NewCab Application for Employment Step 1 of 5 - Personal 20% An EQUAL OPPORTUNITY EMPLOYER, we do not discriminate in hiring for employment on the basis of race, color, religious creed, national origin, sex, handicap, ancestry or on the basis of age. No question on this application is intended to secure information to be used for such discrimination.Available Employment PositionsWhat Type of Position Are You Applying For?*EXAMPLE: Driver, Lot Personnel, Admin, etc.Personal DetailsLast Name*First Name*Middle initial*Last 4 Digits of Your Social Security Number*Contact DetailsSTREET ADDRESS*CITY*STATE*ZIP CODE*TELEPHONE*CELL PHONEEMAIL ADDRESS* History DetailsHow Long Have You Lived In Las Vegas, Nevada?*Are You At Least 21 Years Of Age?*YesNoHow many years of driving experience do you have?*Have You Ever Worked For Yellow-Checker-Star?*YesNoIf Yes, When*HAVE YOU EVER DRIVEN FOR ANY OTHER CAB COMPANY IN LAS VEGAS BEFORE?*YesNoIf Yes, When*If Yes, What Company?*If Yes, Provide Your Taxicab Authority Permit Number:SecurityHAVE YOU EVER BEEN CONVICTED OF ANYTHING OTHER THAN A TRAFFIC VIOLATION?*YesNoIf Yes, When*Where*Charge*Convicted*Sentenced* Driving1. HAVE YOU HAD ANY AT FAULT TRAFFIC ACCIDENTS IN THE LAST THREE YEARS?*YesNo2. HAVE YOU, WITHIN THE PAST 10 YEARS, BEEN CONVICTED FOR D.U.I.*YesNoIf yes, Date*If yes, Location*3. HAVE YOU EVER HAD YOUR DRIVERS LICENSE SUSPENDED?*YesNoIf Yes, When*4. HAVE YOU HAD ANY TRAFFIC CITATIONS IN THE PAST 3 YEARS?*YesNoIf Yes, When*Where*Charge* Employment HistoryLIST THE MOST RECENT EMPLOYER FIRST * We require employment history for the past ten (10) years and at least three (3) employers * List below all present and past employment beginning with your most recent. Include military experience, schooling and periods of self employment. * Account for periods of unemployment in date order.1. EMPLOYER NAME*Address*Position*Date From:*MM/DD/YYYYDate To:*MM/DD/YYYYReason For Leaving*Supervisor Name*If you have never had another employer, please complete EMPLOYER NAME with a description of what you were doing (i.e., serving in Military, in school, etc.).2. EMPLOYER NAME*AddressPositionDate From:MM/DD/YYYYDate To:MM/DD/YYYYReason For LeavingSupervisor NameIf you have never had another employer, please complete EMPLOYER NAME with a description of what you were doing (i.e., serving in Military, in school, etc.).3. EMPLOYER NAME*AddressPositionDate From:MM/DD/YYYYDate To:MM/DD/YYYYReason For LeavingSupervisor NameAttachmentsYour Application Is INCOMPLETE Until All Required Attachments Are Received. Don't have your DMV Report? Click Here To Get It Now! (Link Opens In New Window/Tab, Close Tab to Return)Upload Your RESUME or DMV Driving RecordAccepted file types: jpg, gif, png, pdf, doc, docx, txt, rtf. CertificationIn making this application, I understand that my character, reputation for honesty, habits, ability, records of convictions, if any, financial responsibility and reasons for leaving employment may be investigated and that persons who know me now and/or in the past may be contacted and questioned about me to which I hereby give my consent. Anyone who may furnish any information concerning my character, habits, ability, criminal convictions, financial responsibility or reason for leaving any employment shall not be responsible for any loss or damage that I may suffer in consequence thereof. I further agree that any information obtained by the Company from any source will be held confidential by the Company from all persons and even against any demand made by me, except as required by law. It is the policy of the Company to consider all the information supplied by the applicant in assessing his/her qualifications for employment. I fully understand that any false statements made by me will result in my immediate termination. PLEASE READ: Employment is conditional upon the recommendation of the hiring authority and completion of Nevada State requirements to obtain a Taxicab Driver Permit. The following are requirements from the State of Nevada. You must be at least 21 years old Be a resident of the city of Las Vegas for at least 30 days Have a DMV report with no more than 1 demerit point on it and a date of less than 30 days old Must have a Nevada Driver's License Must be able to obtain a Nevada Taxicab Drivers Permit Other requirements may be necessary to comply with at time of application for Taxicab Driver Permit. TODAY'S DATE:* MM DD YYYY How Did You Hear About Us?*Select One ...1) Driver Referral2) Review Journal Ad3) Social Media (Facebook, etc.)4) Search Engine (Google, Yahoo, etc.)Please select one of the following and let us know how you found us.Name of Driver Who Referred You:AGREE BY CHECKING THE FOLLOWING:* I have read and understood the above Certification. Click 'Submit' One Time Only Your Application is being encrypted during the submission process. Please remain on this page until you reach your confirmation page. * * * FOR OFFICE USE ONLY * * * INTERVIEWED BY:_______________________________________ DATE:____________________ HIRED__________ NOT HIRED __________ DELAYED __________ WILL REPORT__________ This iframe contains the logic required to handle Ajax powered Gravity Forms.