Employment Application | Form – Windstar Lines Safety Systems

Who is this from?

I would like to apply for a position with:*

Windstar Lines, 1903 North US Hwy 71 Carroll, IA 51401 Phone: 888-494-6378 Fax: 712-792-9615

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Respond to:

FAX: (712-792-9615) EMAIL: admin@gowindstarsafety.com

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Welcome!

Thank you for your interest in employment. To apply for any position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted. In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

Helpful Hints

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 using the Contact Admin option.

Applicant Information

Today's Date*

Name*

First Middle Last

Email*

Enter Email Confirm Email

Which Windstar Lines branch location are you applying to work at?*

SSN / SID*

Date of Birth*

(The Age Discrimination of Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.) This field is mandatory as related to the Criminal Background Check

Primary Phone*

If your cell phone is also your primary phone, enter it in both fields.

Cell Phone*

If your cell phone is also your primary phone, enter it in both fields.

Current Address

Current Address*

Street Address County City State / Province / Region ZIP / Postal Code Country

1. Date From*

1. Date To*

1. Years at Current Address

1. Does this cover your last three years of residence?

Yes it does
No, I need to add an additional residence.

Second Address

2. Second Address*

Street Address County City State / Province / Region ZIP / Postal Code Country

2. Date From*

2. Date To*

2. Years at This Address

2. Does this cover your last three years of residence?

Yes it does
No, I need to add an additional residence.

Third Address

3. Third Address*

Street Address County City State / Province / Region ZIP / Postal Code Country

3. Date From*

3. Date To*

3. Years at This Address

3. Does this cover your last three years of residence?

Yes it does
No, I need to add an additional residence.

Fourth Address

4. Fourth Address*

Street Address County City State / Province / Region ZIP / Postal Code Country

4. Date From*

4. Date To*

YOU MUST PROVIDE 3 Years or more years or residential history before progressing!!

2. Emergency Contact Information

Emergency Contact Name*

Name

Emergency Contact Relationship*

Emergency Contact Primary Telephone*

If the cell phone is also the primary phone, enter it in both fields.

Emergency Contact Secondary Telephone

If the cell phone is also the primary phone, enter it in both fields.

3. Employment Type Desired

Full time or Part Time Desired?*

Full Time
Part Time

Whom were you referred by?

Name

Have you worked for this Company Before?*

Yes
No

If you have worked for this company before, why did you leave?*

Better Opportunity
Terminated or Laid Off
Adventure

Date of employment From*

Date of employment To*

How will you get to work?*

Personal Vehicle
Ride Share Transportation
Public Transportation

Are you willing to work any shift, including nights and weekends?*

Yes
No

Please explain any limitations.

If applicable, are you willing to work overtime?*

Yes
No

If you are offered employment, when would you be available to begin work?*

Are you able to perform the essential function of the job position you seek with or without reasonable accommodation?*

Yes
No

What reasonable accommodation, if any, would you request?

If hired, are you able to submit proof that you are legally eligible for employment in the United States?*

Yes
No

4. Criminal History

Do you live in a State that prohibits an employer asking about your criminal history?*

Yes
No
I am unsure

Have you ever been convicted of a Crime?*

Yes
No

Please Explain*

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

5. Applicant's Education and Training

Educational Experience*

High School Graduate or GED
Some College
College Degree
Post College Degree
Technical (graduate, technical, vocational)

Last School Attended*

Did you receive a degree?*

Yes
No

Degree type received:*

Would you like to provide the school address?*

Yes
No

School Address

Street Address City State / Province / Region ZIP / Postal Code Country

List any professional licenses or certifications that you hold:

Please indicate any Awards, Honors or Special Achievements

5.1 Administrative Skills and Training

Skill Type*

Select All
Microsoft Office Suite (Word, Excel, Powerpoint)
Typing, Keyboarding, Filing
Accounting, Bookkeeping, Reconciliation, Auditing
Telephones, VOIP Phones, Cellular Asset Management
Customer Service, Sales, CRM
Web Sites, HTML, CSS, WordPress
Other

Microsoft Office Suite (Word, Excel, Powerpoint)*

Basic Knowledge - Experience
Advanced Knowledge - Experience
Superior Knowledge - Experience

Typing, Keyboarding, Filing*

Basic Knowledge - Experience
Advanced Knowledge - Experience
Superior Knowledge - Experience

Accounting, Bookkeeping, Reconciliation, Auditing*

Basic Knowledge - Experience
Advanced Knowledge - Experience
Superior Knowledge - Experience

Telephones, VOIP Phones, Cellular Asset Management*

Basic Knowledge - Experience
Advanced Knowledge - Experience
Superior Knowledge - Experience

Customer Service, Sales, CRM*

Basic Knowledge - Experience
Advanced Knowledge - Experience
Superior Knowledge - Experience

Web Sites, HTML, CSS, WordPress*

Basic Knowledge - Experience
Advanced Knowledge - Experience
Superior Knowledge - Experience

Please describe OTHER

6. Military Service

Are you or were you a member of the Military?*

Yes
No

Military Branch Served*

Please list any specialized Training:

Date from*

Date to*

If you are still active, please enter today's date.

Are you currently enlisted, in the reserves or otherwise still engaged with the military services?*

Yes
No

7. License Driving Record

Current Driver's License Number*

If you do not possess a Driver License, Please write "None"

Current License Class*

If you do not possess a Driver License, Please write "None"

Current State of Issue*

If you do not possess a Driver License, Please select the state you were born in.

Drivers License Expiration Date*

If you do not possess a Driver License, Please select today's date.

DOL Eye Color Listed on your License:*

If you do not possess a Driver License, Please type in your eye color.

Date of Birth*

Gender on license*

Male
Female

Hair Color on License:*

It is not required, however it makes it much easier to process your application if you upload the requested copy of your License at this time.*

I will upload a copy of my license at this time
I will provide a copy of my license at a later time

Please Upload an image of the FRONT of your Driver's License

Drop files here or

Max. file size: 128 MB.

9. Ethnicity and Race

Privacy Act Statement*

Ethnicity and race information is requested under the authority of 42 U.S.C. Section 2000e-16 and in compliance with the Office of Management and Budget's 1997 Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity. Providing this information is voluntary and has no impact on your employment status, but in the instance
of missing information, your employing agency will attempt to identify your race and ethnicity by visual observation.

This information is used as necessary to plan for equal employment opportunity throughout the Federal government. It is also used by the U. S. Office of Personnel Management or employing agency maintaining the records to locate individuals for personnel research or survey response and in the production of summary descriptive statistics and analytical studies in support of the function for which the records are collected and maintained, or for related workforce studies.

Social Security Number (SSN) is requested under the authority of Executive Order 9397, which requires SSN be used for the purpose of uniform, orderly administration of personnel records. Providing this information is voluntary and failure to do so will have no effect on your employment status. If SSN is not provided, however, other agency sources may be used to obtain it.

I understand this Privacy Act Statement

Question 1. Are You Hispanic or Latino?*

Yes
No
Withheld

(A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)

Question 2. Please select the racial category or categories with which you most closely identify.*

Please select the racial category or categories with which you most closely identify.

Height*

This is used for the Criminal Back Ground Check form that will be populated automatically for you when you submit this form. This is not required, however as a courtesy, this response will automatically fill in the required information on another required document that is allowed to be requested. If you choose not to answer this question, we will have to request additional information at a later date, which will slow down the process of your employment application.

Weight*

This is used for the Criminal Back Ground Check form that will be populated automatically for you when you submit this form. This is not required, however as a courtesy, this response will automatically fill in the required information on another required document that is allowed to be requested. If you choose not to answer this question, we will have to request additional information at a later date, which will slow down the process of your employment application.

10. Previous Employment

Most Recent Employer

First Company Name*

Company Name

DRIVER Applicants that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

1. Beginning Date of Employment*

1. Ending Date of Employment*

If you are still employed, please select today's date.

1. Duration of Employment

1. Do you intend to remain employed with this employer?*

Yes
No

1. Supervisor Name*

Name

1. We will need to contact your previous employer. You must provide either a FAX number or a valid email address. Which would you like to provide?*

FAX Number
Email Address
Both

1. Company Phone*

1. Company FAX*

1. Supervisor or HR Email*

Enter Email Confirm Email

1. Company Address*

Street Address City State ZIP Code

1. Job Duties*

1. Reason for leaving*

1. Do you live in a State that prohibits asking what your previous rate of pay was?*

Yes
No
I do no know

1. Rate of pay (per hour)*

1. Does this complete your ten year commercial vehicle driving/employment history?*

Yes, this completes my ten year history
No, I need to add information

Please make sure to include any gaps in employment, school, military, sabbatical, extended vacations or other gaps in employment. If you do not have a CDL, please answer this question yes.

Second Employer

2. Company Name*

Company Name

DRIVER Applicants that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

2. Beginning Date of Employment*

2. Ending Date of Employment*

If you are still employed, please select today's date.

2. Duration of Employment

2. Supervisor Name*

Name

2. We will need to contact your previous employer. You must provide either a FAX number or a valid email address. Which would you like to provide?*

FAX Number
Email Address
Both

2. Company Phone*

2. Company FAX*

2. Supervisor or HR Email*

Enter Email Confirm Email

2. Company Address*

Street Address City State ZIP Code

2. Job Duties*

2. Reason for leaving*

2. Do you live in a State that prohibits asking what your previous rate of pay was?*

Yes
No
I do no know

2. Rate of pay (per hour)*

2. Does this complete your ten year commercial vehicle driving/employment history?*

Yes, this completes my ten year history
No, I need to add information

Please make sure to include any gaps in employment, school, military, sabbatical, extended vacations or other gaps in employment. If you do not have a CDL, please answer this question yes.

Third Employer

3. Company Name*

Company Name

DRIVER Applicants that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

3. Beginning Date of Employment*

3. Ending Date of Employment*

If you are still employed, please select today's date.

3. Duration of Employment

3. Supervisor Name*

Name

3. We will need to contact your previous employer. You must provide either a FAX number or a valid email address. Which would you like to provide?*

FAX Number
Email Address
Both

3. Company Phone*

3. Company FAX*

3. Supervisor or HR Email*

Enter Email Confirm Email

3. Company Address*

Street Address City State ZIP Code

3. Job Duties*

3. Reason for leaving*

3. Do you live in a State that prohibits asking what your previous rate of pay was?*

Yes
No
I do no know

3. Rate of pay (per hour)*

3. Does this complete your ten year commercial vehicle driving/employment history?*

Yes, this completes my ten year history
No, I need to add information

Please make sure to include any gaps in employment, school, military, sabbatical, extended vacations or other gaps in employment. If you do not have a CDL, please answer this question yes.

Fourth Employer

4. Company Name*

Company Name

DRIVER APPLICANTS ONLY: that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

4. Beginning Date of Employment*

4. Ending Date of Employment*

If you are still employed, please select today's date.

4. Duration of Employment

4. Supervisor Name*

Name

4. We will need to contact your previous employer. You must provide either a FAX number or a valid email address. Which would you like to provide?*

FAX Number
Email Address
Both

4. Company Phone*

4. Company FAX*

4. Supervisor or HR Email*

Enter Email Confirm Email

4. Company Address*

Street Address City State ZIP Code

4. Job Duties*

4. Reason for leaving*

4. Do you live in a State that prohibits asking what your previous rate of pay was?*

Yes
No
I do no know

4. Rate of pay (per hour)*

4. Does this complete your ten year commercial vehicle driving/employment history?*

Yes, this completes my ten year history
No, I need to add information

Please make sure to include any gaps in employment, school, military, sabbatical, extended vacations or other gaps in employment. If you do not have a CDL, please answer this question yes.

Fifth Employer

5. Company Name*

Company Name

DRIVER APPLICANTS ONLY: that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

5. Beginning Date of Employment*

5. Ending Date of Employment*

If you are still employed, please select today's date.

5. Duration of Employment

5. Supervisor Name*

Name

5. We will need to contact your previous employer. You must provide either a FAX number or a valid email address. Which would you like to provide?*

FAX Number
Email Address
Both

5. Company Phone*

5. Company FAX*

5. Supervisor or HR Email*

Enter Email Confirm Email

5. Company Address*

Street Address City State ZIP Code

5. Job Duties*

5. Reason for leaving*

5. Do you live in a State that prohibits asking what your previous rate of pay was?*

Yes
No
I do no know

5. Rate of pay (per hour)*

5. Does this complete your ten year commercial vehicle driving/employment history?*

Yes, this completes my ten year history
No, I need to add information

Please make sure to include any gaps in employment, school, military, sabbatical, extended vacations or other gaps in employment. If you do not have a CDL, please answer this question yes.

Sixth Employer

6. Company Name*

Company Name

DRIVER APPLICANTS ONLY: that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

6. Beginning Date of Employment*

6. Ending Date of Employment*

If you are still employed, please select today's date.

6. Duration of Employment

6. Supervisor Name*

Name

6. We will need to contact your previous employer. You must provide either a FAX number or a valid email address. Which would you like to provide?*

FAX Number
Email Address
Both

6. Company Phone*

6. Company FAX*

6. Supervisor or HR Email*

Enter Email Confirm Email

6. Company Address*

Street Address City State ZIP Code

6. Job Duties*

6. Reason for leaving*

6. Do you live in a State that prohibits asking what your previous rate of pay was?*

Yes
No
I do no know

6. Rate of pay (per hour)*

6. Does this complete your ten year commercial vehicle driving/employment history?*

Yes, this completes my ten year history
No, I need to add information

Please make sure to include any gaps in employment, school, military, sabbatical, extended vacations or other gaps in employment. If you do not have a CDL, please answer this question yes.

Seventh Employer

7. Company Name*

Company Name

DRIVER APPLICANTS ONLY: that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

7. Beginning Date of Employment*

7. Ending Date of Employment*

If you are still employed, please select today's date.

7. Duration of Employment

7. Supervisor Name*

Name

7. We will need to contact your previous employer. You must provide either a FAX number or a valid email address. Which would you like to provide?*

FAX Number
Email Address
Both

7. Company Phone*

7. Company FAX*

7. Supervisor or HR Email*

Enter Email Confirm Email

7. Company Address*

Street Address City State ZIP Code

7. Job Duties*

7. Reason for leaving*

7. Do you live in a State that prohibits asking what your previous rate of pay was?*

Yes
No
I do no know

7. Rate of pay (per hour)*

7. Does this complete your ten year commercial vehicle driving/employment history?*

Yes, this completes my ten year history
No, I need to add information

Please make sure to include any gaps in employment, school, military, sabbatical, extended vacations or other gaps in employment. If you do not have a CDL, please answer this question yes.

Eighth Employer

8. Company Name*

Company Name

DRIVER APPLICANTS ONLY: that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

8. Beginning Date of Employment*

8. Ending Date of Employment*

If you are still employed, please select today's date.

8. Duration of Employment

8. Supervisor Name*

Name

8. We will need to contact your previous employer. You must provide either a FAX number or a valid email address. Which would you like to provide?*

FAX Number
Email Address
Both

8. Company Phone*

8. Company FAX*

8. Supervisor or HR Email*

Enter Email Confirm Email

8. Company Address*

Street Address City State ZIP Code

8. Job Duties*

8. Reason for leaving*

8. Do you live in a State that prohibits asking what your previous rate of pay was?*

Yes
No
I do no know

8. Rate of pay (per hour)*

8. Does this complete your ten year commercial vehicle driving/employment history?*

Yes, this completes my ten year history
No, I need to add information

Please make sure to include any gaps in employment, school, military, sabbatical, extended vacations or other gaps in employment. If you do not have a CDL, please answer this question yes.

Ninth Employer

9. Company Name*

Company Name

DRIVER APPLICANTS ONLY: that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

9. Beginning Date of Employment*

9. Ending Date of Employment*

If you are still employed, please select today's date.

9. Duration of Employment

9. Supervisor Name*

Name

9. We will need to contact your previous employer. You must provide either a FAX number or a valid email address. Which would you like to provide?*

FAX Number
Email Address
Both

9. Company Phone*

9. Company FAX*

9. Supervisor or HR Email*

Enter Email Confirm Email

9. Company Address*

Street Address City State ZIP Code

9. Job Duties*

9. Reason for leaving*

9. Do you live in a State that prohibits asking what your previous rate of pay was?*

Yes
No
I do no know

9. Rate of pay (per hour)*

9. Does this complete your ten year commercial vehicle driving/employment history?*

Yes, this completes my ten year history
No, I need to add information

Please make sure to include any gaps in employment, school, military, sabbatical, extended vacations or other gaps in employment. If you do not have a CDL, please answer this question yes.

Tenth Employer

10. Company Name*

Company Name

DRIVER APPLICANTS ONLY: that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).*

10. Beginning Date of Employment*

10. Ending Date of Employment*

If you are still employed, please select today's date.

10. Duration of Employment

10. Supervisor Name*

Name

10. We will need to contact your previous employer. You must provide either a FAX number or a valid email address. Which would you like to provide?*

FAX Number
Email Address
Both

10. Company Phone*

10. Company FAX*

10. Supervisor or HR Email*

Enter Email Confirm Email

10. Company Address*

Street Address City State ZIP Code

10. Job Duties*

10. Reason for leaving*

10. Do you live in a State that prohibits asking what your previous rate of pay was?*

Yes
No
I do no know

10. Rate of pay (per hour)*

Employment Confirmation

Hidden

Hidden calculation field for years of employment

Calculates totl years of employment and populates field below via Copy-cat

Total years employment history provided

Commercial Driver Applicants must provide ten years of CMV employment history.

11. References

List any two non-relatives who would be willing to provide reference for you.

Name*

Name

Phone*

Address

Street Address City State ZIP Code

Relationship*

Previous employer
Land Lord
Friend

Name*

Name

Phone*

Address

Street Address City State ZIP Code

Relationship*

Previous employer
Land Lord
Friend

Date of application*

Employment Application | Form

APPLICATION | UNIVERSAL

Company Information

Welcome!

Helpful Hints

Applicant Information

Current Address

Second Address

Third Address

Fourth Address

YOU MUST PROVIDE 3 Years or more years or residential history before progressing!!

2. Emergency Contact Information

3. Employment Type Desired

4. Criminal History

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

5. Applicant's Education and Training

5.1 Administrative Skills and Training

6. Military Service

7. License Driving Record

9. Ethnicity and Race

10. Previous Employment

Most Recent Employer

Second Employer

Third Employer

Fourth Employer

Fifth Employer

Sixth Employer

Seventh Employer

Eighth Employer

Ninth Employer

Tenth Employer

Employment Confirmation

11. References

Having Problems? Contact System Admin