SECURE TRANSPORTATION SERVICES

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1 If you would like to scan the application, fill it out and it back you can do so at: SECURE TRANSPORTATION SERVICES APPLICATION PLEASE PRINT APPLICANTS WILL BE TESTED FOR ILLEGAL DRUGS DATE: Last Name: First: Middle: Maiden: Please List Age: Present _ City: State: County: Zip: Cell with area code: 2nd phone: Social Security #: Date of Birth: / / DO YOU HAVE A MOBILE PHONE THAT YOU CARRY WITH YOU? (Having a mobile phone is a requirement of the position.) IS IT A SMARTPHONE? (The free MapQuest App is used to estimate mileage when dispatching transports and giving ETAs. Familiarity with this App is essential, especially since it is not uncommon for simultaneous transports to occur when called out.) DO YOU OWN A TOMTOM OR OTHER GPS DEVICE THAT IS ITS OWN UNIT MEANING NOT ON YOUR CELL PHONE? Time is often of the essence, and addresses can be hard to find. Accurate ETAs are important for everyone involved, and having a reliable TomTom with lifetime map updates is something every transporter should buy within their first few weeks of employment. WHAT CHILDCARE EXPERIENCE DO YOU HAVE? WHAT IS YOUR MARITAL STATUS? DO YOU HAVE CHILDREN OF YOUR OWN? IF YOU HAVE KIDS, HOW OLD ARE THEY? ARE THERE ANY CERTAIN AGE GROUPS OR TYPES OF KIDS OR PEOPLE THAT YOU DON'T LIKE OR DON'T WORK WELL WITH?

2 DO YOU HAVE ANY CONCERNS REGARDING YOUR BACKGROUND CHECK? Please list the vehicle that will be used (PLEASE NOTE: the commercial insurance covers the VEHICLE, so drivers need to use one exclusive vehicle): Year: Make: Model: License Plate #: Driver's License#: State of Issue: Exp. Date: Class: VIN # **** (This is optional at this time but will be required later for insurance purposes) Please enclose an ENLARGED copy of your Driver's License NO LESS than 4 X6 Having a fuel-efficient vehicle is absolutely necessary. If you do not have a fuel-efficient vehicle, this position is not for you. If you only have a two door vehicle or a convertible (security risk), your application cannot be considered. IS YOUR VEHICLE A 4 DOOR? DOES IT HAVE CHILD LOCKS? DOES IT HAVE WINDOW LOCKS? Have you had ANY accidents during the past THREE years? How many? How many MOVING VIOLATIONS have you had during the past THREE years? HOW DID YOU HEAR ABOUT THIS POSITION? How many hours can you work weekly? Can you work nights? Weekends? What are factors you will have to take into account if called in? Do you have childcare available at all times? Would being gone overnight be a problem? EDUCATION High School: Year Graduated: Further Education: Name of School Address of School Degree Other Degrees or Certifications: HAVE YOU EVER BEEN CONVICTED OF A CRIME? NO YES IF YES, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation:

3 Please List TWO References other than relatives or previous employers: NAME: NAME: POSITION: POSITION: COMPANY: COMPANY: ADDRESS: ADDRESS: PHONE: PHONE: WORK EXPERIENCE Please list your work experience for the PAST FIVE YEARS beginning with your most recent job held. If you were self-employed, give firm name. (Attach Additional Sheets if Necessary.)

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5 MAY WE CONTACT YOUR PRESENT AND/OR PAST EMPLOYERS? YES NO An application form does not give a full or detailed picture of someone's background. Use the space below to summarize any additional information necessary to describe why you are interested in this position, what you feel you have to offer, and how your qualifications and/or life experience make you a good fit for the position. Do you have any Concerns about this position? For example, are you confident in your ability to remain calm and in control of yourself regardless of being provoked? Are you flexible and able and willing to cancel plans or rearrange your day as needed with little or no warning? Please initial each statement if you agree: I certify that all answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. Signature of Applicant: Print Name: Date: Please Completed Application along with an Enlarged Copy of your driver's license that is NO LESS than 4 X 6 to: Secure Transportation Services Human Resources: Transporter Position mike.cook@securetransportationservices.com Feel free to send any questions to mike.cook@securetransportationservices.com

6 WHAT'S NEXT... Familiarize yourself with the free MapQuest app. Practice inputting and calculating multiple destinations/stop over points. Once your application is reviewed, interviews will be done. Only the most seriously considered Applicants will be requested to do the following: 1. The "5 panel UA" drug screen. This should cost around $ TB test given & read. It should cost between $15-$ Get a copy of your DMV record. Roughly $7.88.

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