Driver’s Application – W.H. Reeves Co.

Driver's Application for Employment

First Name

Last Name

Date of Birth

Can you provide proof of age?

Phone Number

Social Security Number

Position Applied For

Highest Grade Level Completed

Last School Attended Name & Address

Current Address

Previous Address

Do you have the legal right to work in the United States?

Yes No

Have you worked for W.H. Reeves Co before? If no, move on to next page.

Yes No

If yes, where & what dates?

What was your rate of pay?

What was your position?

Reason for leaving?

Are you currently employed?

Yes No

If no, how long has it been since leaving last employment?

Who referred you?

Have you ever been bonded? (Answer only if job requirement)

Have you ever been convicted of a felony?

If yes, please explain your convictions in full below. Conviction of a crime is not an automatic bar to employment. All circumstances will be considered.

Is there any reason you might be unable to perform the functions of the job for which you have applied? If yes, please explain as you wish.

Please upload your resume or email it to whreevesco@yahoo.com

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code. Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an addition 7 years' information on those employers for who the applicant operated such vehicle. (NOTE: List employers in reverse order starting with the most recent.)

I understand

Employer Name

Employer Address

Contact Person Name

Contact Person Phone

Employment Dates

Position Held

Salary/Wage

Reason for Leaving

Employer Name

Employer Address

Contact Person Name

Contact Person Phone

Employment Dates

Position Held

Salary/Wage

Reason for Leaving

Employer Name

Employer Address

Contact Person Name

Contact Person Phone

Employment Dates

Position Held

Salary/Wage

Reason for Leaving

Were you subject to the FMCSRs** while employed?

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?

*Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 15 or more passengers, or any size vehicle used to transport hazardous materials in a quantity requiring placarding. **The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passenders or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used to transport 9 or more passengers, OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.

List all driver licenses and permits held in the last 3 years:

State

License Number

License Type

Expiration Date

State

License Number

License Type

Expiration Date

State

License Number

License Type

Expiration Date

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Yes No

Has any license, permit or privilege ever been suspended or revoked?

Yes No

If yes, to either question, please explain below:

Show any trucking, transportation or other experience that may help in your work for this company.

List courses and training other than shown elsewhere in this application.

List special equipment or technical materials you can work with (other than those already shown).

Straight Truck?

Type

Approx. No. Miles

Drive Time

Tractor/Semi-Trailer?

Type

Approx. No. Miles

Drive Time

Tractor/Two Trailers?

Type

Approx. No. Miles

Drive Time

Tractor/Three Trailers?

Type

Approx. No. Miles

Drive Time

Motorcoach - School Bus (More than 8 passengers)

Approx. No. Miles

Drive Time

Motorcoach - School Bus (More than 15 passengers)

Approx. No. Miles

Drive Time

List states operated in for last five years:

Show special courses or training that will help you as a driver:

Which safe driving awards do you hold and from whom?

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

I authorize you to make such investigations and inquiries of my personal, employments, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company. I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand I have the right to review information provided by previous employers, have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer and have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

I accept

Driver's Application for Employment

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Driver's Application for Employment

©2024 Designed & Secured by KosmiClix Marketing

Join Our Team!

Join the CSRA’s premier hauling and transportation company where we offer competitive salaries and employee benefits! Click to learn more!

Join the CSRA’s premier hauling and transportation company where we offer competitive salaries and employee benefits!

Click to learn more!