APPLICATION – STAR COACHES, INC.

Step 1 of 4

STAR COACHES, INC. - APPLICATION FOR EMPLOYMENT
Star Coaches, Inc. - 2051 Marietta Blvd., NW - Atlanta, GA 30318 - Phone: 404-364-0177
DATE OF APPLICATION*
Date Format: MM slash DD slash YYYY
POSITION APPLIED FOR*
PERSONAL INFORMATION
APPLICANT'S NAME*
First Last
CELL PHONE NUMBER*
EMAIL ADDRESS*
DRIVERS LICENSE*
NUMBER STATE ISSUED EXP. DATE
TYPE / ENDORSEMENTS*
- CDL - CLASS A
- CDL - CLASS B
- PASSENGER ENDORSEMENT
HAS YOUR LICENSE EVER BEEN REVOLKED OR SUSPENDED?*
- YES
- NO
IF YES, EXPLAIN IN DETAIL
HAVE YOU EVER BEEN DENIED A LICENSE TO OPERATE A MOTOR VEHICLE?
- YES
- NO
IF YES, EXPLAIN IN DETAIL
SOCIAL SECURITY NUMBER*
DATE OF BIRTH*
DO YOU HAVE A UNITED STATES PASSPORT?*
- YES, PASSPORT BOOK
- YES, PASSPORT CARD
- NO
IF YES, WHAT IS YOUR PASSPORT NUMBER?
EMERGENCY CONTACTS
CONTACT PERSON PHONE NUMBER RELATIONSHIP
CURRENT ADDRESS*
Street Address Address Line 2 City State ZIP Code
HOW LONG HAVE YOU LIVED AT YOUR CURRENT ADDRESS?*
PREVIOUS ADDRESS
Street Address Address Line 2 City State ZIP Code
HOW LONG DID YOU LIVE AT YOUR PREVIOUS ADDRESS?
DO YOU HAVE A LEGAL RIGHT TO WORK IN THE UNITED STATES?*
- YES
- NO
HAVE YOU EVER WORKED FOR STAR COACHES?*
- YES
- NO
WHEN DID YOU PREVIOUSLY WORK FOR STAR COACHES?
START DATE END DATE RATE OF PAY POSITION
IF SO, WHY DID YOU LEAVE STAR COACHES?
ARE YOU CURRENTLY EMPLOYED?
- YES
- NO
IF NOT, HOW LONG SINCE LEAVING YOUR LAST EMPLOYMENT?
WHO REFERRED YOU TO STAR COACHES?
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
- YES
- NO
IF YES, EXPLAIN IN DETAIL
Conviction of a crime is not an automatic bar to employment. All circumstances will be considered.
HAVE YOU EVER BEEN CONVICTED OF DUI / DWI?*
- YES
- NO
IF YES, EXPLAIN IN DETAIL
Conviction of a DUI / DWI is not an automatic bar to employment. All circumstances will be considered.

ATTACHMENTS REQUIRED
ATTACH A SCAN OR PHOTO OF YOUR DRIVERS LICENSE*
ATTACH A SCAN OR PHOTO OF YOUR PASSPORT*
NATIONAL CRIMINAL BACKGROUND CHECK AUTHORIZATION
I authorize Star Coaches, Inc. to perform a complete National Criminal Background Check at any time prior to, or during my term, as an Entertainer Coach Driver for Star Coaches, Inc.

I understand that it is my responsibility to provide Star Coaches, Inc. with a National Criminal report from a law enforcement agency in order to be considered for hire as an Entertainer Coach Driver operating equipment belonging to Star Coaches, Inc.

Furthermore, I authorize representatives of Star Coaches, Inc. to discuss with Canadian immigration officials any information contained within my drivers file, but not limited to any law enforcement criminal database reports.
*
- I have read, understand and agree to the above.
EQUAL OPPORTUNITY EMPLOYER
In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

I authorize Star Coaches, Inc. to make such investigations and inquires of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision.

(Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.)

I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the even 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 Star Coaches, Inc and the Department of Transportation.

I understand that information I provide regarding current and / or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e).

I understand that I have a right to:

a) Review information provided by a previous employer; and

b) Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and

c) Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.
*
- I have read and understand the above.

DATE	NATURE OF ACCIDENT	FATALITIES	INJURIES

DATE	LOCATION	CHARGE	PENALTY

STAR COACHES - ONLINE APPLICATION

Step 1 of 4

STAR COACHES, INC. - APPLICATION FOR EMPLOYMENT

Star Coaches, Inc. - 2051 Marietta Blvd., NW - Atlanta, GA 30318 - Phone: 404-364-0177

PERSONAL INFORMATION

EMPLOYMENT HISTORY

PERSONAL REFERENCES

DRIVING HISTORY

TRAFFIC CONVICTIONS

DRIVING EXPERIENCE

ATTACHMENTS REQUIRED

NATIONAL CRIMINAL BACKGROUND CHECK AUTHORIZATION

EQUAL OPPORTUNITY EMPLOYER

NUMBER	STATE ISSUED	EXP. DATE

CONTACT PERSON	PHONE NUMBER	RELATIONSHIP

START DATE	END DATE	RATE OF PAY	POSITION

BRANCH	START DATE	END DATE