Application for Employment

***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 no-job related disability***

Applicant First Name    Last Name 

Address   

Position Applied for  

Social Security No 

Current Address (if same as above please check box)  Yes     No

Current Address (if different than above)

Previous Address(es) 

Do you have the legal right to work in the United States?  Yes     No

Date of Birth     (required for Commercial Drivers)

Can you provide proof of age? Yes     No

Have you worked for Metzler Bros. Transport Before? Yes     No

If yes, please provide the date from        to     

Rate of Pay  

Reason for leaving  

Are you currently employed?   Yes     No     If no, how long since leaving last employment?  

Who referred you?                 Rate of Pay Expected  

Is there 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? Yes     No      If yes, please explain below.

Employment History

***All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceeding 3 years***

Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an additional 7 years information on those employers for whom the applicant operated such vehicle.

Note: Please list employers in reverse order starting with the most recent