Anderson Trucking: Employment Application

Personal Information

*Required fields are marked in red.
First name:
Middle name:
Last name:
Address:
City:	State: Zip: -
Phone:
Position applying for:
Education completed:
Email:
Retype email:
Would you like to receive a copy of this application at the address listed above? Yes No

I certify that I personally completed this application and that all of the information is true and correct. I hereby request and authorize ATS to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold ATS harmless of all liability for providing this application for my use.



FOR PRINTED COPY, PLEASE SIGN AND DATE: Signature__________________________________________________ Date______________________