912 330-8351

Job Application

Lanyard Development, Inc. considers applicants for employment without regard to race, color, religion, sex, national origin, age, disability status, marital status, or any other legally protected status.

Complete the application in its entirety.  Do not write “see resume” in any blank. An incomplete application will not be considered for the position available.


Address for past 3 years

(if different than above)




Drivers Licenses

Drivers Licenses

Drivers Licenses


 

Driving Experience


 

Accident Records for Past 3 years

Accident #1


Accident #2


Accident #3


 

Traffic Convictions and Forfeitures for the past 3 years

(Other than Parking Violations)

 

Incident #1


 

Incident #2


 

Incident #3


Have you ever been denied a license, permit, or priviliege to operate a motor vehicle?

Has any license, permit or privilege ever been suspended or reovked?


Are you over the age of 18 years?

Are you legally authorized to work in the United States?

Can you provide required proof of citizenship?

Are you currently employed?

May we contact your present employer?


If you have relatives working for this company, please list them:

 

Relative #1


 

Relative #2


Have you ever been convicted of a felony?

Conviction will not necessarily disqualify an applicant from employment


Employment Experience

Start with your present or last job.  Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap, or other protected status.  

NOTE: DOT requires that employment for at least 3 years and/or commercial driving experience for the past 10 years be shown.

Employer #1

Dates


Employer #2

Dates


Employer #3

Dates


Employer #4

Dates


Employer #5

Dates


Education

* Choose highest grade completed

Elementary School

High School

College


References

Give name, address, and telephone number of 3 references who are not related to you and are not previous employers

 

Reference #1

Reference #2

Reference #3


Acknowledgements

All Applicants - Please read the following and address any questions to Lanyard Development, Inc. before signing.

  • I affirm that the information on this application or in connection with the processing of this application (and any resume or any other accompanying documents) is true and complete to the best of my knowledge. I understand that if employed, false statements, significant omissions, or misleading information regardless of when discovered made on or in connection with my application and accompanying documents may result in dismissal.
  • I authorize investigation of all statements contained in this application (and any resume or any other accompanying documents) as may be necessary in arriving at an employment decision.
  • I understand that the applicant’s prior employers may be contacted for the purpose of investigating the applicant’s background as required by 49CFR 291.23 of the Federal Motor Carrier Safety Administration’s (FMCSA) regulations.
  • I authorize all personnel, schools, companies, corporations, credit bureaus, and law enforcement agencies to supply any and all pertinent information and release the same from any liability resulting from providing such information.
  • I understand that from time to time the company may be asked to submit/release certain information including but not limited to my employment or application for employment. I release the company and its agents from any liability resulting from submitting/releasing such information.
  • I acknowledge that the company will request, as a condition of any offer of employment that is made or for continued employment, that I undergo a medical exam and drug and alcohol testing, and I consent and agree to any such exam and testing. I understand that a satisfactory result of said testing will be a condition of employment.
  • I understand that federal law prohibits the employment of unauthorized aliens and requires satisfactory proof of employment eligibility and identity. All persons hired must submit satisfactory proof of employment eligibility and identity.  (Please have the necessary documents promptly available for inspection as required by law).
  • If employed, I agree to abide by the rules and regulations of the company.
  • I understand that if I am employed, my employment is for no fixed period and is at-will. I understand that I could be terminated at any time for any or no reason, and I understand that I may quit at any time for any or no reason.  This understanding cannot be altered by anyone unless it is in writing and signed by the president of Lanyard Development, Inc.
  • I understand that this application does not create an offer of employment.
  • I understand that Lanyard Development, Inc. has a zero-tolerance policy on drug and alcohol use.
  • 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 have read and understand the above notice including the at-will basis of employment.