DRIVER CONTRACT APPLICATION
Name: SSN: Date of Birth:
Phone Number(s): Referred by:
Have you applied to this company before? □ Yes □ No If so, when?
If your contract is approved, when can you start?
Please list available days and hours you could work:
Please tell us about the highest level of education achieved, including any certificates, diplomas (or G.E.D), subjects of
special study or research, and any job related skills (continue on back if necessary):
FORMER EMPLOYERS (PLEASE LIST BELOW YOUR LAST FOUR EMPLOYERS, STARTING WITH CURRENT/PREVIOUS EMPLOYER)
Dates of Name and Address of Employer Salary (upon leaving) Position Reason for leaving
REFERENCES (PLEASE LIST BELOW THREE PERSONS NOT RELATED TO YOU WHOM YOU HAVE KNOWN AT LEAST ONE YEAR)
Name Contact Information Position Years Acquainted
I certify that the facts contained in this contract application are true and complete to the best of my knowledge. I understand that any false or misleading statement or any omission or
misrepresentation on this contact application will result in the failure to obtain a driver contract with Yellow Cab of Iowa City, and may also result in the termination of a driver contract.
I authorize Yellow Cab of Iowa City to investigate all claims made on this contract application, and authorize all persons and employers referenced on this contract application to disclose
information relevant to my former employment and general character. I release Yellow Cab of Iowa City from any claims, demands or liabilities arising from or related to said
I understand that, by completing this contract application, there is no implied offer of a driver contract with Yellow Cab of Iowa City, nor are there any guarantees of future offers of
contract. I understand that, if offered a driver contract, there is nothing in this application that implies a guarantee of length of time of such contract.
I understand that being offered a driver contract with Yellow Cab of Iowa City is not an offer of employment, and that if I enter into a driving contract with Yellow Cab of Iowa City, it will
be on an independent contractor basis.
Please return completed application with a certified copy of driving record to Yellow Cab
2930 A Industrial Park Road, Iowa City, IA 52240