CMV Driver Application for Employment


EMPLOYMENT HISTORY

CONSENT TO OBTAIN CONSUMER REPORTS FOR EMPLOYMENT PURPOSES

In connection with my employment with PB Materials, I understand that you will procure reports for employment purposes that relate to my credit, criminal, driving, employment, or education history. This information will, in whole or in part, be obtained from iiX (1716 Briarcrest Drive, Suite 200, Bryan, TX 77802, Ph. 866-560-7015 ). These reports may include information as to my general reputation, character, personal characteristics, mode of living, work habits, job performance, and experience along with reasons for termination of past employment from previous employers. Further, I understand that you will be requesting information from various federal, state, and other agencies or institutions, which maintain public and non-public records concerning my past activities relating to my driving, credit, civil, education, and other experiences

Current Address

Previous Addresses(If less than 3 years)

EDUCATION

EMPLOYMENT HISTORY

(NOTE: List employers in reverser order starting with the most recent. Use additional sheet if necessary)

Current Employer

If no, please explain:

Previous Employer

If no, please explain:

Previous Employer

If no, please explain:

Previous Employer

If no, please explain: