Non-Discrimination Policy: Holt Transport is committed to the principle of equal opportunity in education and employment. Holt Transport does not discriminate on the basis of sex, race, color, creed, national origin, age, religion, sexual orientation, gender identity, gender expression, veteran status, or disability in admission to, access to, treatment in, or employment in its programs and activities.

GENERAL INFORMATION

(Proof of citizenship or immigration status may be required upon employment)

Education

COMPUTER SKILLS (Only for positions which require computer skills)

DRIVER’S LICENSE INFORMATION

MILITARY

OTHER SPECIAL SKILLS

WORK EXPERIENCE

Please list your work experience beginning with your most recent job. If you were self-employed, give firm name. Attach additional sheets if necessary. Exclude organization names which indicate race, color, creed, national origin, age, religion, sexual orientation, gender identity, gender expression, veteran status, or disability.

REFERENCES

Please list two references other than relatives or previous employers. 

WAIVERS AND DISCLOSURES

Please read each section carefully and sign where indicated.

CERTIFICATION OF TRUTH AND ACCURACY

I certify that the information in this application is true, complete and correct. I understand that false answers, statements, or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.

NOTIFICATION AND AUTHORIZATION TO CONDUCT BACKGROUND INVESTIGATION

I hereby declare that the information provided by me in this Application for Employment (and in any accompanying resume) is true, correct, and complete to the best of my knowledge. I authorize Holt Transport Services, LLC (Holt), and/or its designee/agents, to investigate my past and present employment, education, and activities and verify all data provided to me on this application, on related papers and in interviews. I authorize and give my consent to Holt (and/or its designee/agents) to conduct reference and background checks for employment purposes. I authorize all individuals, schools, and/or firms named herein to provide any information requested about me. I release from all liability any persons, company, corporations, or educational institutions supplying such information. I release Holt (or its designee/agents) from any and all liability resulting from the verification of such information.

I understand that my application does not guarantee any type of employment, however, should an employment offer be extended to me and accepted, I will fully adhere to the policies, rules, and regulations of employment of Holt. I understand that, if I am hired, my employment can be terminated, with or without cause and with or without notice at any time, at the option of Holt or me. I also understand that no representative of the company has the authority to enter into any oral agreement for employment for a specified period of time or to make an oral agreement contrary to the foregoing.

Subject to the terms of any collective bargaining agreement applicable to me, I agree not to commence any action or suit relating to my employment with the Employer more than 180 days after the occurrence of the facts given rise to the claim, or more than 180 days of the date of my termination of such employment, whichever is earlier, and to waive any statute of limitations to the contrary.

If I am employed, I understand that additional personal data will be required for determination of benefit eligibility and for statistical purposes.

I understand that if I am offered employment at Holt, I will be required to provide evidence of my identity and authorization to work in the United States. I understand that the company may require a physical examination, reference checks, background checks, and/or drug and alcohol screening as conditions of employment. My signature below constitutes my understanding of the above