Class A

Required entry fields are followed by * meaning you must provide the requested information to continue. If you encounter any errors during this process and cannot continue, please contact us at 1.800.892.3250.
Name*
First Middle Last
Nick Name / Maiden Name or other names you have used:
Today's Date:*
MM slash DD slash YYYY
Social Security #:*
Date of Birth:*
MM slash DD slash YYYY
Street Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address:
(If different from Street Address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone:*
Cell Phone:
Cell Provider:
Email:*
Emergency Contact:*

Name / Relationship / Contact Number
Driver's License #:*
Driver's License State:*
Have you ever been employed by EliteHR Logistics before?
- Yes
- No
If "Yes", please give date and positions:
Can you present evidence of your U.S. Citizenship or proof of your legal right to live and work in this country?*
- Yes
- No
Are you telephone-accessible?
- Yes
- No
Are you willing to take a drug screen according to our policy?*
- Yes
- No
What areas are you willing to work?

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