MODESTO, CA: DISPATCH ASSISTANT

Application For EmploymentAntonini Enterprisespo box 8468stockton, California 95208209-444-2045Job Applied For *RequiredFirst Name * RequiredMiddle Initial *NoneRequiredLast Name * RequiredSocial Security No. * RequiredMobile Phone No. *RequiredOther Phone No.Email Address * RequiredPresent Address * RequiredAddress 2City * RequiredState/Province * -- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------------------------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon RequiredZIP * RequiredCountyYrs at this address * RequiredIf at current address less than 3 years, list below most recent addresses for the past 3 years. (Click on the Plus sign to add additional Previous Addresses.)Previous AddressAddress 2CityState/ProvinceZIPCountyYrs at this addressPrevious Address Address 2 City State/Province-- Select State --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--------------------------------------AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP County Yrs at this addressReached maximum rows!Driver's License or State IDName - Exactly as it appears on your driver's license or State ID RequiredCurrent Driver's License or State ID Number RequiredIssuing State/Province -- Select Issuing State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------------------------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon RequiredAdditional LicensesList ALL additional licenses held in the past 3 years and ALL unexpired commercial motor vehicle operator's licenses or permits. (Click on the Plus sign to add additional Licenses.) DO NOT enter current license information in this section.Additional Licenses State/ProvinceAdditional License NoAdditional Licenses Expiration DateState/Province-- Select Additional Licenses State --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--------------------------------------AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon License no. Expiration dateReached maximum rows!General InformationMaiden or other name usedAre you legally eligible for employment in the U.S.?Yes NoAre you a veteran?Yes NoAre you seekingFulltime PartimeHave you ever been employed by this Company?Yes NoWhat is Location?Has your drivers license ever been suspended?YesNoSuspended DateSuspended DetailsHave you ever been convicted for DUI?YesNoDUI date of ChargeDUI DetailsHave you ever tested positive for a controlled substance?YesNoEducationName and Location of SchoolYears AttendedDiploma/CertificationHigh school Name and Location of School RequiredRequiredYears Attended RequiredDiploma/Certification RequiredCollege Name and Location of SchoolYears AttendedDiploma/CertificationTrade or BusinessSchool Name and Location of SchoolYears AttendedDiploma/CertificationSpecial Courses:Employment HistoryYou must provide accurate dates of employment and phone numbers covering the last ten years . We cannot hire you without verifying employment. If you need to list additional employers, click "Add Another Employer" below.EMPLOYER #1Company * RequiredSupervisor's NameSupervisor Phone *RequiredStreet AddressCityState/Province -- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------------------------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan YukonZip CodePosition Held * RequiredFrom Date (mm/yyyy) *MM 01 02 03 04 05 06 07 08 09 10 11 12 RequiredYYYY 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 RequiredRequiredTo Date (mm/yyyy) *MM 01 02 03 04 05 06 07 08 09 10 11 12 RequiredYYYY 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 RequiredStill thereRequiredYou cannot select more than one still thereReason For Leaving * RequiredDuties Performed * RequiredYou can add only 25 employers!Emergency Contact and ReferencesEmergency Contact NameEmergency Contact PhoneEmergency Contact AddressEmergency Contact RelationshipClick on the Plus sign to add additional References.Reference NameReference Phone NumberReference Email AddressReference RelationshipReference Name Reference Phone NumberReference Email Address Reference RelationshipReached maximum rows!Upload Resume and/or Cover LetterBrowse No file seletedAuthorizationBy clicking "Send" below, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, any falsified statements on this application shall be grounds for dismissal. Under the provisions of the Fair Credit Reporting Act, the Americans With Disabilities Act, the Drivers Privacy Protection Act and all other applicable federal, state, and local laws I authorize investigation of all statements contained herein as well as authorize the references and employers listed to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise.I hereby release and hold harmless any person, firm, or entity that discloses information in accordance with this authorization, as well as my prospective employer, and its agents, from any liability that may otherwise result from the request for, use of, or disclosure of, any or all of the foregoing information. The above-mentioned investigations may include, but are not limited to, information as to my character, general reputation, work history, or lifestyle, discerned through employment and education verifications; personal references; personal interviews; my personal credit history based on reports from any credit bureau; my driving history, including any traffic citations; a social security number verification; present and former addresses; criminal and civil history records; or any other public record.I understand that consumer reports which may contain public record information may be requested, at the discretion of my prospective employer, which may include names, dates of employment, reason for termination, work experience, traffic records, workers compensation claims, etc. I have the right, under the provisions of the Fair Credit Reporting Act and the Drivers Privacy Protection Act to request all such information from the reporting agency, upon proper identification, and to request the nature and substance of all information; and the receipt of any reports on me, which the reporting agency has, or will, furnish for the two preceding years. I am also entitled to a copy of my consumer rights under the Fair Credit Reporting Act. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the forgoing, unless it is in writing and signed by an authorized company representative. I hereby agree and consent to completing this application and background investigation process electronically. I understand that I will be signing this application and all forms related to this application electronically and that the electronic signatures appearing on these documents are the same as my handwritten signature for the purposes of validity, enforceability and admissibility.This field required You have the right to withdraw your consent to sign electronically at any time by calling the number listed at the top of this page. You can print and retain a copy of any electronically signed documents by clicking on the PDF symbol in the top right corner of that document. * I hereby agree and consent to receiving SMS text messages requesting additional information and/or providing additional instructions regarding the application process, onboarding and/or my employment, if applicable. You have the right to withdraw your consent to receiving SMS text messages at any time by texting “STOP” in reply to any message you receive or by calling 888-209-7427.This field required As part of the application process we require that the following standard consent forms be completed. You do not have to fill these forms out. They will be automatically completed using the information you provided above. Please review each form in its entirety. After reading each form check the box next to it indicating your intention to sign and submit it along with your application. Verification of Employment Review Form Consent for Release of Info Form Review Form Disclosure and Authorization Form Review Form Fair Credit Reporting Act Consumer Rights Review FormThis certifies that this application was completed by me and that all entries and the information herein are true and complete to the best of my knowledge.Print Name * RequiredSignature *HelpDate: 2026-07-29 09:23:10Click the Save - but don’t send button if you would like to return and complete your application at a later time.Once you complete your application and are ready to submit it, please click "Send". You will not be able to make any further edits once you click send.Terms of ServicePrivacy Policy