Double Eagle Distributing, Inc.
50 Lock Road
Deerfield Beach, FL 33442

 APPLICATION FOR EMPLOYMENT


Our Company is an equal opportunity employer and will consider all applicants for all positions without regard to their race, sex age, color, religion, national origin, marital status, disability or covered veteran status. Double Eagle Distributing, Inc. is a Drug-Free Workplace.

Job Description: Prosell Representative
Date:   10/18/2017 10:51:18 AM Are you applying for a driver position?:    

PERSONAL DATA:
Last Name:      First:    Mi:
Home Phone:     numbers only Cell Phone:     numbers only
Email Address:  
Present Address:    How Long?   YEARS            MONTHS                    
City:     State:     Zip Code:    
IF ABOVE ADDRESS IS LESS THAN 3 YEARS, LIST PREVIOUS RESIDENCES FOR PAST 3 YEARS:
Previous Address: How Long?    YEARS          MONTHS                         
City:  State: Zip Code: 
Previous Address: How Long?             
                         YEARS             MONTHS
City:  State: Zip Code:
Are you at least 18 years of age?:    
If applying for a delivery job, Are you at least 21 years of age?     
Do you have the legal authorization to work in the United States?     
Have you ever been employed with us before?           If yes, date:   mm/dd/yyyy
Have you ever filed an application with us before?         If yes, date:   mm/dd/yyyy
Are there days or times that you can not work?     
Can you work overtime if necessary?:    
Have you ever been convicted of a felony?   
If yes, please identify the crime, date of conviction which you were convicted. Conviction will not necessarily disqualify you from employment:    
 
Have you ever been terminated or asked to resign from any job?       
If yes, please explain circumstances: 
 
Were you referred by a current employee?        If yes, who?  
Are you related to current or former employee of Double Eagle Distributing?       If yes, give names/relationship   
MILITARY SERVICE RECORD:
Were you in U.S. Armed Forces?        If yes what branch?:  
Dates of duty from  to   Rank at discharge:
EDUCATION:
HIGH SCHOOL ATTENDED          CITY/STATE 
HIGHEST GRADE COMPLETED HIGH SCHOOL    Graduated?     
COLLEGE ATTENDED             CITY/STATE 
COLLEGE (YRS)             Graduated?         Area of Study/Degree?
BUSINESS OR TRADE SCHOOL       Area of Study/Degree or Certificate 
NAME OF BUSINESS OR TRADE SCHOOL         CITY/STATE 
PERSONAL REFERENCES
PLEASE LIST PERSONS WHO KNOW YOU WELL - NOT PREVIOUS EMPLOYERS OR RELATIVES
  NAME OCCUPATION ADDRESS TELEPHONE# YEARS KNOWN
1.                    
2.                    
3.                    
Warehouse - Forklift Certified?           If yes, date of most recent certification:     
Other -         List any other skills or qualifications acquired through employment or education, such as computer skills, education, such as computer skills,
                    knowledge of specific software programs, technical skills or equipment skills:

EMPLOYMENT HISTORY: (Starting with your current or most recent). Be sure to account for all periods of time including military service and any period of unemployment;
if self-employed give firm name and supply business references. Do not leave any gaps in employment history.
All driver applicants must provide the complete mailing address, street number, city, state, and zip code for preceeding 3 years of employment. an additional 7 years must be provided
for those positions in which you operated a commercial vehicle.

INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED

PRESENT OR LAST EMPLOYER NAME
EMPLOYED FROM EMPLOYED TO LAST POSITION HELD AT THIS
EMPLOYER
OTHER POSITIONS HELD HELD AT
THIS EMPLOYER

 
MM/DD/YYYY
 
MM/DD/YYYY
 

 

 
ADDRESS (STREET/CITY/STATE/ZIP

 
STARTING PAY:
     
FINAL PAY:
    
NAME AND TITLE OF LAST
SUPERVISOR
     
REASON FOR LEAVING

 
TELEPHONE (INCLUDING AREA CODE)      
WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS (FMCSR) WHILE EMPLOYEED ABOVE?     
PRESENT OR LAST EMPLOYER NAME
EMPLOYED FROM EMPLOYED TO LAST POSITION HELD AT THIS
EMPLOYER
OTHER POSITIONS HELD HELD AT
THIS EMPLOYER

MM/DD/YYYY
MM/DD/YYYY


ADDRESS (STREET/CITY/STATE/ZIP

STARTING PAY:
   
FINAL PAY:
  
NAME AND TITLE OF LAST
SUPERVISOR
REASON FOR LEAVING

TELEPHONE (INCLUDING AREA CODE)    
WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS (FMCSR) WHILE EMPLOYEED ABOVE?   
PRESENT OR LAST EMPLOYER NAME  EMPLOYED FROM EMPLOYED TO LAST POSITION HELD AT THIS
EMPLOYER
OTHER POSITIONS HELD HELD AT
THIS EMPLOYER

MM/DD/YYYY
MM/DD/YYYY


ADDRESS (STREET/CITY/STATE/ZIP

STARTING PAY:
   
FINAL PAY:
  
NAME AND TITLE OF LAST
SUPERVISOR
   
REASON FOR LEAVING

TELEPHONE (INCLUDING AREA CODE)    
WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS (FMCSR) WHILE EMPLOYEED ABOVE?   
PRESENT OR LAST EMPLOYER NAME
EMPLOYED FROM EMPLOYED TO LAST POSITION HELD AT THIS
EMPLOYER
OTHER POSITIONS HELD HELD AT
THIS EMPLOYER

MM/DD/YYYY
MM/DD/YYYY


ADDRESS (STREET/CITY/STATE/ZIP

STARTING PAY:
   
FINAL PAY:
  
NAME AND TITLE OF LAST
SUPERVISOR
   
REASON FOR LEAVING

TELEPHONE (INCLUDING AREA CODE)    
WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULA   
APPLICANT'S STATEMENTENT APPLICANT'S STATEMENTENT

I understand that, with my authorization, an investigation may be made whereby information is obtained regarding my character, general reputation, educational background, previous employment, driving record, and criminal history. By signing this application, I give authorization to any and all investigations listed, as well as any additional investigations that may provide relevant employment information.

I understand that the Company reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law. I understand that my refusal to do so or my failure on the exam may result in my immediate termination.

I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records and other information pertinent to my employment with them. I also authorize the Company to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information.

I understand that if hired I will be placed on a ninety day probation period, I further understand that if I am terminated within the ninety day probation period, the employer may seek to contest any unemployment benefits I might attempt to obtain as a result of my termination, in accordance with Florida Statute # (3) (6). I understand and agree that if employed, the employment will be "at will". That is either the Company or I may end the employment relationship at any time, for any reason, or for no reason. Furthermore, I understand that this application is not an employment contract for any specific term or position.

I certify that all of the information that I provide on this application and in any interview will be true and accurate. I understand that if I am employed and any such information is later found to be false or misleading in any respect, I may be dismissed.

If I am applying for a commercial driving job, I certify that I meet all the qualifications of a commercial driver, as required by the Department of Transportation, 49 CFR 391, and that current or previous employers will be contacted, for the purpose of investigating my safety and performance history as required by 49 SFR 391.23

                    Applicant's Signature: