Watkins Site Development, LLC

2100 W. Cornwallis Dr Suite B, Greensboro, NC 27408
Phone: (336) 288-6526

Application for Employment
(PRE-EMPLOYMENT QUESTIONNAIRE) (AN EQUAL OPPORTUNITY EMPLOYER)

Prospective employees will reccieve consideration without discrimination because of race, creed, color, sex, age, national origin, handicap or veteran status.

all new hires will be subject to Pre-employment drug testing

all truck driver new hires will be subject to pre-employment drug and alcohol testing which are required by the N.c. DOT

PERSONAL INFORMATION
Are you 21 years or older?
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
EMPLOYMENT DESIRED
Are you employed now?
If so may we inquire of your present employer?
Ever aplied to this company before?
EDUCATION
High School
Did you graduate?
College
Did you graduate?
College, Trade, Correspondence Business School
Did you graduate?
EQUIPMENT
Re-order Type of equipment Years opporated Type of job used on Weight Operations
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MILITARY

Information needed to complete form VET-100

Did you serve in the U.S. Armed Forces?
Are you a Vietnam era veteran?
EMPLOYMENT

Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer

Employer 1
Employer 2
Employer 3
REFERENCES

GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR

Re-order Name Address Business Years Acquainted Weight Operations
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DRIVERS NFORMATION

If applying for TRUCK DRIVERS position you must have an active DOT CARD with medical exam and DOT DRUG test less than 6 months old, if you have been employed with in the last 30 days.
IF your Drug Test is over 6 months old, you must have everything up to date before you can drive any of our trucks

Have you ever been convicted of any crime?
Re-order Date Nature of Accident Location of Accident Injuries, if any Weight Operations
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Re-order Date Violation Location Weight Operations
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SIGNATURE

“I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.”

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