Food Delivery in Lancaster PA
Food Delivery by Carryout Courier
Food Delivery In York PA
Food Delivery Lancaster PA
 call 717-399-3463
Food Delivery
York PA
 call 717-846-8828
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Today’s Date:
PERSONAL INFORMATION
Last Name:
First Name:
Present Address:
E-Mail Address:
City:
State:
Zip:
Phone:
No
Referred by:
Ever Applied to us before?
Yes
EDUCATIONAL HISTORY
No
High School:
Did you graduate?
Yes
City:
State:
College:
Did you graduate?
Yes
No
Yr Graduated
City:
State:
Trade, or other School:
Did you graduate?
Yes
No
Year
City:
State:
EMPLOYMENT HISTORY   Please list last 3, starting with most recent first.
Year
Are you currently employed?
Yes
No
From: Month
If no, when left: Month
Year
May we contact current employer?
Yes
No
Company Name:
Supervisor’s Name
Contact Phone:
Position:
Reason for Leaving
From: Month
Year
To: Month
Year
Company Name:
Supervisor’s Name
Contact Phone:
Position:
Reason for Leaving
From: Month
Year
To: Month
Year
Company Name:
Supervisor’s Name
Contact Phone:
Position:
Reason for Leaving
AUTO & SHIFT INFORMATION
Make of car used for deliveries:
Model:
Type of Vehicle:
2-Door Passenger
4-Door Passenger
Year:
Pickup Truck
Mini-Van
Full Size Van
SUV
Other
Approximate Hours We Schedule Drivers: There are 12 shifts in a week, 5 lunch, 7 dinner. Indicate each shift you would normally be available to work (please check all that are appropriate).
LUNCH:
Mon 11 -1 
Tues 11 -1 
Wed 11 -1 
Thurs 11 -1 
Fri 11 -1 
DINNER:
Mon 4 or 5 - 8:30
Tues 4 or 5 - 8:30
Wed 4 or 5 - 8:30
Thurs 4 or 5 - 8:30 
Fri 4 or 5 - 9
Sat 4 or 5 - 9
Sun 4 or 5 - 8:30
Of the lunch shifts, how many would you like to work each week?
Of the dinner shifts, how many would you like to work each week?
Please rate your ability to read a map.
Poor
Fair
Good
Very Good
Do you smoke?
Yes
No
AUTHORIZATION TO REVIEW DRIVING RECORD
I hereby consent to allow Carryout Courier and its agents to request and receive a copy of my driving record. I acknowledge that this information is being requested because my duties may periodically involve driving vehcles owned, leased or non-owned by the above during the course of business. I agree to rlease the above and its agents and assigns from any liability for use of such information, whether negligent or otherwise. By submitting this application, I agree that it is the same as if I had signed my name in person.
Driver License Number.
State of Lincense
Date of Birth:
I agree to the above Authorization
Yes
No
DRIVER APPLICATION
Fill out and submit this Pre-Employment Questionaire. After evaluation, we will contact you regarding an interview.
Delivery drivers must be at least 21 years of age.