Excargo.com


In compliance with all Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or the presence of a non-job related medical condition or handicap.

Please complete the online application below. All fields are required

last name:
first name:
ssn: e.g. 123-45-6789
phone: e.g. (123) 456-7899
email:
date of birth: e.g. 12/31/2002
birthplace:

Current Address
street:
city:
state:
zip:
how long at this address:

Addresses for the past three years
street:
city:
state:
zip:
how long?:

street:
city:
state:
zip:
how long?:

In case of emergency notify
name:
address:
phone: e.g. (123) 456-7899


Commercial Texas License Number:
expiration date: e.g. 12/31/2002


  1. Have you been ever denied a license, permit, or privilege to operate a motor vehicle? yes    no
  2. Has any license, permit privilege ever been suspended or revoked?
    yes    no

    If yes, please give a statement with details:


  3. How many years experience in Commercial driving?
  4. How many years experience in Container Work?



Driving Experience for Last 10 Years
Last workplace:
From: e.g. 12/31/2002
To: e.g. 12/31/2002
Position:
Address:
Supervisor:
Reason for leaving:

Previous workplace:
From: e.g. 12/31/2002
To: e.g. 12/31/2002
Position:
Address:
Supervisor:
Reason for leaving:

Previous workplace:
From: e.g. 12/31/2002
To: e.g. 12/31/2002
Position:
Address:
Supervisor:
Reason for leaving:

Previous workplace:
From: e.g. 12/31/2002
To: e.g. 12/31/2002
Position:
Address:
Supervisor:
Reason for leaving:

Previous workplace:
From: e.g. 12/31/2002
To: e.g. 12/31/2002
Position:
Address:
Supervisor:
Reason for leaving:


  1. Excargo Services Inc. is a customs-bonded cartsman. Are you bondable?
    yes    no
  2. Are you physically capable of performing the essential functions of truck driving and trailer unloading?
    yes    no

List any trucking, transportation or other experience that may help this company.

List courses and training other than shown elsewhere in this application.

List special equipment you can work on your own (straps, chains).



Have you worked for Excargo before? yes    no
Position:
Date: e.g. 12/31/2002
Reason for leaving:


Are you leased now? yes    no
If yes, to which company?



Accident & Violation Experience
List all moving violations & accidents within past three years
(Date, Nature of accident/ticket, Fatalities, Injuries : Head-on, Rear-end, etc.)

Last accident:
previous accident:
previous accident:
Last ticket:
previous ticket:
previous ticket:



I certify that I own the following truck or am the authorized business agent for same.
Year: e.g. 1990
Color:
Registered weight:
Make:
VIN:
FHWA Exp.:


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.

I authorize Excargo Services Inc. to make such investigations and inquiries of my personal, work, financial or medical history and other related matters as may be necessary to make a decision on lease. I hereby release employers and lessees, schools or persons from all and any liability in responding to inquiries in connection with my application. I hereby give my permission to order a Motor Vehicle Report.

In the event of lease, 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, as permitted by law.

Disclosure and Authorization for Release of Information

I accept: