Family-Owned Limousine Service | KON Limousine Service

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Driving info

YOUR DRIVING INFORMATION

Drivers License Number

DL State

Do you have a passenger endorsement on your license? (Not required for employment)

Are you at least 19 years of age?

Yes

Do you have at least 1 year of driving experience?

Yes

Do you have a smart phone?

Yes

Driving Infractions/Accident History

DRIVING INFRACTIONS/ACCIDENT HISTORY

List any and all accidents or moving violations received in any State in the past 7 years. Type “NONE,” if you have a clear driving record.

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WORK HISTORY

Current or Most Recent Job

Month/Year Started 01

Month/Year Ended 01

Job Title 01

Reason for leaving 01

Prior Job 2

Month/Year Started 02

Month/Year Ended 02

Job Title 02

Reason for leaving 02

Prior Job 3

Month/Year Started 03

Month/Year Ended 03

Job Title 03

Reason for leaving 03

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REFERENCES

First Reference

Reference Phone 01

Reference Relationship 01

Second Reference

Reference Phone 02

Reference Relationship 02

Third Reference

Reference Phone 03

Reference Relationship 03

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By Clicking “SUBMIT” below I authorize Pilgrim Transit1 to obtain my Massachusetts Driving History, and a Massachusetts CORI2 Screening. All information on this form will be keep confidential – this is a secure and encrypted website.

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