service Military Service
Name of Current/Most Recent Employer/Company
Business/Industry Type
City
State
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Position Held
Dates worked
Select month, year and then date.
Select month, year and then date.
Supervisor’s Name
Supervisor’s Phone Number
May we contact?
If no, explain
Reason for Leaving
If you were terminated, what reason did the employer give you for the termination decision?
Were you ever disciplined?
If so, for what?
When resigning, how much notice did you give?
If none, explain.

#2

Employment Type
Employment Internship Verified Volunteer Service Military Service
Name of Previous Employer/Company
Business/Industry Type
City
State
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Position Held
Dates worked
Select month, year and then date.
Select month, year and then date.
Supervisor’s Name
Supervisor’s Phone Number
May we contact?
If no, explain
Reason for Leaving
If you were terminated, what reason did the employer give you for the termination decision?
Were you ever disciplined?
If so, for what?
When resigning, how much notice did you give?
If none, explain.

#3

Employment Type
Employment Internship Verified Volunteer Service Military Service
Name of Previous Employer/Company
Business/Industry Type
City
State
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Position Held
Dates worked
Select month, year and then date.
Select month, year and then date.
Supervisor’s Name
Supervisor’s Phone Number
May we contact?
If no, explain
Reason for Leaving
If you were terminated, what reason did the employer give you for the termination decision?
Were you ever disciplined?
If so, for what?
When resigning, how much notice did you give?
If none, explain.

Education

#1

Type
High School College Grad/Professional Trade
Name
Course
Diploma GED Associates Bachelors Masters Doctors Other
Major
Completed
Yes No

#2

Type
High School College Grad/Professional Trade
Name
Course
Diploma GED Associates Bachelors Masters Doctors Other
Major
Completed
Yes No

#3

Type
High School College Grad/Professional Trade
Name
Course
Diploma GED Associates Bachelors Masters Doctors Other
Major
Completed
Yes No
Add Education

Supervisor References

List two (2) supervisors who we can contact. These can be the same or different as noted in work history.

Name
Title
Company
Phone Number
Email Address
Name
Title
Company
Phone Number
Email Address