AAA Taxi
If you ever thought of being your own boss or running your own business, this is your opportunity to make it possible. Mercer County ’s largest taxi company, AAA Taxi Inc. has day, night, weekend and casual shifts available now.
Please complete this form and click Submit Application to send us your application.

Your Information:
First Name:
Middle Initial:
Last Name:
SSN #:
E-mail Address:

Current Address:
Street Address:
City:
State:
Zip:
Phone:
How Long:

Previous Addresses:
Street:
City:
St:
Zip:
How Long:
Street:
City:
St:
Zip:
How Long:
Street:
City:
St:
Zip:
How Long:
Street:
City:
St:
Zip:
How Long:

Do you have the legal right to work in the United States?
Yes   No
Date of Birth:
Can you produce proof of age?
Yes   No

Have you worked for this company before?  Yes   No
If so, where?  
From:
To:
Pay Rate:
Position:
Reason for leaving:
Currently Employed?
Yes   No
If not, how long since last employment?
Referred to us?
Yes   No
By whom?
Pay Rate Expected:

Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the job description)?

List any trucking, transportation, or other experience that may help in your work for this company.

Any special equipment or technical materials you can work with (other than those already shown):

Accident record for the past 3 years:

Dates
Fatalities
Nature
Injuries
LAST
NEXT/PREV
NEXT/PREV

Traffic convictions and forfeitures for the past 3 years (other than parking violations):

Location
Date
Charge
Penalty

Highest level of education completed:
Grade:
1 2 3 4 5 6 7 8
High School:
1 2 3 4
College:
1 2 3 4
Degree:
Last School Attended:
School Name:
School Address:
List any special courses, classes or programs that will help you as a driver:

Experience and Qualifications — Driver
DRIVER
LICENSES
State
License No.
Type
Expiration Date
A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Yes   No
B. Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations?
Yes   No
C. Has any license, permit, or privilege ever been suspended or revoked?
Yes   No