ICS Trucking
Application for Employment
The following information is required so that we can pre-qualify your application.
* Required Field
* Name:
* Address:
* City/State/Zip: ,  
Home Phone:
Cell Phone:
* Date of Birth:
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* SSN: - -
* Driver's License #:
* State Issued:
* Date Expires:
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* # of Tickets: (last 3 yrs)
* # of Accidents: (last 3 yrs)
* DUI or Drug related convictions?
If yes, when?
* License Suspensions?
If yes, when?
* Ever been on convicted of a felony?
If yes, when?
Employment History for the last 3 years - please start with most recent. (Complete as far back as you can up to 10 years). Provide as much information as you can, phone numbers are appreciated.
Employments Dates:
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to
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Employer Name:
Address:
City/State/Zip: ,  
Telephone:
Type of Trailer:
Reason for Leaving:

I certify that the information completed in this application is true and correct. I authorize ICS Logistics, Inc to do a complete background investigation in accordance with state and federal laws. I authorize my previous employers to release any information requested by ICS Logistics, Inc and hold them harmless of all liability from the release of said information. I authorize release of any information, including all information related to my alcohol and controlled substance testing and training records by any former employees and hold them harmless of any liability from release of said information.

DAC Disclosure

In connection with my application for employment (including contract services) with you, I understand that consumer reports which may contain public record information may be requested from DAC Services, Tulsa, OK and that a motor vehicle report may be ordered from Reynolds & Reynolds, Inc. I further understand that such records may contain public record information concerning my driving record, workers comp claims, credit, bankruptcy proceedings, criminal records, etc, from federal, state and other agencies which maintain such records; as well as information from DAC concerning previous driving record requests made by others from such state agencies, and state provided driving records.

I authorize, without reservation, any party or agency contacted by DAC to furnish the above mentioned information.

I have the right to request to DAC or Reynolds & Reynolds, upon proper identification, the nature and substance of all information in their files on me at the time of my request, including the sources of information and the recipient of any reports on me which DAC has previously furnished within the two year period preceding my request. I hereby consent to you obtaining the above information from DAC and Reynolds & Reynolds, and I agree that such information which either company has or obtains, and my employment history with you if I am hired, will be supplied by DAC to other companies which subscribe to DAC Services.

I hereby authorize procurement of consumer reports. If hired (or contracted), this authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time during my employment (or contract) period.