Pepsi Cola Bottling Company
Application
for Employment
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| Name:
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| Address:
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| City:
State:
Zip:
Phone: (
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| Email Address:
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| Desired Position:
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| Date Available:
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Years of Experience:
Expected Salary:
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Is any additional information relative to change of name, use of
assumed name, or nickname necessary to enable a check on the information
you are providing on this form?
If yes, please explain:
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Can you, after employment, submit
verification of your legal right to work in the United States?
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Are you 18 years of age or older?
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Who do we notify in case of an emergency during working hours?
Name:
Telephone Number:(
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All Drivers Licenses Held in
Last 3 Years
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State:
License Number:
Class:
Expiration Date:
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State:
License Number:
Class:
Expiration Date:
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State:
License Number:
Class:
Expiration Date:
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Driving Experience Record
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Class of
Equipment:
Type of Equipment(Van,Tank,Flat,Etc.):
Dates: (From):
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(To):
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Approx. Number of Miles:
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Class of Equipment:
Type of Equipment(Van,Tank,Flat,Etc.):
Dates: (From):
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(To):
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Approx. Number of Miles:
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Class of Equipment:
Type of Equipment(Van,Tank,Flat,Etc.):
Dates: (From):
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(To):
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Approx. Number of Miles:
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Accident Record for Past Three
Years
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Month/Year:
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Type of Accident:
Type of Equipment:
Death or Injuries:
City or County:
Night or Day:
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Month/Year:
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Type of Accident:
Type of Equipment:
Death or Injuries:
City or County:
Night or Day:
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Month/Year:
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Type of Accident:
Type of Equipment:
Death or Injuries:
City or County:
Night or Day:
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Traffic Convictions and Forfeitures
for Past Three Years
(Other than parking Violations)
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Location:
Date:
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Charge:
Penalty:
Location:
Date:
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Charge:
Penalty:
Location:
Date:
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Charge:
Penalty:
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Has your License been
revoked in the last three years?
If yes, give statement of circumstances:
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General Driving Record
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| To date I have driven trucks for
years, covering approx.
miles. The date of my last accident while driving a commercial
vehicle was
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. Since that time, I have driven approx.
accident free miles. |
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Safe Driving Awards
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Date:
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Award:
Presented By:
While Employed By:
In recognition of:
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Date:
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Award:
Presented By:
While Employed By:
In recognition of:
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Warehouse, Delivery and
Production. Jobs may require physical agility and heavy lifting. Do
you have any physical condition which may limit your ability to perform
the job applied for?
If yes, what can be done to accommodate your limitation?:
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Have you any relatives employed by
this company?
If yes, please give names and positions:
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Have you ever worked for this company
before?
If yes, Where?:
When?:
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Are you currently employed?:
If so, may we contact your present employer?:
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Please list job related
organizations, clubs, and other associations to which you belong.
You may omit those which indicate your race, color, creed, national
origin, ancestry, sex, or age.
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Have you ever been convicted
of a felony?
(such conviction will not necessarily disqualify you from the
position applied)
If so, explain, giving date, state of conviction and present status:
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Have you ever been convicted
of a misdemeanor which resulted in imprisonment within the last two
years?
(such conviction will not necessarily disqualify you from the
position applied)
If so, explain, giving date, state of conviction and present status:
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Education
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If you served in the military,
list any skills learned which you feel are relevany to the position
you are applying for:
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Personal References
(Other than Relatives)
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Previous Employment
(Give a complete record of all employment and reasons
of unemployment during the past 10 years)
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Additional comments:
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Click here if you wish to review your application
before submitting.
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APPLICANT: READ
BEFORE SUBMITTING THIS APPLICATION.
A) I authorize the employer, or his agents,
to investigate my background, including any past criminal or civil
record, to ascertain any and all information of concern to my record,
whether same is of record or not, and release employers and persons
named herein from all liability for any damages on account of his
or her furnishing such information.
B) I understand that misrepresentation or omission
of facts called for on this employment application will, if hired,
result in discharge.
C) I understand that since any offer of employment
has no specified term, my employment with the employer may be terminated
at the will of either party without cause.
D) I certify that this applicatin is completed
by me and that all entries on it and information on it are true and
complete. Furthermore, I have read and understand all of the conditions
upon which this offer of employment is made.
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