Date of Application
Your Email
Position applied for: CDL TRUCK DRIVER
Last Name
First Name
Middle Name
Home Address
City
State
Zip
Home Phone
Cell Phone
If you have not lived at this address for the last 3 years, please list all residences for the past 3 years.
Additional address 1
City, State, Zip
How long?
Additional address 2
City, State, Zip
How long?
Date of Birth
Rate of pay expected?
When/Where?
Who Referred You?
Is there any reason you might be unable to perform the functions of the job for which you have applied?
Pre-Employment Questionnaire How many years of commercial tractor/trailer experience?
State CDL issued in:
Endorsements – list all:
Approximate number of miles commercially driven?
List all states operated in:
Which safe driving awards do you hold and from whom?
For the types of trailer(s) listed below write in all makes and models & capacity that you have pulled:
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
Makes, models & capacity
List Any Other trailers
List all makes & model of the equipment you have transported below:
Aircraft
Bridges
Bridge Beams
Cranes
Crushing Equipment
Dozers
Drill rigs
Excavators
Hot Plants
Loaders
Marine
Mining Equipment
Misc. Equipment
Motor Graders
Paving Equipment
Pipe
Power Generation Equipment (transformers, Generators, Turbines, Est.)
Prefab concrete structures
Rail Road Equipment
Rock Trucks
Scrapers
Steel Fabricated Equipment
Trenchers
RIGGING EXPERIENCE: List type of experience (what you did) and the type of rigging equipment used:
CRANE OPERATING EXPERIENCE (what and how long)
FORKLIFT CERTIFIED? Date of expiration, type of forklifts used:
Show any specialized trucking, transportation, or experience that may help in your work for this company
List any courses or training additional to what is shown elsewhere in this application
List other special equipment or technical materials or skills that you can work with
EMPLOYMENT HISTORY All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. Applicants to drive a commercial motor vehicle intrastate or interstate commerce shall also provide an additional 7 years information on those employers for whom the applicant operated such vehicle. NOTE: List employers in reverse order starting with the most recent. Add another sheet if necessary. PLEASE fill out completely and accurately with ALL information and no missing dates in employment!
Give a COMPLETE RECORD of all employment for the past three (3) years, including any unemployment or self-employment periods, and all commercial driving experience for the past ten (10) years. 1. Employer Present or Last Employer from and to date (Mo/Yr)
Employer Name
Position held
Address
Reason for leaving
Company Phone
2. Employer Present or Last Employer from and to date (Mo/Yr)
Employer Name
Position held
Address
Reason for leaving
Company Phone
3. Employer Present or Last Employer from and to date (Mo/Yr)
Employer Name
Position held
Address
Reason for leaving
Company Phone
Education History Highest grade completed:
Name of Last School Attended
City & State
Years Completed
Major & Degree
Name of High School
City & State
Number of Years Completed
Name of College
City & State
Years Completed
Major & Degree
Name of Business or Trade School
Number of Years Completed
Name of Professional School
Number of Years Completed
If you answered 'Yes' to any of the previous 5 questions please give details below.
TO BE READ AND SIGNED BY APPLICANT I agree that any false statement, misrepresentation, or omission in this application is sufficient cause for rejection for employment or for dismissal if hired. I authorize my former employer(s) and others to give PRECISION HEAVY HAUL, INC, all information regarding my services, character, and conduct, and furthermore do release them and their company from any liability for any damage resulting there from. I also authorize a credit check, drivers license check, application for bonding, and agree to submit to medical examinations as deemed necessary by PRECISION (generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended. All drivers must fit minimum physical requirements as required by the FMCSR.)
I understand that I may be randomly tested for substance use at any time as a condition of employment.
This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.
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