Employment Form - Tango Direct

Name *

First

Last

Date Of Birth *

Phone

Email *

How should we contact you? *

Position applying for *

Name of Lane *

Type of Truck *

CDL# *

CDL Duration *

Insurance

State *

Years of Experience *

Do you have current DOT medical certificate?

Yes
No

Can you pass a drug screening test?

Yes
No

TO BE READ AND CHECKED BY THE APPLICANT

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize the employer to make investigations and inquiries on my personal, employment, financial, and 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.

Agreement *

I agree to the terms above