ACI Motor Freight Inc.

Agricultural Carriers, Inc. was founded March, 1980 by our Father, Robert Carriker

Contact Number: (316) 522-5559

Get in touch with us

dispatch@acimotorfreight.com

Send us an e-mail

Schedule a Pickup

Track a Shipment

#1 Regional LTL Provider.

APPLICATION FOR EMPLOYMENT
We are an equal opportunity employer, dedicated to a non-discrimination in employment on any basis including race, color, age, sex, religion, handicap or national origin
PERSONAL INFORMATION
Date	Social Security Number
Date Required *	SSN Number should be in the format: XXX-XX-XXXX SSN Required *
Last Name	Middle Name	First Name
Last Name Required		First Name Required
Present Address
Street	City	State	Zip

Permanent Address
Street	City	State	Zip

Phone No.	Referred by:	Are you 18 yrs of age or older?
Phone Required		Yes No

EMPLOYMENT DESIRED
Position	Date You Can Start	Salary Desired

Are You Employed Now?	If So May We Inquire of Your Present Employer?
Yes No	Yes No
Ever Applied to this Company Before	Where?	When?
Yes No

EDUCATION
				Did You Graduate?	Subjects Studied and Degree(s) Received
Grammar School?		Last Year Completed		Yes No	1
High School		Last Year Completed		Yes No	2
College		Last Year Completed		Yes No	3
Trade, Business, or Correspondence School		Last Year Completed		Yes No	4

GENERAL
Subjects of Special Study or Research Work

Job Related Skills (typing, driver's license, etc.)

FORMER EMPLOYERS
List below your last four employers, starting with the last one first
Month and Year		Name and Address of Employer		Salary (upon leaving)		Position		Reason For Leaving
Date 1		1		Salary 1		Position 1		Reason 1
Date 2		2		Salary 2		Position 2		Reason 2
Date 3		3		Salary 3		Position 3		Reason 3
Date 4		4		Salary 4		Position 4		Reason 4

REFERENCES List below three persons not related to you, whom you have known at least one year
Name 1		Address 1		Position 1		Years Acquainted 1
Name 2		Address 2		Position 2		Years Acquainted 2
Name 3		Address 3		Position 3		Years Acquainted 3

Date	Signature

AUTHORIZATION
I authorize investigation on all statements contained in this application. I understand that misrepresentation of information requested is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may regardless of the date of payment of my wages and salary, be terminated at any time without case and without any previous notice.
Date	Signature

In Case of Emergency Notify
Name	Address	Phone Number