1. PRINT - 2.COMPLETE - 3. RETURN TO AB TRANSPORT (instructions at end of page)

Application for Employment
AB Transport, Inc
Short Form Application

APPLICANT INFORMATION

Last Name ______________________ First Name ______________________ MI ______

Soc. Sec No. _______-________-________

Address _________________________________________________________________

(No./Street, City, State ZIP)

Phone # ______-______-_______

E-mail Address ____________________________________________________

Are you legally eligible to work in the U.S.? _____ Yes ______ No

EDUCATION

Highest Educational Level Achieved _________________________________________

School _______________________________ Degree ___________________________

GENERAL ABILITIES & EXPERIENCE (CHECK ALL THAT APPLY)

Cargo Claims ____ Computerized Dispatch ____ Customer Service _____ Load Dispatch ____ Transportation Sales ______ Truck Brokerage Operations ___ Management _____ Supervision _____ Sales _____

EMPLOYMENT HISTORY

Name of Company ________________________________ From ________ To ___________

Position Held _____________________________________ Rate of Pay ________________

Name of Company ________________________________ From ________ To ___________

Position Held _____________________________________ Rate of Pay ________________

PLEASE NOTE: I CERTIFY THAT BY COMPLETING AND SUBMITTING THIS SHORT-FORM, ON-LINE EMPLOYMENT APPLICATION THAT I PERSONALLY COMPLETED AND SUBMITTED IT, AND THAT THE INFORMATION AND ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT NOTHING CONTAINED IN THIS APPLICATION IS INTENDED TO CREATE A CONTRACTUAL RELATIONSHIP FOR EMPLOYMENT OR PROVISION OF ANY BENEFITS BY AB TRANSPORT, INC. IN THE EVENT I AM HIRED I UNDERSTAND AND AGREE THAT MY EMPLOYMENT WITH AB TRANSPORT, INC. WILL BE AT WILL WITH NO SPECIFIED DURATION, AND MAY BE TERMINATED WITH OR WITHOUT CAUSE, WITH OR WITHOUT NOTICE, AT ANY TIME AT THE OPTION OF AB TRANSPORT, INC. OR ME. I AUTHORIZE AB TRANSPORT, INC. AT ANY TIME TO CONDUCT AN INVESTIGATION REGARDING MY BACKGROUND FOR EMPLOYMENT PURPOSES, INCLUDING BUT NOT LIMITED TO ANY INFORMATION CONCERNING MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS, MODE OF LIVING, CRIMINAL HISTORY, PAST WORK EXPERIENCE, EDUCATION, ALCOHOL OR DRUG TEST RESULTS, OR ANY OR ALL OTHER INFORMATION ABOUT ME WHICH MAY REFLECT UPON MY POTENTIAL FOR EMPLOYMENT GATHERED FROM ANY SOURCE OR ENTITY THAT MAY HAVE KNOWLEDGE CONCERNING SUCH INFORMATION.

I HAVE COMPLETED THIS APPLICATION WILLINGLY AND VOLUNTARILY, AND RELEASE AND HOLD HARMLESS AB TRANSPORT, INC. AND ANY AND ALL PROVIDERS OF INFORMATION REGARDING MY BACGROUND OF ANY AND ALL LIABILITY, CLAIMS AND DAMAGES WHATSOEVER THAT COULD RESULT BY REASON OF PROVIDING THIS INFORMATION OR OBTAINING SUCH INFORMATION AND/OR HAVING AN EMPLOYMENT DECISION BASED ON MAKING AN INVESTIGATION AND/OR UTLIZING SUCH INFORMATION TO DO SO.

THIS APPLICATION WILL REMAIN CURRENT FOR THREE MONTHS FROM THE DATE I SUBMIT IT.

Signature of Applicant ________________________________________________________

Date_________________

You may scan and email this application (along with your resume) as an attachment to: management@abtransportation.com - or mail it to our office at AB Transport, Inc. 210 2nd St SE, Suite 204, Cedar Rapids, IA 52401 or send all materials via FAX to 319-221-1029.