TRUCK DRIVER Hot Iron Job App

TRUCK DRIVER Hot Iron Job App
Enter Resume Information:*

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Note: If you do NOT upload a resume, you will be required to fill in the required information on the other pages.

Contact Information

Please fill out the information below
Name

First NameLast Name
Email
example@example.com
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Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main Phone
Please enter a valid phone number.

Accident Record

Please provide any accidents you may have had or been involved in for the past 3 years or more. If none, ONLY select "No Accidents" at the end of this section.
Last Accident Date

MonthDayYear
Date
Nature of Accident (Head-on, Rear-end, Upset, etc.)
Fatalities?*

YesNo
Injuries?*

YesNo
Haz Mat Spills?*

YesNo
Please provide any traffic convictions or forfeitures for the past 3 years (other than parking violations). If none, do not fill out.
Location
Date

MonthDayYear
Date
Charge
Penalty

Truck Driver Qualifications

Please provide driver licenses or permits held in the past 3 years.
State
License Number
Class
Endorsement(s)
Expiration Date

MonthDayYear
Date
(A) Have you ever been denied a license, permit, or privilege to operate a motor vehicle?

YesNo
(B) Has any license, permit, or privilege ever been suspended or revoked?

YesNo
IF THE ANSWER TO EITHER A OR B IS YES, GIVE DETAILS:

References

Please list three persons not related to you that we may call for reference.
REFERENCE #1*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Job Title*
REFERENCE #2*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Job Title*
REFERENCE #3*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Job Title*

Questions
Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the job description)?*

YesNo
If yes, explain if you wish.

Terms & Conditions
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal, and I agree to hold my employer harmless in the event of my dismissal based thereon.

I authorize investigation of all statements contained herein and to do background checks to give you and all information concerning my previous employment and any pertinent information they may have, confidential or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

I realize that under certain legal provisions, pre-employment drug testing could be a condition of my employment. I also acknowledge that the employer may require drug testing at a subsequent time providing that proper advance notice of testing is provided.

I also recognize that I could be offered employment subject to an appropriate medical examination and that such a report could nullify my ultimate employment by this employer. I agree to submit to a physical examination if required.

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the method of payment of my wages and salary, be terminated at any time without prior notice. If employment is obtained under this application, I will comply with all the rules and policies of my employer."

AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER

This employer does not discriminate in hiring or employment on the basis of age, race, color, sex, religion, national origin, disability, military or veteran status
I understand and accept the terms described above.*

Click here if you agree
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