Boston Limousine
Employment Application

Chauffeur Job Description

Full Name

Address

City

State

Phone

E-Mail

Date of Birth

Position applying for:

How far do you live from Logan Airport?

Desired Hourly Rate?

Type of employment desired?

Full-Time?
Part-Time (Specify)

Do you have the legal right to work in the US?

Do you have a Medical Certificate (DOT Medical Card)?

Driver's License Number

State

License Expiration Date

CDL?

No. of moving violations last 3 years

No. of Accidents last 3 years

DUI?

If yes, when

License suspended or revoked?

If yes, when

Attended Driving School

School Name

Have you ever been convicted of a criminal misdemeanor?

If yes, when and what?

Have you ever been convicted of a felony?

If yes, when and what?

Are you currently serving in the military?

What is your separation date?

Employment History

Employer 1:

Start date

End date

Employer's Name

Full Address

Phone

Position

Reason for leaving

Employer 2:

Start date

End date

Employer's Name

Full Address

Phone

Position

Reason for leaving

Employer 3:

Start date

End date

Employer's Name

Full Address

Phone

Position

Reason for leaving

I understand that in processing my application with "Boston Limousine", an investigation may be made in which information is obtained through a review of information held by law enforcement or other government agencies. I authorize you to verify my past employment and education, criminal convictions/personal references, and other job related data provided on this application, or via the interview process. I authorize the appropriate individuals, companies, institutions, or agencies to release them from any liability as a result, of such inquiries of disclosures. A report my be generated summarizing this information.

I further understand and waive my right of privacy in this investigation and release and hold harmless Boston Limousine, it's agents, employees, assigns, divisions or affiliates from any and all liability relating to Boston Limousine's investigation.

I agree that any decision to hire me is contingent upon the results of my report and certify that all statements and answers on my application, resume , or interview are true and complete to the best of my knowledge. I understand that if any statements are found to be false or that if information has been omitted, this will be cause for disqualification and immediate termination of my work contract.

Finally, after submitting this application please email a copy of your driver's license to info@bostonlimousine.com

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Signature:	Date:

Boston LimousineEmployment Application

Employment History

Employer 1:

Employer 2:

Employer 3:

Boston Limousine
Employment Application