OVERSEAS MANPOWER SOLUTIONS, CORP.

Pilot Employment Application

APPLICANT INFORMATION

Last Name

First

Middle Name

Street Address

Apartment/Unit #

City

Province

ZIP

Phone (Please include Country Code)

E-mail Address

Passport Number

Date of Birth

Skype

Other Contact info

Do you have a Commercial Driver’s License (CDL) from the USA ?

YES

NO

If yes, file number

Do you have a Commercial Driver’s License (CDL) outside of the USA (Foreign Equivalency) ?

YES

NO

If yes, file number

Have you ever abandoned a truck at any previous employers?

YES

NO

If Yes, Why?

Education

HIGH SCHOOL

From

To

Name

Address

Degree

Did you graduate?

YES

NO

COLLEGE

From

To

Name

Address

Degree

Did you graduate?

YES

NO

From

To

Name

Address

Degree

Did you graduate?

YES

NO

References

PLEASE LIST THREE PROFESSIONAL REFERENCES.

Full Name

Relationship

Company

Phone (Include Country Code)

Address

Full Name

Relationship

Company

Phone (Include Country Code)

Address

Full Name

Relationship

Company

Phone (Include Country Code)

Address

PREVIOUS EMPLOYMENT

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

NO

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

NO

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

NO

MILITARY SERVICE

Branch

From

To

Rank at Discharge

Type of Discharge

If other than honorable, explain

INTERVIEW NOTES

REFERRAL – IF SOMEONE REFERRED YOU TO OMS, PLEASE LIST THEIR FULL NAME

FIRST NAME: LAST NAME:

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview

may result in my release.

Signature

Date

Contact this candidate