SecureTrans Armored Employment Application

Axiom Armored Employment Application
Application for

Anchorage, AKCalifornia (Apple Valley Area)Fairbanks, AKJuneau, AKKenai Peninsula, AKPhoenix, AZSeattle, WA
Position Applied for
Date

MonthDayYear
Full Name*

First NameLast Name
Alias
Birth Date*

MonthDayYear
Social Security Number
E-mail*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number

Area CodePhone Number
Cellular Number

Area CodePhone 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

MonthDayYear
Charge
Penalty
Location
Date

MonthDayYear
Charge
Penalty
Location
Date

MonthDayYear
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

CityState / Province

Postal / Zip CodeCountry
Dates at Address 2
Previous Address 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Dates at Address 3
Previous Address 3

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Dates at Address 4
Previous Address 4

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Dates at Address 5
Previous Address 5

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Dates at Address 6
Previous Address 6

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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.
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Other Comments or Questions
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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