Application For Employment

MUST HAVE A VALID DRIVER'S LICENSE TO BE CONSIDERED FOR EMPLOYMENT

*Select State:
*Position(s) applied for:  Supervisor/Pusher    Rig Operator    Derrick Hand    Floor Hand    Hot Shot Trucking

 


General Information

*First Name Middle *Last Name
*DOB *Phone Email
Current Address
*Address
*City *State *Zip
*How Long?
If less than 3 years, please provide former address
Address
City State Zip

 


Do you have the legal right to work in the United States?   Yes
Have you worked for this company before?   Yes
If Yes, Dates: From   To 
Reason For Leaving:
Are you currently employed?  Yes
If not, how long since last employed:
Did anyone refer you to Team Services?  Yes

 


Employment History

Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall also provide an additional 7 years information on those employers for whom the applicant operated such vehicle.

Name Dates   To 
Address Position Held
Location Salary
Contact Person Phone
Reason For Leaving

Name Dates   To 
Address Position Held
Location Salary
Contact Person Phone
Reason For Leaving

Name Dates   To 
Address Position Held
Location Salary
Contact Person Phone
Reason For Leaving

 


Experience And Qualifications

List all driver licenses or permits held in the past 3 years

StateLicense NumberTypeExpiration Date

 

Have you ever been denied a license, permit or privilege to operate a motor vehicle?  Yes    No

If yes, explain

 

Has any license, permit or privilege ever been suspended or revoked?  Yes    No

If yes, explain


Driving Experience

Class Of EquipmentType Of Equipment
(Van,Tank,Flat,Dump,Refer,etc.)
Dates From & ToApprox. Total Miles
Straight Truck
Tractor And Semi-Trailer
Tractor-Two Trailers
Tractor-Three Trailers
Motorcoach-School Bus
(8+ passengers)
Motorcoach-School Bus
(15+ passengers)
Other
List states operated in for the last five years

 


Education

Highest level of education completed

 

To be read and signed by applicant

 This certifies that this application was completed by me, and all entries on it and information in it are true and complete to the best of my knowledge.

Signature Date

 


 

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