Join The Team "*" indicates required fields APPLICATION FOR EMPLOYMENTKnight’s Site Services, Inc. is an equal opportunity employer and complies with all applicable federal, DOT, and California state employment laws.Name* First Name Last Name M.I.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Position Applied For*Date Available* MM slash DD slash YYYY Desired PayAre you legally authorized to work in the United States? Yes No Have you previously worked for this company? Yes No If yes, when?*DRIVER LICENSE INFORMATIONDo you have a valid Commercial Driver’s License (CDL)? Yes No State of IssuanceLicense NumberClassEndorsements:Expiration DateEMPLOYMENT HISTORY (Most Recent Employer First)CompanyPhone:AddressSupervisorJob TitleFromtoReason for LeavingWere you subject to FMCSRs? Yes No Was your position safety-sensitive under DOT regulations? Yes No May we contact this employer? Yes No ACCIDENT RECORD (Past 3 Years)(If none, write NONE. Attach additional sheets if necessary.)DateNature of AccidentFatalitiesInjuriesHazardous Material SpillsTRAFFIC CONVICTIONS (Past 3 Years – Excluding Parking)(If none, write NONE.)LocationDateChargePenaltyDRIVING EXPERIENCEType of Equipment OperatedApproximate Dates (From/To)Approximate Total MilesDOT & DRUG/ALCOHOL TESTING COMPLIANCEI understand that this position may be subject to Federal Motor Carrier Safety Regulations (FMCSRs) and U.S. DOT drug and alcohol testing requirements under 49 CFR Part 40.MILITARY SERVICE (Optional)BranchfromtoRankIMPORTANT INFORMATIONIf hired, employment with Knight’s Site Services, Inc. is at-will. This means either the employee or the Company may terminate employment at any time, with or without cause or notice, subject to applicable law. The Company complies with the California Fair Chance Act. Criminal history inquiries, if applicable, will occur only after a conditional offer of employment.APPLICANT CERTIFICATIONI certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information may result in disqualification or termination.Signature*Date* MM slash DD slash YYYY
