Application for Employment

Application for Employment

Little B Enterprises, Inc. and Little B Trucking LLC are Equal Opportunity Employers. All applicants will be considered for employment without regard to gender, age, race, color, religion, disability, or national origin.
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a U.S. Citizen?

Position & Current Employment Information
Which company are you applying for?
Position Desired
Wage Required
Start Date

MonthDayYear
Date
Are you currently employed?
If "Yes," who is your current employer?

Education & Skills
High School Attended
Grade Completed
College / Trade / Business School
Certificate / Degree
Military Service?
If "Yes," to Military Service, please provide beginning date:

MonthDayYear
Date
If "Yes," to Military Service, please provide ending date:

MonthDayYear
Date

List Equipment /Machines You are Qualified to Operate

Rows	Equipment Type	Years of Experience
1
2
3

Do you current have a valid driver's license?
License # & State
Do you have a CDL?
Class
Endorsements
Number of Years Driving
All CDL Drivers Must be Registered in the DOT Clearinghouse and give Consent for Pre-Employment and Annual Queries.

Previous Employment

Company 1

Rows	Company 1
Company Name
Date of Employment
Phone
Address
Position Held
Salary
Reason for Leaving

Company 2

Rows	Company 2
Company Name
Date of Employment
Phone
Address
Position Held
Salary
Reason for Leaving

Company 3

Rows	Company 3
Company Name
Date of Employment
Phone
Address
Position Held
Salary
Reason for Leaving

Company 4

Rows	Company 4
Company Name
Date of Employment
Phone
Address
Position Held
Salary
Reason for Leaving

References

Reference 1

Rows	Reference 1
Name
Phone
Address
Business
Years Acquainted

Reference 2

Rows	Reference 2
Name
Phone
Address
Business
Years Acquainted

Reference 3

Rows	Reference 3
Name
Phone
Address
Business
Years Acquainted

Authorization
I certify that the information given on this application is true and complete to the best of my knowledge and I understand that giving false or misleading information is grounds for dismissal. I authorize investigation of all information given on this application including contacting my previous employers and the verification of any other information given.
Signature
Date

MonthDayYear
Date

Drug Testing & Alcohol Policy
To facilitate the effective and safe operation of our companies, Little B Enterprises, Inc. and Little B Trucking, LLC, have adopted the following drug and alcohol testing policy. As a condition of your hiring and continued employment, you will be required to adhere to this policy at all times. All Employees shall be subject to the following drug testing: Pre-Employment, Random, Reasonable Suspicion & Post-Accident. Employees shall be subject to drug and alcohol testing including but not limited to: amphetamines, barbiturates, benzodiazepines, opiates, cannabinoids (including marijuana), cocaine, methadone, methaqualone, PCP, and all chemical derivatives of these substances. Other substances may be added to this policy at our discretion.

Employees shall report to work fit for duty and free from any adverse effects of drugs or alcohol. Whenever employees are working, operating a company vehicle, present on company property or are conducting related work off-site, they are prohibited from being under the influence of, using, possessing, buying, selling or dispensing any drug(s) and/or alcohol, including marijuana and or marijuana products. Employees who fail a pre-employment test shall not be eligible for employment. Any employee who violates this policy, refuses any drug test or who has a positive result to any drug or alcohol test, will be immediately dismissed from employment.

CDL DRIVERS: All CDL Drivers are subject to All DOT & FMCSA Safety Regulations and must be registered in the DOT Clearinghouse. Drivers must Consent to Pre- employment and Annual Queries. CDL Drivers are subject to additional Company Safety Training and are required to keep acceptable driving records at all times. Failure of any DOT Drug Screen or failure to maintain a good driving record is grounds for dismissal.

By signing below, you agree that you have read and fully understand Little B Enterprises, Inc. and Little B Trucking, LLC's Drug & Alcohol Policy and agree to abide by this policy as a condition of your employment.
Signature
Date

MonthDayYear
Date
Failure to sign will result in your application being rejected and you will not be eligible for consideration for employment.
Should be Empty:

Application for Employment

Position & Current Employment Information

Education & Skills

Previous Employment

References

Authorization

Drug Testing & Alcohol Policy