CattleCartelJobApplication

Cattle Cartel Kansas Job Application

Position applying for

Full Name*

First Name Last Name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Were you at this address 3 years or more

YesNo

Please list prior 3 year addresses here and please be complete

Social Security Number*

Date of Birth*

Month Day Year

Phone Number*

Area Code Phone Number

E-mail*

Have you ever been known by any other name?

YesNo

Please list name

Explain ie; maiden name, name change

Social Media Name, TikTok

TikTok

Social Media Name, Facebook & Instagram

Facebook & Instagram

Social Media Name, Snapchat & Twitter

SnapChat & Twitter

If hired, can you furnish proof you are eligible to work in the U.S.?*

YesNo

Are you at least 21 years of age or older?*

YesNo

Driving Position You Are Applying For

Please enter 'Hay' or 'Cattle'

Why do you want to work for the Cattle Cartel?

Have you hauled over width, using a stepdeck?

YesNo

If so, for how long?

Have you hauled cattle?

YesNo

If so, for how long and for who?

years and what company

Have you been around or worked cattle in small/tight areas before?

YesNo

Please describe your cattle experience.

vet assistant, sale barn, family farm, etc

Have you held a VALID US license for the past 36 months?*

YesNo

License Class*

License Number*

State of Issue*

License expiration date*

Month Day Year

Expiration date of DOT physical card

Month Day Year

CDL Endorsements*

Hazmat expiration date

Month Day Year

TWIC expiration date

Month Day Year

Please list any licenses held in other states for the previous 5 years, include license numbers if you can.

CDL photo*

EDUCATION

Have you been to truck driving school?

YesNo

Did you graduate?

YesNo

School information

School Name

Dates of attendance

City State / Province

Name & City/State of College

Did you graduate?

YesNo

Name & City/State of High School

Did you graduate/equivalent?

YesNo

Must include past 3 years of employment.

Please list current, or most recent employment first.

Start date*

Month Day Year

Ending date*

Month Day Year

Employer Name*

City, State*

Employer phone*

Area Code Phone Number

Position Held*

Reason for leaving*

Is this your current employer?*

YesNo

May we contact this employer at this time?*

YesNo

Was this a driving position?

YesNo

Type of truck

Why are you looking for a new job?

NEXT EMPLOYER

Start date

Month Day Year

Ending date

Month Day Year

Employer Name

City, State

Position Held

Reason for leaving

Employer phone

Area Code Phone Number

Was this a driving position?

YesNo

Type of truck

NEXT EMPLOYER

Starting date

Month Day Year

Ending date

Month Day Year

Employer Name

City, State

Position Held

Employer phone

Area Code Phone Number

Reason for leaving

Was this a driving position

YesNo

Type of truck driven

Number of miles driven on average per week

If you need additional space for 3 years of past employment , please enter it here and include ALL information previously asked for.

Take photo of your MVR (Search your drivers license state website and obtain a copy of your motor vehicle report or ask your insurance agent. Or*

Upload your MVR report file. MVR must be attached or application for a driving position will not be considered.

Browse Files

Have you had any moving violations in the last 5 years?*

YesNo

If yes, please list City, County and State, month, year and nature of offense and any fines involved

Please list miles over limit for speeding

Has your license ever been suspended?*

YesNo

If yes, please give date and length of supension. List reason why, city, county and state

List all details asked for

Have you had any accidents in the last 5 years?*

YesNo

If yes, please give date, explaination, city, county and state and if you received ticket/fine (amount)

Have you ever had a DUI, DWI, or OVI?*

YesNo

If yes, please list date of offense, jail time, fine and or suspension time.

We must have complete information to satisfy isusance carrier requirements.

Have you ever been convicted of a felony?*

YesNo

If yes, please give date and nature of offense, city, county, state and any fines and time served

Please list everything asked for per insurance requirements.

Have you ever been convicted of a misdemeanor?*

YesNo

If yes, please list date and nature of offense, city, county and state. also jail time, probation, or fines

Please list everything asked for per insurance requirements.

Official Disclosure Statement:

I certify that I personally completed this application and that all of the information is true and correct to the best of my knowledge.

Authorization to Release Records

I authorize the carrier subscribers indicated on this application to do a complete background investigation in accordance with state and federal laws. I authorize my previous employers to release any information requested by these carrier subscribers and hold them harmless of all liability from the release of said information.

I hereby request and authorize to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold harmless of all liability all companies, agents and associated parties for the use of this application.

Choose ONE:*

I ACCEPTI DO NOT accept

By signing I agree I have read the above statements

General Information

License Information

EMPLOYMENT HISTORY

Driving Records

Additional Information