Apply with Sweep Across Texas All fields marked “required” must be filled out before application form can be submitted. PERSONAL INFORMATION Today's Date: MM DD YYYY Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Social Security # * Are you 18 or older? * Yes No Desired Position * Available Start Date * MM DD YYYY Do you have a valid Texas Driver's License? * Yes No Drivers License Number ST * Class * Expiration Date * MM DD YYYY Do you have your own transportation to work? Yes No Number of traffic / vehicle citations you have received in the last three (3) years: * Number of vehicle accidents in which you were involved as the driver in the last (3) years: * Are you legally able to be employed in the United States? * Yes No Do you have any convictions or deferred adjudications from age 17 to now? * Yes No If yes, provide an explanation of all convictions. Do you have ongoing responsibilities with regard to probation or parole? EDUCATION HISTORY AND GENERAL INFORMATION School most recently attended * Graduate? * Yes No Special training or skills Two most recent jobs: Most recent (1) Company: Position: Reason for leaving: Start Date: MM DD YYYY End Date: MM DD YYYY Previous Job (2) Company: Position: Reason for leaving: Start Date: MM DD YYYY End Date: MM DD YYYY Business References 1. Name * Phone Number * 2. Name * Phone Number * Certification Statement: I certify that all the information provided by me in connection with my application, whether on this document or not, is true and complete and I understand that any misstatement, falsification, or omission of information shall be ground for refusal to hire, or if hired, termination. I understand that any offer of employment is contingent upon my agreement to abide by the rules and regulations of Sweep Across Texas. Motor Vehicle Records Check: In compliance with guidelines established by the employer, all employees whose position requires a Texas driver's license must meet the criteria established by the employer. In order to verify your driving history, your employer must conduct a Motor Vehicle Records Check. Your employment will be contingent in part, on successfully meeting the driving history requirements established by the employer. If you do not meet these standards, you will be subject to dismissal or exclusion from consideration for the position. Background Authorization: I hereby authorize any law enforcement agency to furnish to Sweep Across Texas my criminal conviction record for deferred adjudication, misdemeanor or felony offense at age 17 or older. I do hereby release all agents, servants and employees of Sweep Across Texas from all liability resulting from the furnishing of this information to Sweep Across Texas. By checking the box I authorize Sweep Across Texas to communicate with persons listed as references, former and current employers and any others with whom you desire to check. I agree to hold such person harmless with respect to any information they may give about me. Authorize Thank you!
