EMPLOYMENT APPLICATION FORM

First Name *

Middle Name *

Last Name *

E-Mail Address *

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I prefer a position that is: Please SelectDriverOperationsClericalAdministrativeConstructionManual / PhysicalManagementOther

Position I am interested in: Please SelectTruckload DriverForklift DriverTruck RepairWarehouse WorkerFreight or Material HandlingExpedited or Rail ServicesTrailer & Equipment RentalProperty RentalIndustrial/Commercial RecyclingOther / Not Listed

Are You Eligible to Work in the U.S? Please SelectYes - US CitizenYes - Non-citizen w/ Work AuthorizationNo

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Your Position *

Direct Supervisor’s Name *

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Second Most Recent Employer *

Start Date *

End Date *

Your Position *

Direct Supervisor’s Name *

Employer Phone # *

Name of Reference #1 *

Relationship to Reference

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Name of Reference #2 *

Relationship to Reference

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Why Do You Want to Work for Clark Logic?

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Other Details We Should Know About You:

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