Driver License Record The Company maintains standards for driver license histores for all employees that operate a Company vehicle. We will review histories furnished by state or province motor vehicle record checks and select only those applicants who meet our standards. In addition, driver record checks will be obtained periodically during employment.Email* Location Applying to:Anchorage AirportAnchorage DowntownAnchorage Main OfficeFairbanksJuneau AirportJuneau DowntownKenaiKodiakSitkaDo you currently possesses a valid driver license? Yes NoDriver License NumberStateExpiration DateHow many moving violations are currently on your record?Have you ever been convicted for reckless driving? Yes NoIf yes, when?Have you ever failed to report or left the scene of an accident? Yes NoIf yes, when?Have you ever had your license suspended or revoked? Yes NoIf yes, when was it reinstated?Have you ever been convicted of driving while intoxicated or impaired? Yes NoIf yes, when?If you answered yes to any of the questions 2-6, please explain in detail the nature of the offense including the date, the location, the disposition and any other relevant information:Note: Any conviction noted above does not automatically bar employment. Thejob relatedness of the crime and factors such as nature of the offense, your age at the time of the offense, the amount of time that has transpired, and your opportunity for rehabilitation will be considered in the hiring decisionSAFETYIn order to promote a safe and healthy environment for all employees and customers, the Company maintains strict Safety Standards.Have you ever been disciplined or discharged by your former employer for:Violating a safety rule Yes NoHarassing a co-worker or customer Yes NoTheft, unauthorized removal of company property, or related offenses Yes NoFighting, assault or related offenses Yes NoInsubordination Yes NoUnauthorized absences or lateness Yes NoHave you used any of the following non-prescriptive controlled substances within the past 6 months?Amphetamines/Speed Yes NoIf yes, when?Marijuana Yes Noif yes, when?Cocaine Yes NoIf yes, when?Crack Cocaine Yes NoIf yes, when?PCP Yes NoIf yes, when?Heroin Yes NoIf yes. when?Have you since quit using controlled substances? Yes NoIf yes. when?I certify that the foregoing information supplied by me is true and correct. I understand that the provision of false information, whenever discovered, is grounds for withdrawal of an employment otter or immediate dismissal.Applicant Signature:CommentsThis field is for validation purposes and should be left unchanged.