DRIVER'S

APPLICATION FOR EMPLOYMENT

Bordertown Transportation Inc.
12953 Montana Ave.
El Paso, TX 79938
(Answer all questions - please print)

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions
without regard to race, color, religion, sex, national origin, age marital status, or non-job related disability.

Date of application _
Position(s) Applied for _
Name Social Security No. _
Last First Middle
List your addresses of residency for the past 3 years:
Current AddressStreet City

Phone How Long? State
Zip Code

Previous Addresses How Long?

Street City State Zip Code

.How Long? Street

City State Zip Code

Do you have the legal right to work in the United States?
Date of Birth Caynou provide proof of age?

(Required for Commercial Drivers)

Have you worked for this company before? Where?

·Rate of Pay Position

Reason for leaving,
Aryeou now employed? Ifnot, how long since leaving last employment? _
Who referred you? Rate of pay expected _
Isthere any reason you might be unable to perform the functions of the job for which you have applied (as

described in the attached job description)? .Ifyes, explain if you wish: _