Driver Application for Employment

Use the form below to apply for current job openings for drivers at Polar Beverages. NOTE: All information you send us will be held in the strictest confidence.

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considers for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.
Date of Application*
Job Code*
Last Name	First Name	Middle Name
Telephone
Current address		How long have you lived here?
City	State	Zip Code
Previous Address		How long did you live here?
City	State	Zip Code
Do you have the legal right to work in the United States? (According to Federal Law, work authorization documentation will be required upon employment.) YesNo
Date of Birth	Can you provide proof of age? YesNo
Have you worked for this company before? YesNo		If yes, when?
Are you employed now? YesNo	If not, how long since leaving last employment?
Who referred you?		Rate of pay expected
Is there any reason you might be unable to perform the functions of the job for which you have applied? YesNo
If yes, explain if you wish.
EMPLOYMENT HISTORY All driver applicants to drive interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code. Applicants to drive a commercial motor vehicle (Includes vehicles having GVWR of 26,001 lbs. or more, vehicles designed to transport 15 or more passengers, or any size vehicle used to transport hazardous materials in a quantity requiring placarding) in intrastate or interstate commerce shall also provide an additional 7 years’ information on those employers for whom the applicant operated such vehicle.
Employer Name		Dates of Employment
Address
City	State	Zip Code
Position Held		Salary/Wage
Contact Person		Phone Number
Reason for Leaving
Additional Employment History
Accident record for the past 3 years or more (use text box if more space is needed). If none, write none.
Date	Nature of Accident (Head-On, Rear-End, Upset, Etc.)
Fatalities	Injuries
Additional Accident Records
Traffic convictions and forfeitures for the past 3 years, other than parking violations
Location		Date
Charge	Penalty
Highest Level of Education Completed
Last School Attended		City
DRIVER LICENSES
State	License No.	Type
Expiration Date	Additional Driver's Licences
Have you ever been denied a license, permit or privilege to operate a motor vehicle? YesNo
Has any license, permit or privilege ever been suspended or revoked? YesNo
If you answered yes to either, please explain.
DRIVING EXPERIENCE
Class of Equipment	Type of Equipment	Approx. No. of Miles (Total)
Additional Driving Experience
List states operated in for the last five years
List courses and training other than shown elsewhere in this application.
Show special course or training that will help you as a driver
Which safe driving awards do you hold and from whom?
Show any trucking, transportation or other experience that may help in your work for this Company.
List special equipment or technical materials you can work with
By Submitting this Application, I agree with the following: This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.






Submit
* Required

To find out more about where you can purchase Polar Products please call: 1-800-734-9800