Language
  • English (US)
  • APPLICATION FOR EMPLOYMENT

    We Are an Equal Opportunity Employer
  • Cheney Brothers, Inc. is an equal opportunity employer and adheres to all local, state, and federal laws prohibiting discrimination in employment whether on the basis of race, sex, religion, disability, national origin, age or any other protected class. Our company is committed to a drug-free and smoke-free workplace. By signing this application, you agree to submit to a pre-employment drug test prior to being considered for employment as outlined in our Drug Free Work Place Policies.  All applicants must successfully pass the pre-employment drug test prior to being considered for employment. On-going random, post-accident, and reasonable suspicion drug testing is a requirement of all employees of the company in accordance with our Drug Free Work Place Policy.

    Your application will be given every consideration, but its receipt does not imply that you will be contacted or employed.

    Answer each section completely. Do not leave any blanks. If a section or question does not apply to you, answer with N/A. Incomplete applications will not be considered. Attachment of resumes or other documents does not substitute for a fully completed application. This application for employment will be considered active for a period of time not to exceed 60 days from the date of application. Any applicant wishing to be considered for employment beyond this time may have to reapply.  Thank you for your consideration of employment with Cheney Brothers, Inc.

  • If you answered YES to the question above, please provide your Dates of Employment and Position
    Pick a Date   toPick a Date   Position

  •  - - Pick a Date
  • If you answered YES to the question above, please provide the following information:
    Where?
    Dates: From   Pick a Date   to   Pick a Date 
    Supervisor:      Position:      
    Reason for Leaving:      

  •  - -
    Pick a Date
  • EDUCATION HISTORY

  • HIGH SCHOOL
    Name of School      
    City      State      
    Course/Major      Years Completed      
    Diploma/Degree      Date   Pick a Date   

  • COLLEGE
    Name of School      
    City      State      
    Course/Major      Years Completed      
    Diploma/Degree      Date   Pick a Date   

  • OTHER (Specify)
    Name of School      
    City      State      
    Course/Major      Years Completed      
    Diploma/Degree      Date   Pick a Date   

  • ADDITIONAL INFORMATION

  • Other Qualifications

  • Note to Applicants

    IF YOU HAVE NOT BEEN INFORMED OF THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING, SELECT THAT OPTION BELOW.
  • EMPLOYMENT HISTORY

    Please provide the following information of all employers. List the past five years of employers in reverse order starting with the most recent. Use additional sheets if necessary. QUESTIONS A, B & C APPLY TO DRIVER POSITIONS ONLY: Applicants for commercial driving positions shall provide ten (10) years of information on those employers for whom the applicant operated a commercial motor vehicle whether in intrastate or interstate commerce. *Any gaps in employment and/or unemployment must be explained. **The Federal Motor Carrier Safety Regulations apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver) for compensation; or (3) is designed or used to transport more than 15 passengers, including the driver, and is not used to transport passengers for compensation; or (4) is of any size and is used to transport hazardous materials in a quantity requiring placarding.
  • CURRENT OR LAST EMPLOYER


    *ALL APPLICANTS - YOU MUST PROVIDE AT LEAST 3 YEARS OF EMPLOYMENT HISTORY, UNLESS YOU HAVE NOT BEEN EMPLOYED FOR THAT LONG.


    *CDL DRIVER APPLICANTS - YOU MUST PROVIDE AT LEAST 10 YEARS OF EMPLOYMENT HISTORY, UNLESS YOU HAVE NOT BEEN EMPLOYED FOR THAT LONG.


    IF YOU DO NOT HAVE ANY EMPLOYMENT HISOTRY, TYPE "N/A" OR "NONE" IN THE REQUIRED (*) FIELDS BELOW


    Employer's Name   *   
    Employer's Street Address   *  
    City   *  
    State   *   Zip   *   
    Contact Person   *   
    Phone Number   *   
    Dates of Employment From      To      
    Position Held   *   Salary/Wage   *   
    Reason for Leaving   *   

    A. Account for Period between jobs-include dates (Month/Year) Reason*   
    B. Were you subject to the Federal Motor Carrier Safety Regulations ** While Employed?   *
    C. Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol Testing Requirements?   *      

    CLICK "NEXT" TO ADD AN ADDITIONAL EMPLOYER

  • SECOND EMPLOYER

    (Click "Next" if you do not have another employer to add)


    Name      
    Address     
    City     
    State      Zip      
    Contact Person      
    Phone Number      
    Dates of Employment: From   Pick a Date   to   Pick a Date   
    Position Held      Salary/Wage      
    Reason for Leaving      

    A. Account for Period between jobs-include dates (Month/Year) Reason   
    B. Were you subject to the Federal Motor Carrier Safety Regulations ** While Employed?   
    C. Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol Testing Requirements?         

  • THIRD EMPLOYER

    (Click "Next" if you do not have another employer to add)


    Name      Address      City     
    State      Zip      Contact Person      
    Phone Number      
    Dates of Employment: From   Pick a Date   to   Pick a Date   
    Position Held      Salary/Wage      
    Reason for Leaving      

    A. Account for Period between jobs-include dates (Month/Year) Reason   
    B. Were you subject to the Federal Motor Carrier Safety Regulations ** While Employed?   
    C. Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol Testing Requirements?         

  • FOURTH EMPLOYER

    (Click "Next" if you do not have another employer to add)


    Name      Address      City     
    State      Zip      Contact Person      
    Phone Number      
    Dates of Employment: From   Pick a Date   to   Pick a Date   
    Position Held      Salary/Wage      
    Reason for Leaving      

    A. Account for Period between jobs-include dates (Month/Year) Reason   
    B. Were you subject to the Federal Motor Carrier Safety Regulations ** While Employed?   
    C. Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol Testing Requirements?         

  • FIFTH EMPLOYER

    (Click "Next" if you do not have another employer to add)


    Name      Address      City     
    State      Zip      Contact Person      
    Phone Number      
    Dates of Employment: From   Pick a Date   to   Pick a Date   
    Position Held      Salary/Wage      
    Reason for Leaving      

    A. Account for Period between jobs-include dates (Month/Year) Reason   
    B. Were you subject to the Federal Motor Carrier Safety Regulations ** While Employed?   
    C. Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol Testing Requirements?         

  • SIXTH EMPLOYER

    (Click "Next" if you do not have another employer to add)


    Name      Address      City     
    State      Zip      Contact Person      
    Phone Number      
    Dates of Employment: From   Pick a Date   to   Pick a Date   
    Position Held      Salary/Wage      
    Reason for Leaving      

    A. Account for Period between jobs-include dates (Month/Year) Reason   
    B. Were you subject to the Federal Motor Carrier Safety Regulations ** While Employed?   
    C. Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol Testing Requirements?         

  • SEVENTH EMPLOYER

    (Click "Next" if you do not have another employer to add)


    Name      Address      City     
    State      Zip      Contact Person      
    Phone Number      
    Dates of Employment: From   Pick a Date   to   Pick a Date   
    Position Held      Salary/Wage      
    Reason for Leaving      

    A. Account for Period between jobs-include dates (Month/Year) Reason   
    B. Were you subject to the Federal Motor Carrier Safety Regulations ** While Employed?   
    C. Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol Testing Requirements?         

  • EIGHTH EMPLOYER

    (Click "Next" if you do not have another employer to add)


    Name      Address      City     
    State      Zip      Contact Person      
    Phone Number      
    Dates of Employment: From   Pick a Date   to   Pick a Date   
    Position Held      Salary/Wage      
    Reason for Leaving      

    A. Account for Period between jobs-include dates (Month/Year) Reason   
    B. Were you subject to the Federal Motor Carrier Safety Regulations ** While Employed?   
    C. Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol Testing Requirements?         

  • REFERENCES

  • Name   *   
    Contact Information (E-Mail, Telephone, or Address) *   

  • Name      
    Contact Information (E-Mail, Telephone, or Address)    

  • Name      
    Contact Information (E-Mail, Telephone, or Address)    

  • Clear
  •  - - Pick a Date
  • NON-CDL DRIVERS - YOUR APPLICATION IS COMPLETE

    PLEASE CLICK NEXT UNTIL YOU CAN SUBMIT THE APPLICATION
  • CDL DRIVER APPLICANTS - PLEASE CONTINUE

    WE ARE REQUIRED TO OBTAIN ADDITIONAL INFORMATION FOR ALL CDL DRIVERS.
  • Complete this section only if you have a Class "A" or "B" License and you are applying for a commercial driving position.

  • Drivers Licenses

    LIST ALL LICENSES HELD IN LAST THREE YEARS
  • State      License No.      
    Endorsements      Type      
    Expiration   Pick a Date   

  • State      License No.      
    Endorsements      Type      
    Expiration   Pick a Date   

  • State      License No.      
    Endorsements      Type      
    Expiration   Pick a Date   

  • Driving Experience

  • Class of Equipment          
    Type of Equipment (Van, Tank, Flat, Etc.)      
    Dates: From   Pick a Date   to   Pick a Date   
    Approx. No. of Miles (Total)      

  • Class of Equipment          
    Type of Equipment (Van, Tank, Flat, Etc.)      
    Dates: From   Pick a Date   to   Pick a Date   
    Approx. No. of Miles (Total)      

  • Class of Equipment          
    Type of Equipment (Van, Tank, Flat, Etc.)      
    Dates: From   Pick a Date   to   Pick a Date   
    Approx. No. of Miles (Total)      

  • Class of Equipment          
    Type of Equipment (Van, Tank, Flat, Etc.)      
    Dates: From   Pick a Date   to   Pick a Date   
    Approx. No. of Miles (Total)      

  • ACCIDENT RECORD FOR PAST 3 YEARS

    * List ALL accidents regardless of citation or charges and regardless of whether received in personal or commercial vehicle
  • Class of Equipment          
    Nature of Accident (Head-on, Rear-end, Upset, Etc.)     
    Date:   Pick a Date    
    Fatalities:   
    Injuries:             

  • Class of Equipment          
    Nature of Accident (Head-on, Rear-end, Upset, Etc.)     
    Date:   Pick a Date    
    Fatalities:   
    Injuries:             

  • Class of Equipment          
    Nature of Accident (Head-on, Rear-end, Upset, Etc.)     
    Date:   Pick a Date    
    Fatalities:   
    Injuries:             

  • Class of Equipment          
    Nature of Accident (Head-on, Rear-end, Upset, Etc.)     
    Date:   Pick a Date    
    Fatalities:   
    Injuries:             

  • TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS)

    * List ALL traffic convictions and forfeitures regardless of whether received in personal or commercial vehicle
  • Location      Date   Pick a Date   
    Charge      Penalty      

  • Location      Date   Pick a Date   
    Charge      Penalty      

  • Location      Date   Pick a Date   
    Charge      Penalty      

  • Use additional paper if more space is needed.

  • EXPERIENCE AND QUALIFICATIONS - OTHER

  • SIGNATURE PAGE FOR CDL DRIVER APPLICANTS ONLY

    SELECT "NEXT" TO SUBMIT YOUR APPLICATION
  •  - - Pick a Date
  • Clear
  • PLEASE CLICK "SUBMIT" BELOW AND THEN CLICK ON THE LINK THAT FOLLOWS TO COMPLETE ALL OF THE FORMS REQUIRED TO PROCESS YOUR APPLICATION

  • Should be Empty: