West Side Transport, Inc.

Application For Employment

General, Office, Clerical, Operations & Management

Equal Opportunity Employer

(Applicants are not required to provide any information on this form that is prohibited by Federal, state or local law)

PERSONAL & GENERAL INFORMATION
Date:
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/ /
$
per

(If offered employment, you will be required to provide documentation verifying your eligibility.)

A conviction record will not necessarily be a bar to employment. Factors such as age at the time of the offense, date of conviction, seriousness and nature of the crime, and rehabilitation will be considered.

Days and hours available to work (If employed I will notify my supervisor in writing should my availability change)

Day Sunday Monday Tuesday Wednesday Thursday Friday Saturday
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End

West Side Transport, Inc., is an equal opportunity employer. It is our policy to provide and promote equal employment opportunity to all employees and applicants for employment in accordance with all Federal, state and local laws and regulations governing personnel activities. No person will be discriminated against in employment because of race, color, creed, religion, sex, national origin, age, ancestry, disability, veteran status or any other protected class.

EDUCATION & TRAINING
Check Highest
Grade/Year Completed

High School

College

Graduate School

Technical/Vocational

  School Name Location
(city/State)
Graduated Course • Diploma/Degree or
Certificates Earned
Dates Attended or
Year Graduated
Grade Point Avg
High School (Indicate GED if applicable)
College
Graduate School
Correspondence • Night School
Technical • Business • Vocational (Include copy of certification)
Include number, where issued, effective date, and expiration date. (You need not disclose membership in organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, veteran status or any other protected status.)
GENERAL ABILITIES & EXPERIENCE
Transportation/Logistics Abilities & Experience
EMPLOYMENT HISTORY

Provide your full employment record, starting with your current or most recent employment, including U.S. Military Service, full-time and part- time employment. Attach an additional sheet if more space is necessary. If any employment was under a different name, indicate that name. Any periods of employment must include name, address and phone number of a person who can verify the information you have submitted. Do not exclude any employment. West Side Transport, Inc. reserves the right to contact all listed employers, except as noted below.

* Previous 3 employers required

Account for any period of time since leaving school (high school or college) that you were not working:

FROM TO REASON

Current or most recent employer

Employer

Employer

Conditions of employment are stated below.
Please read carefully before you sign and submit this application to West Side Transport, Inc.
Direct any questions you may have regarding this statement to the Human Resources Department

I CERTIFY THAT ALL INFORMATON AND ANSWERS GIVEN BY ME ON THIS APPLICATION, OR ON ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT THE FALSIFICATION, MISPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT IF I AM ALREADY EMPLOYED, REGARDLESS OF WHEN OR HOW SUCH INFORMATION IS DISCOVERED.

I understand and agree that nothing contained in this employment application, any accompanying or required documents, or in the granting of an interview is intended to create a contractual relationship, either expressed or implied, between me and West Side Transport, Inc. for either employment or the provision of any benefits.

I understand that if offered a position with West Side Transport, Inc., I am subject to a pre-employment drug/alcohol screening as a condition of employment. I hereby consent to the collection of a breath alcohol test and/or urine sample by the medical facility chosen by West Side Transport, Inc. for testing of the presence of alcohol and/or non-prescribed illegal substances, I understand and agree that a positive test result for alcohol and/or non-prescribed illegal substances based upon this drug/alcohol screening, or any refusal to cooperate with or attempt to affect the results of such drug/alcohol screening test will disqualify me from further consideration for employment by West Side Transport, Inc., or if already employed by West Side Transport, Inc., be cause for my immediate termination of employment. I understand and agree that if I am hired, I will be subject to drug/alcohol testing under West Side Transport, Inc.'s Drug-Free Workplace Policy in effect at the time of my employment or as it may change from time to time during my employment.

If I am hired by West Side Transport, Inc., I agree to abide by any and all of the West Side Transport, Inc.'s policies, procedures, rules, regulations, and guidelines governing my employment in effect at the time of my hire and thereafter, and as such may change from time to time during my employment and, if applicable, after my employment terminates. I understand and agree that such abiding is a condition of employment. I further understand and agree that West Side Transport, Inc., and all of its representatives or agents shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, or otherwise change all policies, procedures, rules, regulations, guidelines, documents, and/or benefits or other terms and conditions of employment from time to time with or without notice to me.

In the event I am hired by West Side Transport, Inc., I further understand and agree that my employment with West Side Transport, Inc. will be AT WILL, for no specified duration, and may be terminated with or without cause, with or without notice, at any time, at the option of either West Side Transport, Inc. or me. I further understand and agree that no promise, representation, statement, document, policy, procedure, or agreement contrary to the foregoing, whether oral or written, by any representative or agent of West Side Transport, Inc., at any time, can constitute a contract of employment, either expressed or implied, between me and West Side Transport, Inc. for any length of time or contrary to the foregoing, except as mutually agreed upon in writing between the President, CEO & CFO of West Side Transport, Inc. and me, and signed by both parties.

I acknowledge that I have read and understand the above statements, and hereby authorize West Side Transport, Inc., its representatives, agents or vendors to investigate, be supplied with, and obtain information about any and all statements and information contained in this application and any accompanying or required documents, I understand and agree that information to be obtained or supplied about me includes, without limitation, information concerning my character, general reputation, mode of living, criminal record, work habits, financial responsibility, job performance, experience, employment, and/or reasons for employment termination. I understand that if West Side Transport, Inc. requests an investigative consumer report, I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. In so authorizing, I hereby release and hold harmless any person or organization, including but not limited to any and all schools, employers, references, courts and/or anyone else who supplies information about me to West Side Transport, Inc. and/or any of its representatives, agents or vendors, and also release and hold harmless West Side Transport, Inc., and/or any and all of its representatives, agents or vendors from any and all liability, claims and damages of whatever kind and nature that could result by reason of providing or obtaining such information, and/or having an employment decision based on making an investigation and/or utilizing such information to do so.

I understand this application is considered current for three months from the date entered on the first page herein. If I wish to be considered for employment after this period I must complete and submit a new application.
further acknowledge that by signing this application I do so willingly and voluntarily.

Resume Upload

Use the section below to upload your resume. We accept PDF and Word Documents

Date
Applicant's Name
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Call 800-373-2957 ext. 164