Application for Employment
AB Transport, Inc
On-Line Short Form Application
PERSONAL INFORMATION
Last Name _______________ First Name _______________ MI ______ Soc. Sec No.
_______-________-________
Address _________________ ________________ _____ ____ Phone #
______-______-_______
No./Street City State Zip
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.
Submit to AB Transport, Inc Reset the Form