Select the job you're applying for:*Truck Driver / LaborerPersonal InformationFull Name*(As displayed on your driver's license) First Middle Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Primary Phone*Alternate PhoneEmail* Enter Email Confirm Email Social Security #*Drivers License #*Drivers License Expiration* Date Format: MM slash DD slash YYYY CDL*YesNoCDL Class*Employment HistoryPlease include information about last three jobs.ResumeOptional - you may upload a resume here to supplement your application.Employment History*Job TitleCompany NameAddressJob DescriptionStart DateEnd DateEmployment HistoryJob TitleCompany NameAddressJob DescriptionStart DateEnd DateEmployment HistoryJob TitleCompany NameAddressJob DescriptionStart DateEnd DateAdditional InformationHow did you learn of this job opportunity?*IndeedFacebookNewspaperRadioBillboardCareer LinkReferralName of ReferralDo you hereby authorize the release of the following information?* * All applicants must consent to a Motor Vehicle (MVR) and Criminal Background check to be considered for employment with Green Acres Contracting Company, Inc.Request for Background Check*YesNoRequest for Motor Vehicle Record*YesNoLimited Query FMCSA Drug and Alcohol Clearing House*YesNowill consent to Green Acres Contracting Co., Inc. to conduct a limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I understand that if the limited query conducted by Green Acres Contracting Co., Inc. indicates that drug or alcohol violation information about me exists in the Clearinghouse, FMCSA will not disclose that information to Green Acres Contracting Co., Inc. without first obtaining additional specific consent from me. I further understand that if I refuse to provide consent for Green Acres Contracting Co., Inc. to conduct a limited query of the Clearinghouse, Green Acres Contracting Co., Inc. must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations. Voluntary SurveyGovernmental agencies at times require periodic reports on the sex, ethnicity, veteran status and other protected status of employees. This data is for statistical analysis with respect to the success of Green Acres Contracting Co., Inc. Equal Opportunity Policy. Submission of this information is voluntary. Inclusion or exclusion of any data will not effect any employment decision.SexMaleFemaleVeteranYesNoEthnic OriginAmerican Indian/Alaskan NativeAsian Pacific IslanderBlackHispanicWhiteOtherPhoneThis field is for validation purposes and should be left unchanged.