AGER Roll-Off Driver Employment Application

AGER Roll-Off Driver Employment Application

Complete this screening application to apply for the full-time CDL roll-off driver position with AGER.
Applicant Information
Full Legal Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Current Street Address
City
State
ZIP Code
Date Available to Start

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Legally Authorized to Work in the United States?
Previously Worked for AGER?
Approximate Prior Employment Dates

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Position Held at AGER
Minimum Qualification Screening
Able and willing to work at least 40 hours per week
Able to report for a typical Monday–Friday schedule of 7:00 AM–4:00 PM, with occasional schedule changes or overtime as business needs and applicable law allow
Currently hold a valid Commercial Driver’s License (CDL)
CDL class
CDL issuing state
CDL expiration date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
CDL endorsements

Other
Currently have a valid, unexpired DOT Medical Card/Medical Certification required for commercial driving status
DOT Medical Card expiration date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Able to provide an acceptable 3-year Motor Vehicle Record (MVR) as a condition of employment
In the last 3 years, any moving violations, license suspensions/revocations, or at-fault/reportable accidents
If yes, explain any incidents in the last 3 years (include date, type of incident, and brief explanation)
This position requires a valid CDL, required medical certification, and full-time availability. You may still submit your application, but applicants who do not meet the minimum requirements may not be considered for this position.
Ever been denied a license, permit, or privilege to operate a motor vehicle
If yes, explain denial of license, permit, or driving privilege
Any driver’s license, permit, or driving privilege ever suspended or revoked
If yes, explain any suspension or revocation
Roll-Off & Commercial Driving Experience
Previous roll-off truck experience
Years of roll-off experience
Months of roll-off experience
Describe roll-off equipment operated
Types and sizes of containers handled
Previous waste or recycling industry experience
Describe waste or recycling industry experience
Years of total CDL or commercial driving experience
Types of commercial vehicles or equipment operated

Other
Approximate years operating each selected equipment type
Comfort performing pre-trip and post-trip inspections and required safety checks
Comfort safely tarping or untarping loads and connecting or disconnecting roll-off containers
Brief description of commercial driving and roll-off experience
3-Year Driving History
Motor Vehicle Accidents in the Last 3 Years
No accidents in the last 3 years
Non-Parking Motor Vehicle Violations/Convictions in the Last 3 Years
No non-parking violations in the last 3 years
Accident Reporting Instructions
Violation Reporting Instructions
Total number of accidents reported
Total number of violations reported
3 Year MVR Driver History (Retrieve from GA DMV Office)

Cancelof
Employment History
Commercial driver qualification rules may require additional prior CMV employment history. AGER may request further history if needed during the hiring process.
Employment History (last 3 years)
Explain any gap in employment longer than 1 month during the last 3 years
Employer 1 Name
Employer 2 Name
Employer 3 Name
Employer 4 Name
Employer 5 Name
Employer 6 Name
Availability & Job Requirements
Can you reliably report to work by 7:00 AM?
Are you willing to work occasional overtime when needed and legally permitted?
Are you willing to work outdoors in heat, cold, rain, and other normal weather conditions?
Are you willing to perform normal roll-off driver duties safely, including entering and exiting the truck repeatedly, inspecting equipment, securing and tarping loads, and handling container connections?
Preferred contact method
How did you hear about this opening?
References
Reference 1 Name

First NameMiddle NameLast Name
Reference 1 Relationship / Company
Reference 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Email
example@example.com
Reference 2 Name

First NameMiddle NameLast Name
Reference 2 Relationship / Company
Reference 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Email
example@example.com
Applicant Certification
Acknowledgment

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information may disqualify me from consideration or, if employed, may result in termination. I understand that employment for this CDL driving position is contingent upon verification of required qualifications, including driver’s license status, medical certification, an acceptable motor vehicle record, and any other legally required or permitted pre-employment screening. I understand that AGER may provide separate notices or authorization forms when required by law.
Applicant Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

AGER Roll-Off Driver Employment Application

Applicant Information

Minimum Qualification Screening

Roll-Off & Commercial Driving Experience

3-Year Driving History

Employment History

Availability & Job Requirements

References

Applicant Certification