Star Transportation – Employment Opportunities

Star Transportation Pre-Employment Form

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disabilities, or any other protected group status.

Required Fields (*)

Personal Information
* Name (First, Middle, Last):
Address:
City:
State:	Zip:
Phone:
Best Time to Contact at Home:
* Email:

Employment History
Most Recent Employer	Employer:
Address:
City:
State:		Zip:
Phone:
Dates Employed:		Start Date End Date
Hourly Wage/Salary (Starting/Final)		Starting Final
Job Title:
Supervisor:
Work Performed:
Reason for Leaving:
Did you drive a vehicle requiring a CDL?		Yes No

Employer 2	Employer:
Address:
City:
State:		Zip:
Phone:
Dates Employed:		Start Date End Date
Hourly Wage/Salary (Starting/Final)		Starting Final
Job Title:
Supervisor:
Work Performed:
Reason for Leaving:
Did you drive a vehicle requiring a CDL?		Yes No

Employer 3	Employer:
Address:
City:
State:		Zip:
Phone:
Dates Employed:		Start Date End Date
Hourly Wage/Salary (Starting/Final)		Starting Final
Job Title:
Supervisor:
Work Performed:
Reason for Leaving:
Did you drive a vehicle requiring a CDL?		Yes No

Employer 4	Employer:
Address:
City:
State:		Zip:
Phone:
Dates Employed:		Start Date End Date
Hourly Wage/Salary (Starting/Final)		Starting Final
Job Title:
Supervisor:
Work Performed:
Reason for Leaving:
Did you drive a vehicle requiring a CDL?		Yes No

Employer 5	Employer:
Address:
City:
State:		Zip:
Phone:
Dates Employed:		Start Date End Date
Hourly Wage/Salary (Starting/Final)		Starting Final
Job Title:
Supervisor:
Work Performed:
Reason for Leaving:
Did you drive a vehicle requiring a CDL?		Yes No

Education
High School	Name:
City:		State:
Highest Grade Completed:
College	Name:
City:		State:
Course of Study:

References
Reference 1	Name:
Address:
City:
State:		Zip:
Phone:

Reference 2	Name:
Address:
City:
State:		Zip:
Phone:

Reference 3	Name:
Address:
City:
State:		Zip:
Phone:

Driving History
License 1	State:
Type:		Expiration:
License 2	State:
Type:		Expiration:
License 3	State:
Type:		Expiration:
Driving Experience (Indicate None, if applicable)
Number of Years Experience Total:
List states operated in for the past five years:
List any special or additional driving courses/training completed:
List any safe driving awards received and from whom:
Has any license, permit or privilege ever been suspended?		Yes No
Accident History For the last 3 years, starting with the most recent. (Indicate None, if applicable)
Accident 1	Date of Accident:
Nature of Accident (Head-on, Rear-End, Upset, etc.):
Fatalities:
Injuries:
Accident 2	Date of Accident:
Nature of Accident (Head-on, Rear-End, Upset, etc.):
Fatalities:
Injuries:
Accident 3	Date of Accident:
Nature of Accident (Head-on, Rear-End, Upset, etc.):
Fatalities:
Injuries:

Star Companies
P.O. Box 2067 ·· 3201 E. Highland
Jonesboro, AR 72401 ·· 866.413.7827
info@starcompanies.net

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