Operator Application

COMPLETE IN FULL OR IT WILL NOT BE CONSIDERED.

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Date available application applied for work

Do you have the right to work in the United States.

yes

no

Education

OTHER QUALIFICATIONS

EMPLOYMENT HISTORY

Current Position

Company name

Experience Level

Work Experience

DRIVER LICENSE INFORMATION

DL #

State

Enter a number

License Class

DRIVING EXPERIENCE

Have you ever been denied a license, permit, or privilege to operate a motor vehicle? If yes, explain

Yes

No

If yes, explain

Has any license, permit, or privilege ever been suspended or revoked? If yes, explain

Yes

No

If yes, explain

Union Status

Union / Non Union

Union Number

Upload Union Card

Date Joined Union

Union Status

Main Equipment Operated

Specialty Equipment

Licenses & Certifications

Upload Certifications / Training Cards

Nevada ( Choose All That Apply )

Clark County ( Las Vegas Metro )

Washoe County ( Reno / Sparks )

Carson City

Rural Nevada ( Elko, Nye, Etc. )

Multi choice

Maricopa County (Phoenix Metro )

Pima County ( Tucson Metro)

Yavapai County (Prescott / Verde Valley)

Pinal County ( Casa Grande / Florence)

Mohave County ( Kingman / Lake Havasu)

Rural Arizona ( Other Counties)

Availability

Airport / Secure Sites

Mentoring Interest

“Tell us more about your experience, certifications, or what type of work you’re looking for.”

Resume (File Upload — optional)

TO BE READ AND SIGNED BY APPLICANT

I authorize you to make investigations (including contacting current and prior employers) into my personal, employment,

Print Name

Signature

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