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" In our business, it is important to have a demolition contractor that is responsive to our schedule while providing for the overall management of the property and safety on the job site... "

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Employment Application: Drivers


We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veterans status, sexual orientation or any other legally protected status.

Position(s) Applied For
Last Name
First Name
Middle Name
Email Address

List your addresses or residency for the past 3 years.

Current Address
Street
City
State
Zip Code
Telephone Number (123-456-7890)
How Long?

Previous Address #1
Street
City
State
Zip Code
Telephone Number (123-456-7890)
How Long?

Previous Address #2
Street
City
State
Zip Code
Telephone Number (123-456-7890)
How Long?

Previous Address #3
Street
City
State
Zip Code
Telephone Number (123-456-7890)
How Long?


Do you have the legal right to work in the United States?
Date of Birth
Can you provide proof of age?
Have you ever been employed with us before?
If Yes, Where?
From
To
Salary
Reason for leaving?
Are you now employed?
If not, how long since leaving last employment?
Who referred you?
Rate of pay expected.
Is there any reason you might be unable to perform the functions of the job for which you have applied?
If Yes, explain if you wish.

Employment History
Start with your present or last job. Include any job related military service assignments and volunteer activates. You may exclude organizations which indicate race, color, religion, gender, national original, disabilities or other protected status.


Former Employer #1
Company Name
Contact Person
Telephone
Address
City/Town
State/Province
Zip Code
Subject to FMCSRs while employed?
Was this job designated as safety sensitive in any DOT regulated mode subject to alcohol & controlled substance testing?
From
To
Salary
Job Title
Reason for leaving:

Former Employer #2
Company Name
Contact Person
Telephone
Address
City/Town
State/Province
Zip Code
Subject to FMCSRs while employed?
Was this job designated as safety sensitive in any DOT regulated mode subject to alcohol & controlled substance testing?
From
To
Salary
Job Title
Reason for leaving:

Former Employer #3
Company Name
Contact Person
Telephone
Address
City/Town
State/Province
Zip Code
Subject to FMCSRs while employed?
Was this job designated as safety sensitive in any DOT regulated mode subject to alcohol & controlled substance testing?
From
To
Salary
Job Title
Reason for leaving:


Accident History
Accident record for the past 3 years or more. If none, write none.

Last Accident
Nature of accident. (head-on, rear-end, etc.)
Injuries

Next Previous #1
Nature of accident. (head-on, rear-end, etc.)
Injuries

Next Previous #2
Nature of accident. (head-on, rear-end, etc.)
Injuries

Traffic convictions and forfeitures for the past 3 years. (Other than parking violations) If none, write none.
Forfeitures #1
Location
Date
Charge

Forfeitures #2
Location
Date
Charge

Forfeitures #3
Location
Date
Charge

Education
Highest Grade Completed

Experience And Qualifications

Drivers License #1
State
License Number
Type
Expiration Date

Drivers License #2
State
License Number
Type
Expiration Date

Drivers License #3
State
License Number
Type
Expiration Date

Do you have a valid medical examiners certificate?
  Expiration:

A: Have you ever been denied a license, permit or privilege to operate a motor vehicle?
B: Has any license, permit or privilege been suspended or revoked?
If the answer to either A or B is YES, explain below.

Driving Experience
If none write none.

Straight Truck
Type Of Equipment (Van, Tank, Flat, Etc.
From
To
Approximate Number of Miles

Tractor / Semi-Trailer
Type Of Equipment (Van, Tank, Flat, Etc.
From
To
Approximate Number of Miles

Tractor / Two-Trailer
Type Of Equipment (Van, Tank, Flat, Etc.
From
To
Approximate Number of Miles

Motorcoach/School Bus
Type Of Equipment (Van, Tank, Flat, Etc.
From
To
Approximate Number of Miles

Other
Type Of Equipment (Van, Tank, Flat, Etc.
From
To
Approximate Number of Miles

List all states where you held a CDL license or CDL permit in the past 3 years.
Show special courses or training that will help you as a driver.
Which safe driving awards do you hold and from whom?

Experience And Qualifications - Other

Show any trucking, transportation or other diving experience that may help in your work for this company.
List courses and training other than shown elsewhere in this application.
List special equipment or technical materials you can work with (other than already shown).




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