APPLICATION
All information obtained within this application will be held in strict confidence, subject to applicable law. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin.
EMPLOYEE INFORMATION
Please answer all questions that apply.
Application Date
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Month
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Day
Year
Date Picker Icon
Position Applying For
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Please Select
Delivery Driver
Dispatch
Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Social Security Number
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Birth Date
*
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Month
-
Day
Year
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Phone Number
*
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Area Code
Phone Number
E-mail
*
Date Available to Start:
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Month
-
Day
Year
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Are You Legally Entitled To Work In The United States?
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YES
NO
Have you worked at any delivery location before?
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YES
NO
If yes, please give dates, and location:
Do you have a valid driver's license?
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YES
NO
License #
*
PERSONAL REFERENCES
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Name
*
Relationship
*
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Area Code
Phone Number
Name
Relationship
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Area Code
Phone Number
PRIOR WORK EXPERIENCE
Please list your 3 most current work history/experience
Employer's Name (Most current)
Position Held
Supervisor's Name
Telephone
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Area Code
Phone Number
Reason for Departure
Duties
Start Date
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Month
-
Day
Year
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End Date
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Month
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Day
Year
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May we contact this employer?
YES
NO
If NO, reason why not
(2) Employer's Name
Position Held
Supervisor's Name
Telephone
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Area Code
Phone Number
Reason for Departure
Duties
Start Date
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Month
-
Day
Year
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End Date
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Month
-
Day
Year
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May we contact this employer?
YES
NO
If NO, reason why not
List Other Special Skills/Experience/Training:
DRIVER INFORMATION
Please answer all questions that apply.
Have you ever been convicted of, or pleaded guilty or no contest (nolo contendre) to a felony offense?
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YES
NO
If yes, please provide:
Date of Conviction
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Month
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Day
Year
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County/State in which felony occured:
Facts surrounding conviction:
Delivery Drivers Only
If you are employed as a delivery driver by Fetch Delivery Co. or any of its subsidiaries (”Fetch!”) then you are required to maintain personal Auto Liability insurance at the mandatory state liability limites for the state in which you will be driving. You shall also be solely responsible for maintaining at your cost, such comprehensive and auto collision coverage as you deem necessary to cover your vehicle. Fetch Delivery Co. is not responsible for, and you assume all risk of, any loss, theft, vandalism or property damage to your vehicle and contents while being used in connection with your employment with Fetch Delivery Co. You will be required to provide Fetch with a valid copy of your insurance policy or Declaration Page and proof of payment due premium when you are hired and again upon each renewal. We reserve the right, and you authorize Fetch Delivery Co. or its agents, to contact your insurance agent and/or carrier either verbally or in writing, or both, to confirm the type and amount of your coverages and the ate through with premiums have been paid. In addition, your Motor Vehicle Report (MVR) will be checked, at the time of application and periodically thereafter, to verify your driving eligibility, and this serves as our authorization to do so. If you are applying for a delivery driver position in Tennessee, Georgia, North Carolina, South Carolina, Virginia, District of Columbia, New Mexico, Texas, Pennsylvania, Kansas, or Colorado, we will use your date of birth to run an MVR report.
VEHICLE INFORMATION
Year
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Make
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Model
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Year
Make
Model
Insurance Company
*
Policy Expiration Date
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Month
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Day
Year
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DRIVER INFORMATION
Have you had at least six months driving experience in the US?
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YES
NO
Have you ever been convicted of a crime involving a motor vehicle, including vehicular homicide or assault?
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YES
NO
In the last 5 years, have you ever received a violation for DUI or open container/chemical test failure/ possession of a controlled substance?
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YES
NO
Has your driver’s license ever been suspended or revoked?
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YES
NO
If yes, please explain:
CERTIFICATION
Fetch Delivery Co. and its subsidiaries are Equal Opportunity Employers. Any person applying for a position ith Fetch Delivery Co. will be considered for the position for which they have applied without regard to race, religion, age, sex, national origin or disability. I certify that all statements made in this application are true and complete and authorize Fetch to investigate all statements made from all prior employers, references and law enforcement agencies. I hereby release all those persons, employers, references, agencies and Fetch Delivery Co. from any and all liability arising from their giving or receiving information about my employment history, qualifications or criminal record. I further authorize Fetch to conduct whatever background checks are necessary to either verify the information provided by me. In this application or in interviews relating to prospective employment, or to verify any material change in my background subsequent to my employment. In the event that my employment is rejected or terminated by Fetch Delivery Co. based on a report received from such a background check. I understand I will receive a full copy of such report and will have an opportunity to dispute the accuracy of the information include in such report. I understand that any false answers or statements or misrepresentations by omission made by me as part of my application will be sufficient or rejection of my application or for my immediate discharge should one be discovered after I am employed. I understand that nothing in this employment application, in Fetch’s statements of personnel policies or in my communication with any employee or official is intended to create an employment contract between Fetch Delivery Co. and me, and that my employment with the company is entered into voluntarily, and that I may resign at any time. Similarly, my employment may be terminated with or without cause any time without prior notice. I herby acknowledge that I have read and understand the preceding statement.
Type Signature
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