Company Vehicle Driver Application - Northeast Safety, Inc.

Please Note: You must be employed with Northeast Safety, Inc. for at least 6 months before you can be considered for this position.

Northeast Safety, Inc is an Equal Opportunity and EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

If you are unable to use this form, please Click here to download our PDF Company Vehicle Driver Application.

First Name:

PERSONAL INFORMATION

Last Name:

M initial:

Address:

City:

State:

Zip:

Phone:

Email:

Date of Hire:

Location Applied for:

Do you smoke?

Yes No

Do you have any violations on your driving record?

Yes No

Have you ever been convicted of a felony?

Yes No

If 'Yes' to any of the above, please explain:

Disclaimers and Agreements
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I understand that applying for this position is not a guarantee that I will be offered the job as a driver for Northeast Safety, Inc.

I understand that I must be employed with Northeast Safety, Inc. for at least 6 months before I can be considered for this position.

I agree to abide by all policies and procedures including the Code of Conduct set forth by Northeast Safety, Inc. and failure to do so will result in an immediate disqualification for this position.

By clicking SUBMIT, I voluntarily give Northeast Safety, Inc. the right to make a thorough investigation of my driving record and personal history that is job related, agree to cooperate in such investigation, and release from all liability or responsibility all persons, companies and corporations supplying such information. I consent to taking any post-offer physical examination, medical or drug tests that might be required by Northeast Safety, Inc., in order to determine my ability to perform job duties. I authorize the release of the results of such exams or tests to Northeast Safety, Inc.

I understand that if I accept employment at Northeast Safety, Inc may terminate employment at any time and may be terminated at any time, with or without cause, and that I have no express or implied contract for continued employment.

I certify that the above information and information on my resume is true and accurate to the best of my knowledge understand that if I misrepresent or leave out a fact on my application or resume, I may be refused employment or if employed, I may be terminated immediately.