Application -

Resume *

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Cover Letter *

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First Name: *

Last Name: *

Position Applying For: *

Preferred location: *

Columbus, OH
Cincinnati, OH
Charleston, WV

Salary Desired: *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Email *

Cell Phone: *

Are you at least 18 years of age? *

Do you have any relatives employed at Carpenter Marty Transportation? *

If so, whom?

Education:

Do you have a high school diploma? *

If no, do you have a high school equivalency diploma?

Check all you have earned: *

Bachelor's Degree
Master's Degree
Doctorate's Degree
N/A

Major: *

If you expect to complete an educational program in the near future, please indicate what type of degree or program and expected completion date:

License, certificate or other authorization to practice a trade or profession. Please include the type, license number, and granted by Licensing Board (ex. Driver's, PE, PS) *

Previous Work History:

Reference #1 - Please include name, email address, phone number, and relationship *

Reference #2 - Please include name, email address, phone number, and relationship *

Reference #3 - Please include name, email address, phone number, and relationship *

Use this space for any additional information you think would help us evaluate your application, including training, seminars, workshops, and special achievements or skills:

Miscellaneous:

Have you ever been discharged or asked to resign from a job? *

If yes, please provide employer, date, and reason:

If you are applying for or will want to be considered for a position that involves driving, have you been convicted of any traffic or traffic-related offenses in the past 7 years? *

If so, state the date, the nature of the conviction, and any penalties or outcomes:

For purposes of compliance with The Immigration Reform and Control Act, are you legally eligible for employment in the United States? (Under the Immigration Reform and Control Act of 1986, you will be required to fill out a certification verifying that you are eligible to be employed and verifying your identity. Further, you will be required to provide documentation to that effect should you be employed.) *

Have you ever been convicted for any violation(s) of law, excluding expunged, scaled or lawfully eradicated, and excluding minor moving traffic violations? *

When will you be available to start work? *

Will you now or in the future require sponsorship for employment visa status? *

PLEASE READ THE FOLLOWING STATEMENT CAREFULLY AND SIGN BELOW.

Pre-Employment Statement PLEASE READ THE FOLLOWING STATEMENT CAREFULLY AND SIGN BELOW. In consideration of the acceptance by Carpenter Marty Transportation I understand, agree and/or certify to the following: 1.I understand this application does not create any employment relationship or offer of employment. 2.I certify that all information I have provided on this application, and on any other documents submitted with it, is true, accurate, and complete to the best of my knowledge and belief. I understand that incomplete or incorrect information, falsification, misrepresentation or omission of any information on my application, resume, or any other materials I supply during any interviews will be justification for withdrawing any offer of employment or, if employed, termination of employment, regardless of when the falsification, misrepresentation or omission is discovered by Carpenter Marty Transportation. 3.I hereby grant Carpenter Marty Transportation permission to contact all of my present and former employers and those individuals I have listed as personal references(unless specifically excluded in writing). I authorize and request that such employers and references furnish information about my employment record, including a statement of the reason for the termination of employment, work performance, abilities and other qualities pertinent to my qualifications for employment. Further, and in accordance with the authorization to obtain a consumer report, which has been provided me, I authorize Carpenter Marty Transportation, or it’s agent, to obtain transcripts from all educational institutions I have attended, and to conduct whatever additional investigation (e.g., educational verification, criminal check, and motor vehicle record) that may be needed to obtain or verify information regarding my application, resume, any other materials, or any interviews, or concerning my qualifications for employment. I hereby release all parties from any and all liability for damages arising from furnishing the requested Information. 4.I also understand that, if hired, my employment is to be “at will” and that either I or Carpenter Marty Transportation may terminate employment at any time, with or without cause, unless the “at will” arrangement is modified by a written agreement signed by both me and Carpenter Marty Transportation. 5.I authorize Carpenter Marty Transportation to deduct and/or withhold from my final paycheck any amounts due and owed me for my failures, if any, to return to Carpenter Marty Transportation any property and/or to satisfy any financial obligations to Carpenter Marty Transportation that I have, arising or occurring prior to the date of issuance of my final paycheck as allowed by law. 6.I understand that my application will remain active for 30 days at which point it will expire, and that to be considered for a job with Carpenter Marty Transportation after that, I must reapply. If I am hired, this application becomes part of my official employment record. 7.I agree that any claim or lawsuit relating to my application or employment with Carpenter Marty Transportation must be filed no more than six (6) months after the date of employment action that is the subject of a claim or lawsuit. I waive any statute of limitations to the contrary. 8.I understand Carpenter Marty Transportation considers applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a disability or handicap, or any other legally protected status.

Signature *

Date *

Name