Employee Application "*" indicates required fields Step 1 of 6 16% Your Personal InformationApplication Date MM slash DD slash YYYY Your Name* First Middle Last Home PhoneMobile Phone*Your Email Address* Enter Email Confirm Email Present Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Permanent Address(If different from present address) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Employment DesiredPosition You're Applying For* Sales & Service Warehouse Desired SalaryAre you applying for:* Regular Full Time Work Regular part-time work Would you be available to work overtime, if necessary?* Yes No If hired, what date can you start work?*Are you currently employed?* Yes No Do you have a valid CDL?* Yes No Other than time off for reasons related to your religion, a disability or a medical condition, are there any days or times when you are unavailable to work?MondayTuesdayWednesdayThursdayFriday Add Remove Personal InformationHow did you hear about this job opening?Referred by:Have you ever applied to or worked for Advance Beverage Company before?* Yes No When did you apply to or work for Advance Beverage Company?If hired would you have a reliable means of transporatation to and from work?* Yes No Do you have any relatives who currently work at Advance Beverage Company?* Yes No Are you at least 18 years old?*(If under 18, hire is subject to verification that you are of minimum legal age.) Yes No Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accomodation?*(Note: We comply with the Fair Employment and Housing Act (FEHA) and the Americans with Disabilities Act (ADA). We consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. New hires may be subject to passing a medical examination, and to skill and agility tests.) Yes No Please describe the functions that cannot be performed:Education and TrainingIndicate Years of Education Completed:High School*College/University*Other: SpecifyDo you have any other experience, training, qualifications, or skillls that make you especially suited to work?* Yes No Please Explain: Employment HistorySALES AND SERVICE APPLICANTS: All driver applicants to drive in 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 a 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. WAREHOUSE APPLICANTS: Please list information on all employers during the preceding 5 years.Most Recent EmployerCompany Name Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Did you drive a vehicle requireing a CDL? Yes No Are you currenly employed here? Yes No Position TitlePosition DutiesReason for LeavingContact Person First Last Contact Phone NumberMay we contact for reference? Yes No Additional EmployerCompany Name Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Did you drive a vehicle requireing a CDL? Yes No Are you currenly employed here? Yes No Position TitlePosition DutiesReason for LeavingContact Person First Last Contact Phone NumberMay we contact for reference? Yes No Additional EmployerCompany Name Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Did you drive a vehicle requireing a CDL? Yes No Are you currenly employed here? Yes No Position TitlePosition DutiesReason for LeavingContact Person First Last Contact Phone NumberMay we contact for reference? Yes No Upload your resume (optional)Max. file size: 40 MB.ReferencesList below three persons not related to you who have knowledge of your work performance within the last 3 years.First & Last Name*Phone*Occupation*Years Known*First & Last Name*Phone*Occupation*Years Known*First & Last Name*Phone*Occupation*Years Known* Additional Section for Sales ApplicantsIf you are applying for a warehouse position, you can click next. Those applying for a sales position, please answer the following questions.Accident Record - Past 3 YearsAccident record for the past 3 years or moreHave you had any vehicle accidents in the past 3 years?* Yes No Total Number of Vehicle Accidents in the past 3 years:*Please list any accidents within the last 3 yearsClick the + at the end of the row to add anotherDateNature of Accident (Head-on, Rear-end, Etc.)Fatalities (yes/no)Injuries (yes/no) Add RemoveTraffic Convictions/Forfeitures - Past 3 YearsOther than parking violations. Have you had any Triffic Convictions/Forfeitures in the past 3 years?* Yes No Please list any Traffic Convictions/ForfeituresClick the + at the end of the row to add anotherLocationDateChargePenalty Add RemoveEducationIndicate Years of Education CompletedHigh SchoolCollege/UniversityVocation/BusinessOther (Specify)Last School AttendedName & CityExperience & Qualifications - DriverDriver LicensesClick the + at the end of the row to add another.StateLicense No.TypeExpiration Date Add RemoveHave you ever been denied a license, permit, or privilege to operate a motor vehicle?* Yes No Please explain below:Do you have any pending motor vehicle charges?* Yes No Please explain below:DMV Printout SubmissionPlease upload your DMV printout hereMax. file size: 40 MB.Driving ExperiencePlease list your experience in the following classes of equipment. Click the + at the end of each row to add another of the same type.Straight TruckType of Equipment (Van, Tank, Flat, Etc.)Dates FromDates ToApprox. No. of Miles (Total) Add RemoveTractor And Semi-TrailerType of Equipment (Van, Tank, Flat, Etc.)Dates FromDates ToApprox. No. of Miles (Total) Add RemoveTractor - Two TrailersType of Equipment (Van, Tank, Flat, Etc.)Dates FromDates ToApprox. No. of Miles (Total) Add RemoveMotorcoach - School BusType of Equipment (Van, Tank, Flat, Etc.)Dates FromDates ToApprox. No. of Miles (Total) Add RemoveOtherType of Equipment (Van, Tank, Flat, Etc.)Dates FromDates ToApprox. No. of Miles (Total) Add RemoveList states opereated in for the last 5 yearsList any special courses or training that will help you as a driver:Which safe driving awards do you hold and from whom? Please Read Carefully, Click "I Agree" Below Each Paragraph and Sign BelowParagraph 1*I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I agreeParagraph 2*I hereby authorize Advance Beverage Company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment (excluding criminal background information) unless otherwise specified above. I further authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I agreeParagraph 3*I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company's designated representative. I agreeParagraph 4*In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. I agreeSignatureThe Company will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local "Fair Chance" laws.Date MM slash DD slash YYYY Your Name*If you would like to sign on a piece of paper, please download and fill out our PDF Application file, print and return to us in person or via email. Otherwise, typing your name here will serve as your signature that you choose to submit this application electronically.NameThis field is for validation purposes and should be left unchanged.
