SecureTrans Armored Employment Application

Axiom Armored Employment Application
Application for

Anchorage, AK California (Apple Valley Area) Fairbanks, AK Juneau, AK Kenai Peninsula, AK Phoenix, AZ Seattle, WA
Position Applied for
Date

Month Day Year
Full Name *

First Name Last Name
Alias
Birth Date *

Month Day Year
Social Security Number
E-mail *

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone Number

Area Code Phone Number
Cellular Number

Area Code Phone Number

Please Read Carefully
DURING THIS APPLICATION AND FOLLOW UP QUESTIONING / INTERVIEW PROCESS, YOU ARE GOING TO BE ASKED QUESTIONS ABOUT YOUR BACKGROUND. IT IS IMPORTANT THAT YOU UNDERSTAND THAT THIS IS CONFIDENTIAL.

JUST BECAUSE YOU MAY HAVE DONE SOMETHING IN YOUR PAST DOES NOT MEAN THAT WE WILL NOT CONSIDER YOU FOR EMPLOYMENT. HOWEVER, WITHHOLDING ANY INFORMATION OR NOT BEING COMPLETELY TRUTHFUL WITH US, CAN DISQUALIFY YOU FROM EMPLOYMENT.

WE WILL (AT OUR COST) DO THE FOLLOWING TESTS AND CHECKS:
CRIMINAL BACKGROUND
CREDIT HISTORY
CIVIL RECORDS
DRUG SCREEN
MOTOR VEHICLE DRIVING HISTORY
PAST EMPLOYMENT HISTORY
I, _________________________, authorize the reporting of the contents of any of the above, and below records to Axiom Armored. I release the issuer, the recipient and Axiom Armored from all liability for any damage for issuing such information. This ceritifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my Knowledge. Applicatnts for positions that require driving a commercial motor vehicle (CMV) at any time will be required to undergo controlled substance and, at our discretion, alcohol testing prior to employment and will be subject to further testing throughout the period of employment. Applicants will also be asked to sign forms for release of information from previous employers in all cases where driving a CMV was one of your functions. Failure to sign will prevent this employer from using you as a CMV driver.
Name (Signifies Authorization for Release of Information) *
Date

Personal History Statement
Experience and Qualifications - Driver
State
License No.
Type
Expiration Date
State
License No.
Type
Expiration Date
State
License No.
Type
Expiration Date

Driving Experience
Class of Equipment
Type of Equipment
Dates (From - To)
Approx. No of Miles
Class of Equipment
Type of Equipment
Dates (From - To)
Approx. No of Miles
Class of Equipment
Type of Equipment
Dates (From - To)
Approx. No of Miles
Comments or Notes

Accident Record for Past 3 Years or More
Please enter the details of each accident beginning with the most recent. For nature of accident please enter head-on, rear-end, upset, etc.
Date of Last Accident
Nature of Accident
Fatalities
Injuries
Next Previous Accident
Nature of Accident
Fatalities
Injuries
Next Previous Accident
Nature of Accident
Fatalities
Injuries
Comments or Notes

Traffic Convictions and Forfeitures for the Past 3 Years
(Other than Parking Violations)
Location
Date

Month Day Year
Charge
Penalty
Location
Date

Month Day Year
Charge
Penalty
Location
Date

Month Day Year
Charge
Penalty
Comments

Personal History Statement
If there is not enough room to write out your answers, please note in comments sections.
Criminal History: List all charges, arrests and convictions of all misdemeanors, felonies (give dates and jurisdictions).
Criminal History

Residence History
Residence History: List all addresses for the past five (5) years and all city, county, state and countries that you have resided in since the age of 18.
Residences for the past five (5) years:
Dates at Current Address

Current Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Dates at Address 2

Previous Address 2

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Dates at Address 3

Previous Address 3

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Dates at Address 4

Previous Address 4

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Dates at Address 5

Previous Address 5

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Dates at Address 6

Previous Address 6

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Residences since age of 18 (start where you left off above):
Dates of Residence 1
City/County/State 1
Dates of Residence 2
City/County/State 2
Dates of Residence 3
City/County/State 3
Dates of Residence 4
City/County/State 4
Dates of Residence 5
City/County/State 5
Dates of Residence 6
City/County/State 6
Dates of Residence 7
City/County/State 7
Dates of Residence 8
City/County/State 8

Resume
If you would like to upload your resume, please use the upload box below. You may skip this step and submit the application without it.
Upload Resume
Other Comments or Questions
Should be Empty:

Axiom Armored Employment Application

Please Read Carefully

Personal History Statement

Experience and Qualifications - Driver

Driving Experience

Accident Record for Past 3 Years or More

Traffic Convictions and Forfeitures for the Past 3 Years

Personal History Statement

Residence History

Residences for the past five (5) years:

Residences since age of 18 (start where you left off above):

Personal History Statement

Work History

Current Employer

Previous Employer

Previous Employer

Previous Employer

Previous Employer

Previous Employer

Previous Employer

Additional Previous Employers and/or Comments

Personal History Statement

Educational History

Resume