Driver Employment Application – Party On Air Xtreme Inflatables, LLC

Applicant Information

Full Name *

Date of Birth *

Social Security Number *

Phone Number *

Email Address

Date of Application *

Position Applied For *

Date Available for Work

Desired Salary / Rate

Are you a citizen of the United States?

Yes No

Address History — Past 3 Years

Street Address	City	State	ZIP Code	Years at Address

Driver's License Information — Past 3 Years

State	License Number	Type / Class	Endorsements	Expiration Date

Have you ever been denied a license, permit, or privilege to operate a motor vehicle?

Yes No

Has any license, permit, or privilege ever been suspended or revoked?

Yes No

Driving Experience

Class of Equipment	Type of Equipment	From	To	Approx. Miles Driven

Accident Record — Past 3 Years

If no accidents, leave blank. Do not omit any accident regardless of fault.

Date	Nature of Accident	# Fatalities	# Injuries	Chemical Spill?

Traffic Convictions — Past 3 Years

List all violations except parking tickets. Include forfeitures of bond or collateral.

Date Convicted	Violation	State	Penalty

Education

Level	School Name & Location	Course of Study	Years Completed	Graduate?	Degree / Details
High School
College
Other

Previous Employment History — Past 10 Years

List all employers starting with the most recent. Attach additional sheets if necessary.

Employer 1 — Most Recent

Company Name

Phone

Address

Position Held

From

Starting Salary

Ending Salary

Reason for Leaving

Subject to DOT/FMCSA Regulations?

Yes No

Safety-Sensitive Function?

Yes No

Employer 2

Company Name

Phone

Address

Position Held

From

Starting Salary

Ending Salary

Reason for Leaving

Subject to DOT/FMCSA Regulations?

Yes No

Safety-Sensitive Function?

Yes No

Explain any gaps in employment longer than 30 days

Military Service

Branch of Service

Rank at Discharge

From

Type of Discharge

Explanation if Other Than Honorable

Other Qualifications & Certifications

List any special skills, certifications, training, or licenses (e.g. HAZMAT, forklift, First Aid/CPR)

References — Do Not List Relatives

Name	Relationship	Company	Phone	Address

Authorization & Acknowledgment

I authorize Party On Air Xtreme Inflatables, LLC to conduct investigations into my personal, employment, financial, medical, and other related matters as may be necessary in arriving at an employment decision. I release all previous employers, schools, health care providers, and all others from any liability for providing information about me in connection with my application.

I understand that:

Information about my safety performance history (per 49 CFR Part 391.23) will be investigated.
I have the right to review information provided by prior employers.
I have the right to correct erroneous information and to attach a rebuttal statement.

I certify that all information I have provided in this application is true and complete to the best of my knowledge. I understand that false statements or omissions of material information may result in refusal of employment or dismissal at any time.

I have read, understand, and agree to the above authorization and acknowledgment. *

Applicant Signature *

Sign with your mouse or finger in the box above.

Printed Name *

Date *

NOTE: Party On Air Xtreme Inflatables, LLC reserves the right to require information beyond the FMCSA minimums for this application.

Your application will be emailed directly to our hiring team. A copy will be sent to the email address you provided.

✓ Application Submitted!

Thank you for applying to Party On Air Xtreme Inflatables, LLC. Our team will review your application and reach out within 3–5 business days.