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Services
Our Vehicles
Reservations
Contact
Apply

VIP Limo Employment Application

Step 1 of 3 – Name & Address

0%

DRIVER’S APPLICATION FOR EMPLOYMENT
Name and Address
Full Legal Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
How Long at this Address
Date of Birth*
Social Security #*
Cell Phone
Cell Phone Provider
Email*
Enter Email Confirm Email
Driver's License No.*
Issuing State*
License Expiration Date
Do you hold a current DOT Medical Card?
- Yes
- No
Have you ever been denied a license, permit or privelege to operate a motor vehicle?
- Yes
- No
Explain Denial
Has any license, permit or privelege ever been suspended or revoked?
- Yes
- No
Explain revocation
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.
TO BE READ AND SIGNED BY APPLICANT

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.
I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:
Review Information provided by previous employers;
Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
Have a rebuttal statement attached to the alleged erroneious information, if the previous employer(s) and I cannot agree on the accuracy of the information.
Date
Signature

Save and Continue Later

Previous Three Years Residency
#1
Street Address City State ZIP Code
Residence From:
Until:
#2
Street Address City State ZIP Code
Residence From:
Until:
#3
Street Address City State ZIP Code
Residence From:
Until:
Driving Experience
Please Click the + sign to add more experience. You may enter the full Dates of Experience (month and year) OR the Approximate # of Miles, but both are not required.
Tractor and Semi-Trailer
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Tractor-Two Trailers
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Straight Truck
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Motorcoach – School Bus (more than 8 passengers)
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Motorcoach – School Bus (More than 15 passengers
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Other
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Accident Record for Past 3 Years or More
Were You Accident Free for the last 3 years?
- Yes
- No
Accident History
Dates Nature of Accident (Head-On, Rear-End, Upset, Etc.) # Fatalities # Injuries Chemical Spills (Y or N)
Traffic Convictions and Forfeitures for the past 3 years (other than parking violations)
Convictions
Date Convicted Violation State of Violation Location Penalty (Forfeited bond, collateral and/or points

Save and Continue Later

Employment Record
Company Name (Most Recent)*
Address 1*
Street Address City State ZIP Code
Phone 1*
Position Held 1*
Supervisor 1
Supervisor Phone 1
May We Contact Your Current Employer?*
- Yes
- No
Start*
To*
Reason for Leaving (please be specific) 1:
Any Gaps in Employment and/or Unemployment must be explained. Include Dates (Month/Year) and Reason 1:
No Gaps in Employment (type over if you had Gaps)
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSR's) while employed by the previous employer 1?
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40 1?
- Yes
- No
Did you have another job before this one?*
- Yes
- No
Company Name (Second Most Recent)*
Address 2*
Street Address City State ZIP Code
Phone 2*
Position Held 2
Supervisor 2
Supervisor Phone 2
From*
To*
Reason for Leaving 2?
Any Gaps in Employment and/or Unemployment must be explained. Include Dates (Month/Year) and Reason 2:
No Gaps in Employment (type over if you had Gaps)
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSR's) while employed by the previous employer 2?
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40 2?
- Yes
- No
Would you like to list another previous job?*
- Yes
- No
Company Name (Third Most Recent)*
Address 3*
Street Address City State ZIP Code
Phone 3*
Position Held 3
Supervisor 3
Supervisor Phone 3
From*
To*
Reason for Leaving 3?
Any Gaps in Employment and/or Unemployment must be explained. Include Dates (Month/Year) and Reason 3:
No Gaps in Employment (type over if you had Gaps)
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSR's) while employed by the previous employer 3?
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40 3?
- Yes
- No
Would you like to list a 4th job?*
- Yes
- No
Company Name (Fourth Most Recent)*
Address 4*
Street Address City State ZIP Code
Phone 4*
Position Held 4
Supervisor 4
Supervisor Phone 4
From*
To*
Reason for Leaving 4?
Any Gaps in Employment and/or Unemployment must be explained. Include Dates (Month/Year) and Reason 4:
No Gaps in Employment (type over if you had Gaps)
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSR's) while employed by the previous employer 4?
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40 4?
- Yes
- No
Would you like to list a 5th job?*
- Yes
- No
Company Name (Fifth Most Recent)*
Address 5*
Street Address City State ZIP Code
Phone 5*
Position Held 5
Supervisor 5
Supervisor Phone 5
From*
To*
Reason for Leaving 5?
Any Gaps in Employment and/or Unemployment must be explained. Include Dates (Month/Year) and Reason 5:
No Gaps in Employment (type over if you had Gaps)
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSR's) while employed by the previous employer 5?
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40 5?
- Yes
- No
List States Operated in for last Five Years:
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
- Armed Forces Americas
- Armed Forces Europe
- Armed Forces Pacific
Are you familiar with Omaha Metro Area Streets?
- Yes
- No
Are you able to offer recommendations for hotels, restaurants, bars, etc.?
- Yes
- No
Dress code is white long sleeve shirt, black tie, black vest or jacket, black pants, black dress shoes, black socks. Will this be an issue?
- Yes
- No
Are you willing to work mornings, evenings, late nights, holidays, and special events?
- Yes
- No
Show special courses or training that will help you as a driver:
Which safe driving awards do you hold and from whom?
List courses and training other than shown elsewhere in this application:
List special equipment or technical materials you can work with (other than those already shown):
Education. Check highest grade completed:
- High School
- Associate Degree
- Bachelor’s Degree
- Graduate or Professional Degree
- Some College
- Other
- Prefer Not to Answer
Last School Attended (include city/state)
This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge
Date*
Signature*
Phone
This field is for validation purposes and should be left unchanged.

Save and Continue Later

VIP Limo Employment Application

Step 1 of 3 - Name & Address

0%

DRIVER'S APPLICATION FOR EMPLOYMENT
Name and Address
Full Legal Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
How Long at this Address
Date of Birth*
Social Security #*
Cell Phone
Cell Phone Provider
Email*
Enter Email Confirm Email
Driver's License No.*
Issuing State*
License Expiration Date
Do you hold a current DOT Medical Card?
- Yes
- No
Have you ever been denied a license, permit or privelege to operate a motor vehicle?
- Yes
- No
Explain Denial
Has any license, permit or privelege ever been suspended or revoked?
- Yes
- No
Explain revocation
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.
TO BE READ AND SIGNED BY APPLICANT

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.
I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:
Review Information provided by previous employers;
Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
Have a rebuttal statement attached to the alleged erroneious information, if the previous employer(s) and I cannot agree on the accuracy of the information.
Date
Signature

Save and Continue Later

Previous Three Years Residency
#1
Street Address City State ZIP Code
Residence From:
Until:
#2
Street Address City State ZIP Code
Residence From:
Until:
#3
Street Address City State ZIP Code
Residence From:
Until:
Driving Experience
Please Click the + sign to add more experience. You may enter the full Dates of Experience (month and year) OR the Approximate # of Miles, but both are not required.
Tractor and Semi-Trailer
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Tractor-Two Trailers
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Straight Truck
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Motorcoach - School Bus (more than 8 passengers)
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Motorcoach - School Bus (More than 15 passengers
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Other
Type of Equipment (Van, Tank, Flat, etc.) Dates (M/Y to M/Y) Approx # of Miles (Total)
Accident Record for Past 3 Years or More
Were You Accident Free for the last 3 years?
- Yes
- No
Accident History
Dates Nature of Accident (Head-On, Rear-End, Upset, Etc.) # Fatalities # Injuries Chemical Spills (Y or N)
Traffic Convictions and Forfeitures for the past 3 years (other than parking violations)
Convictions
Date Convicted Violation State of Violation Location Penalty (Forfeited bond, collateral and/or points

Save and Continue Later

Employment Record
Company Name (Most Recent)*
Address 1*
Street Address City State ZIP Code
Phone 1*
Position Held 1*
Supervisor 1
Supervisor Phone 1
May We Contact Your Current Employer?*
- Yes
- No
Start*
To*
Reason for Leaving (please be specific) 1:
Any Gaps in Employment and/or Unemployment must be explained. Include Dates (Month/Year) and Reason 1:
No Gaps in Employment (type over if you had Gaps)
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSR's) while employed by the previous employer 1?
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40 1?
- Yes
- No
Did you have another job before this one?*
- Yes
- No
Company Name (Second Most Recent)*
Address 2*
Street Address City State ZIP Code
Phone 2*
Position Held 2
Supervisor 2
Supervisor Phone 2
From*
To*
Reason for Leaving 2?
Any Gaps in Employment and/or Unemployment must be explained. Include Dates (Month/Year) and Reason 2:
No Gaps in Employment (type over if you had Gaps)
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSR's) while employed by the previous employer 2?
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40 2?
- Yes
- No
Would you like to list another previous job?*
- Yes
- No
Company Name (Third Most Recent)*
Address 3*
Street Address City State ZIP Code
Phone 3*
Position Held 3
Supervisor 3
Supervisor Phone 3
From*
To*
Reason for Leaving 3?
Any Gaps in Employment and/or Unemployment must be explained. Include Dates (Month/Year) and Reason 3:
No Gaps in Employment (type over if you had Gaps)
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSR's) while employed by the previous employer 3?
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40 3?
- Yes
- No
Would you like to list a 4th job?*
- Yes
- No
Company Name (Fourth Most Recent)*
Address 4*
Street Address City State ZIP Code
Phone 4*
Position Held 4
Supervisor 4
Supervisor Phone 4
From*
To*
Reason for Leaving 4?
Any Gaps in Employment and/or Unemployment must be explained. Include Dates (Month/Year) and Reason 4:
No Gaps in Employment (type over if you had Gaps)
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSR's) while employed by the previous employer 4?
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40 4?
- Yes
- No
Would you like to list a 5th job?*
- Yes
- No
Company Name (Fifth Most Recent)*
Address 5*
Street Address City State ZIP Code
Phone 5*
Position Held 5
Supervisor 5
Supervisor Phone 5
From*
To*
Reason for Leaving 5?
Any Gaps in Employment and/or Unemployment must be explained. Include Dates (Month/Year) and Reason 5:
No Gaps in Employment (type over if you had Gaps)
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSR's) while employed by the previous employer 5?
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40 5?
- Yes
- No
List States Operated in for last Five Years:
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
- Armed Forces Americas
- Armed Forces Europe
- Armed Forces Pacific
Are you familiar with Omaha Metro Area Streets?
- Yes
- No
Are you able to offer recommendations for hotels, restaurants, bars, etc.?
- Yes
- No
Dress code is white long sleeve shirt, black tie, black vest or jacket, black pants, black dress shoes, black socks. Will this be an issue?
- Yes
- No
Are you willing to work mornings, evenings, late nights, holidays, and special events?
- Yes
- No
Show special courses or training that will help you as a driver:
Which safe driving awards do you hold and from whom?
List courses and training other than shown elsewhere in this application:
List special equipment or technical materials you can work with (other than those already shown):
Education. Check highest grade completed:
- High School
- Associate Degree
- Bachelor's Degree
- Graduate or Professional Degree
- Some College
- Other
- Prefer Not to Answer
Last School Attended (include city/state)
This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge
Date*
Signature*
Email
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Home
Services
Our Vehicles
Reservations
Contact
Apply

VIP Limo Employment Application

Step 1 of 3 – Name & Address

DRIVER’S APPLICATION FOR EMPLOYMENT

Name and Address

TO BE READ AND SIGNED BY APPLICANT

Previous Three Years Residency

Driving Experience

Accident Record for Past 3 Years or More

Traffic Convictions and Forfeitures for the past 3 years (other than parking violations)

Employment Record

VIP Limo Employment Application

Step 1 of 3 - Name & Address

DRIVER'S APPLICATION FOR EMPLOYMENT

Name and Address

TO BE READ AND SIGNED BY APPLICANT

Previous Three Years Residency

Driving Experience

Accident Record for Past 3 Years or More

Traffic Convictions and Forfeitures for the past 3 years (other than parking violations)

Employment Record