Driver Application

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PERSONAL INFORMATION

Name:
Address:
Date of Birth:
Do you have any medical condition?

EMERGENCY CONTACT

Emergency Contact Name:

VEHICLE INFO

Do you have a vehicle?
CERTIFICATION
By checking this box, I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Ride UP Transport LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employer and educational organizations to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contact of employment signed on behalf of the organization by its General Manager/Authorize Representative the employment relationship will be “at-will.” In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Ride UP Transport LLC, except in a specific written contract of employment signed on behalf of the organization by its General Manager/Authorize Representative, has the power to alter or vary the voluntary nature of the employment relationship.