Test Page User Account Username * Password * Password (repeat) * Current Employees Please fill out this section only if you are a current RHB Employee Are you a current RHB employee? * NoYes Which branch are you currently employed? * N/AChoose An Option BelowNot An EmployeeAmerican Premium BeverageGreensboroHickoryLinwoodRaleighWinston-Salem RH Barringer Which branch location(s) are you interested in? * GreensboroWinston-SalemHickoryLinwoodRaleighAmerican Premium Beverage What Job Type(s) are you interested in? * DeliveryOfficeSalesMerchandiseWarehouse Choose all that apply Why do you want to work for RH Barringer? Referral Name Please provide the name of the RHB employee who gave you a referral if you received one Personal Information First Name * Middle Name * Last Name * Birthday (mm/dd/yyyy) * Phone Number * Email Address * Are you 21 or older? * YesNo Address Street Address * City * State * Zip-Code * Skills & Other Qualifications List any other skills, qualifications, licenses, training or awards. Education Instructions Instructions Please list all of the following types of schooling that you have received: High School, College, Trade School, Other. High School Education – List school name, year of graduation or reason for not completing. * Level of College Experience * Did Not AttendAttended Trade SchoolAssociate'sBachelor'sMaster'sCurrently Enrolled College Education – List college, years attended, degree achieved Additional Schooling Experience Instructions Employment Instructions List work experience for the past seven (7) years. Start with your present or most recent position. Include military service and/or volunteer positions. May we contact your current employer? * YesNo Job Experience 1 – List current business name, years worked, your work responsibilities Job Experience 2 – List current business name, years worked, your work responsibilities Job Experience 3 – List current business name, years worked, your work responsibilities Additional Job Opportunities References Reference Instructions List the name, title, address and telephone number of three references who are not related to you and are not previous employers. Any reference box that doesn’t contain all the necessary information listed in the instructions will be considered invalid and will not be effective towards your resume. Reference 1 List the name, title, address and telephone number Reference 2 List the name, title, address and telephone number Reference 3 List the name, title, address and telephone number Equal Employment & FMCSRs Equal Employement Post offer medical examination and drug testing will be required. RH Barringer Dist. Co. Inc. is an equal opportunity employer. FMCSRs The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designated or used to transport 9 or more passengers, OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding. Were you subject to the FMCSR's while employed at any job? * YesNo If yes, were the jobs designated as a Safety-Sensitive Function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40? YesNo If you replied yes to either of the above questions, please list the jobs here. Only include jobs that are listed in your experience box. By filling out your name below for “Signature Agreement”, you certify that the information contained in this application is true and complete. You understand that any false information may be grounds for not hiring you or for immediate termination of employment at any point in the future if you am hired. You authorize the verification of any or all information listed in this resume. Signature Agreement * Type your full legal name Background Check Background Check By filling out your name below for “Background Check Agreement”, you understand that RH Barringer Dist. Co. Inc. (“the Company”) will conduct a background investigation on you regarding your prospective employment. You hereby authorize RH Barringer Dist. Co. Inc. to research your driving record and/or criminal history as well as to verify any and all other information that you have provided on my Employment Application with the Company. You release and hold the Company and their respective officers, directors and employees harmless from any and all liability with respect to the investigation, verification and/or use of any information relevant to ypur application for employment. Background Check Agreement * Type your full legal name Background Check Rights Provided By filling out your name below for “Background Check Rights Agreement”, you understand that even though the Company is not doing a background check on your credit history, that a background check regarding prospective employment is still a consumer report which is covered under the Fair Credit Reporting Act. You further understand that upon request, RH Barringer Dist. Co. Inc. will provide you with a “Summary of Rights Under the Fair Credit Reporting Act”. If any employment decision is made based on information received through a consumer report that adversely affects you, you understand that you have the right to request a free copy of the report and to dispute the report within three (3) business days to conclusively demonstrate the inaccuracy of the information. Background Check Rights Agreement * Type your full legal name Certification and Consent By filling out your name below for “Certification and Consent Agreement”, you certify that the information contained in the “Background Check Consent Form” is true, correct and complete to the best of your knowledge. You understand that RH Barringer Dist. Co. Inc. requires criminal history and/or driving record background checks for the purpose of evaluating you for employment, continuing employment, promotion or transfer. You also understand that any misrepresentation, falsification or omission of facts herein may be grounds for disqualification or termination. You further authorize that a photocopy of this authorization be considered as valid as the original. Certification and Consent Agreement * Type your full legal name Driver Experience & Qualifications Completion Requirements You are required to complete this section only if you are applying for a position that will require operating a company vehicle. This includes Sales Reps, Delivery Drivers, Relief Drivers, Merchandisers, Shuttle Drivers, etc. It does not include general warehouse or administrative positions. Types of Licenses Here is a reference of the different types of licenses: Class A (non-commercial); Class B (non-commercial); Class C (non-commercial) **common every day license**; CDL (commercial) Full Name On Drivers License Required if you have one Drivers License Number Required if you have one. Current license expiration date Required if you have one Drivers License State Required if you have one Current License #2. Please list the following information: State, license number, type and expiration date. Current License #3. Please list the following information: State, license number, type and expiration date. Driving Experience Please list your current driving license experience if applicable. Do you have forklift experience? * YesNo If yes, please list your forklift experience here Straight Truck: List type of equipment, dates (from/to) and total miles. Semi-Trailer/Tractor: List type of equipment, dates (from/to) and total miles. Tandom Trailer/Tractor: List type of equipment, dates (from/to) and total miles. Other driving qualifications: List any other driving skills, qualifications, training or awards. Accidents & Violations Please list all accidents and violations during the past 3 years starting with the most recent. Accidents: List the date, description of the accident, injuries and fatalities. Violations: List the date, description of the accident, charge and penalty. List all states operated in for the last 5 years. Have you ever been denied a license, permit or privilege to operate a motor vehicle? YesNo Have you ever had your license, permit or privilege suspended or revoked? YesNo If you answered yes to either question, please give a statement listing details.