Atlantic Frieghtlines
Employment Application


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Step 1 of 8 - Personal Information  
  Shaded Fields are Required

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

First Name  
Middle Initial
Last Name  
Application Date (mm/dd/yyyy)  
Social Security #    
Current Address  
Zip Code    
How Long at this address?
Home Phone Number   
Work Phone Number
Email Address
Date Of Birth (mm/dd/yyyy)  

Position(s) Applied For (150 char max)

Do you have the legal right to work in the United States? 
Can you provide proof of age?   
Have you worked for this company before?    
If so, where?
If so, worked from (mm/dd/yyyy)
If so, worked to (mm/dd/yyyy)
If so, rate of pay
If so, position
If so, reason for leaving
Are you currently employed?   
If not, how long since leaving last employment?
Who referred you?
Rate of pay expected
Have you ever been bonded? (Answer only if a job requirement)   
Name of bonding company
Is there any reason you might be unable to perform the functions of the job for which you have applied?   
If yes, explain if you wish.

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