R E Kaus, Inc. Truck Driver Application

  • R E Kaus, Inc. Truck Driver Application

    Manual Truck, Liquid Bulk Tanker drivers

  • Personal info

  • Were you at this address 3 years or more
  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Have you ever been known by any other name?*
  • If hired, can you furnish proof you are eligible to work in the U.S.?*
  • Are you at least 23 years of age or older?*
  • Have you held a VALID US license for the past 24 months?*
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  • CDL Endorsements and other qualifications*
  • Have you ever served in the military?*
  • Have you been to CDL school?*
  • Did you Graduate*

  • Employment History

  • States Driven in 1*
  • States Driven in 2*
  • States Driven in 3
  • 0/750

  • Employment Questions

  • Are you proficient in written and spoken English?*
  • Are you proficient with phone applications and use of a camera phone?*
  • Have you had any moving violations in the last 5 years?*
  • 0/150
  • Has your license, permit or privilege ever been suspended or revoked?*
  • 0/150
  • Have you ever been denied a license, permit or the privilege to operate a motor vehicle?*
  • 0/150
  • Have you had any accidents in the last 5 years?*
  • 0/150
  • Have you ever had a DUI, DWI, or OVI?*
  • 0/150
  • Have you ever been convicted of a felony?*
  • 0/150
  • Have you ever been convicted of a misdemeanor?*
  • 0/150

  • Emergency Contact Info

  • Format: (000) 000-0000.

  • 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.

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