Driver Application


All candidates for employment with Williamsport Moving/Allied Van Lines, must successfully complete a background investigation which will include a check for criminal convictions. The investigation may also include obtaining a credit report, verification of your education, licenses if applicable and references.

Disclosure and Authorization to Release Information I understand that in processing my application with “Williamsport Moving”, 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 Williamsport Moving, it's agents, employees, assigns, divisions or affiliates from any and all liability relating to Williamsport Moving's investigation.

All information obtained by Williamsport Moving Company is for our use only.  This information will not be passed on to any other person or company, with the exception of Allied Van Lines.

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 employment. All Red fields are required

 

By entering yes below you are authorizing Williamsport Moving to do a Motor Vehicle Records Check
M.V.R. Authorization: (Yes or No)

 

First Name
Middle
Last Name
Address
City State
Zip Phone
E-Mail
Date of Birth Social Security#
Position applying for:

 

Year / Make of truck

Mandatory if Owner Operator
Driver's License Number State
License Expiration Date CDL?
Endorsements?
No. of Tickets last 3 years
No. of accidents last 3 years
DUI? If yes, when
License suspended or revoked? If yes, when
Attended Truck 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

Dates of Employment:

From To
Employer's Name Address
City State
Phone Position
# of accidents Type of Trailer
# of States
Reason for leaving
 

Dates of Employment:

From To
Employer's Name Address
City State
Phone Position
# of accidents Type of Trailer
# of States
Reason for leaving
 

Dates of Employment:

From To
Employer's Name Address
City State
Phone Position
# of accidents Type of Trailer
# of States
Reason for leaving



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Allied - Agent for Allied Van Lines

Revised: March 02, 2005 .