Personal Information


    Military Service


    Education


    Work Experience

    If Yes, please complete the CDL section of the application. If No, please disregard.


    Additional Experience


    CDL Drivers

    All driver applicants who currently possess a Commercial Driver’s License (CDL) or whose position for
    the company would require a Commercial Driver’s License (CDL) need to complete the sections below.
    DOT requires that employment for at least 3 years and/or commercial driving experience for the past 10
    years be shown.

    Past Employers Requiring CDL

    Accident Record

    Traffic Convictions

    Previous States Holding Drivers License

    THE BELOW DISCLAIMERS MUST BE READ IN THEIR ENTIRETY AND ACKNOWLEDGED, BY SIGNATURE, AS PART OF THE APPLICATION PROCESS. PLEASE MAKE CERTAIN THAT YOU HAVE ANSWERED ALL OF THE QUESTIONS OF THIS EMPLOYMENT APPLICATION TRUTHFULLY.

    By submitting below, I understand that the information provided is true and correct, and that any misstatements or omission of material facts in the application or the hiring process may result in discontinuing of the hiring process or termination of employment, no matter when discovered. I agree that the organization shall not be held liable in any respect if my employment is terminated because of false statements, answers or omissions made by me in this application.

    I authorize the organization to analyze the truthfulness of all statements made on this application, complete reference checks from my current and former employers, and others that may provide information regarding my education and experiences. In addition, I give my consent for all contacted persons including current and former employers to provide information concerning this application, and I release each such person from liability for providing information to the organization.

    I understand that nothing contained in this application, or the granting of an interview is intended to create an employer/employee relationship between the organization and myself either for employment or for the providing of any benefits. No promises regarding employment have been made to me unless made in writing. I further understand and agree that if I am hired, my employment would be "at will," as defined by law where our organization operates: I would have the right to terminate my employment at any time for any reason and that the organization would retain a similar right.

    I understand that any offers of employment may be contingent upon my taking and successfully passing a drug and/or alcohol test in accordance with the organization’s policy. If I refuse to submit to testing, refuse to sign the consent form, or test positive, the organization will not employ me.

    I understand that any offers of employment may be contingent upon the results of a background check(s), including without limitation a criminal background check and a conviction inquiry, in accordance with the organization’s policies and state law.

    I hereby attest that all statements made by me above are true to the best of my knowledge, and I agree to the terms noted above.


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