DRIVER APPLICATIONFOOD AUTHORITY considers applicants for positions on the basis of qualifications without regard to race, religion, national origin, age, sex, marital status, disability or sexual orientation. We Are An Equal Opportunity Employer.Please enable JavaScript in your browser to complete this form.POSITION APPLYING FOR:Name *FirstLastPhoneEmail *Current AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrevious AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrevious AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeARE YOU AUTHORIZED TO WORK IN THE UNITED STATES?YESNOI-9 acceptable documents will be required upon employment offer and must be unexpired. Employment eligibility is verified through E-VerifyWERE YOU EVER EMPLOYED WITH OUR COMPANY BEFORE?YESNOWHERE?Reason for LeavingPositionAre you now employed?YESNOWere you referred by a Food Authority employee?YESNOIf so, please provide nameIs there any reason you might be unable to perform the functions of the job for which you have applied (as described in job description)YESNOIf yes, explain if you wishWHAT IS YOUR DESIRED SALARY RANGE? Selected Value: 0 ON WHAT DATE ARE YOU AVAILABLE TO WORK?EMPLOYMENT HISTORYRESUME UPLOAD1. EMPLOYERDATES EMPLOYEDFROMDATES EMPLOYEDTODESCRIPTION OF WORK PERFORMEDAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneSUPERVISORREASON FOR LEAVING——————————————————-2. EMPLOYERDATES EMPLOYEDFROMDATES EMPLOYEDTODESCRIPTION OF WORK PERFORMEDAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneSUPERVISORREASON FOR LEAVING ACCIDENT RECORD FOR PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED). IF NONE, WRITE NONELAST ACCIDENTNATURE OF ACCIDENT (HEAD-ON, REAR-END, UPSET, ETC)FATALITIESINJURIESHAZARDOUS MATERIAL SPILLNEXT PREVIOUSNATURE OF ACCIDENT (HEAD-ON, REAR-END, UPSET, ETCFATALITIESINJURIESHAZARDOUS MATERIAL SPILLTRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS). IF NONE, WRITE NONE.LOCATIONDateCHARGEPENALTYLOCATIONDateCHARGEPENALTYLOCATIONDateCHARGEPENALTYDriving ExperienceSTRAIGHT TRUCKYESNOCIRCLE TYPE OF EQUIPMENTVANTANKFLATDUMPREFERTRACTOR/SEMI-TRAILERYESNOCIRCLE TYPE OF EQUIPMENTVANTANKFLATDUMPREFERTRACTOR – TWO TRAILERSYESNOCIRCLE TYPE OF EQUIPMENTVANTANKFLATDUMPREFERTRACTOR – THREE TRAILERSYESNOCIRCLE TYPE OF EQUIPMENTVANTANKFLATDUMPREFERMOTORCOACH – SCHOOL BUSYESNOCIRCLE TYPE OF EQUIPMENTMORE THAN 8 PASSENGERSMORE THAN 15 PASSENGERSLIST STATES OPERATED IN FOR THE LAST 5 YEARSSHOW SPECIAL COURSES OR TRAINING THAT WILL HELP YOU AS A DRIVERWHICH SAFE DRIVING AWARDS DO YOU HOLD AND FROM WHOM?SHOW ANY TRUCKING, TRANSPORTATION OR OTHER EXPERIENCE THAT MAY HELP IN YOUR WORK FOR THIS COMPANYLIST COURSES AND TRAINING OTHER THAN SHOWN ELSEWHERE IN THIS APPLICATIONLIST SPECIAL EQUIPMENT OR TECHNICAL MATERIALS YOU CAN WORK WITH (OTHER THAN THOSE ALREADY SHOWN)DISCLAIMER & SIGNATUREI certify that the answers given herein are true and complete to the best of my knowledge. I also authorize investigation of all statements contained in this application for employment as may be necessary in arriving at a employment decision. I hereby acknowledge that unless otherwise defined by applicable law, any employment relationship with Food Authority is of an “at will” nature, which means the employee may resign at any time and the employer may discharge employee at any time with or without cause. It’s further understood that this “at will” employment may not be changed by any written documentation or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. I understand that any offer of employment that I receive from Food Authority is contingent upon my providing Food Authority with all information requested and my successful completion of the pre-employment screening process, including, at the Company’s discretion: drug screen, background check, and employment references, as applicable; and proof of eligibility to work in the United States. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.SIGNATURE OF APPLICANTDateSubmit