PRE-EMPLOYMENT APPLICATION

OZ TRUCKING PRE-EMPLOYMENT APPLICATION

Download these Documents and Upload Completed Documents in Uploader Below.

Important Disclosure Form

Drug & Alcohol Clearinghouse Consent Form

First Name

Middle Initial

Last Name

DATE OF BIRTH

COMPLETE ADDRESS

Field Name

PHONE NUMBER

CELL

CDL NUMBER

STATE

EXPIRATION

LIST ALL CDL ENDOSEMENT

LICENSE TYPE

HAVE YOU EVER HELD ANY OTHER COMMERCIAL LICENSE IN ANOTHER STATE OTHER THAN THE ABOVE LISTED STATE?

HAVE YOU EVER BEEN DENIED A PERMIT, LICENSE, OR PRIVILEGE TO OPERATE A COMMERCIAL MOTO VEHICLE?

IF SO, PLEASE EXPLAIN

HAS YOUR LICENSE PERMIT OR PRIVILEGE BEEN SUSPENDED OR REVOKED?

IF SO, PLEASE EXPLAIN

HAVE YOU HAD ANY TICKETS OR ACCIDENTS IN THE LAST THREE YEARS?

IF YES, PLEASE LIST YEAR(S)

IF SPEEDING, HOW MANY MILES OVER THE LIMIT?

DO YOU HAVE ANY TRAFFIC CONVICTIONS AND FOREFEITURES IN THE LAST THREE YEARS (OTHER THAN PARKING)?

NUMBER OF YEARS DRIVING

LIST STATES YOU HAVE DRIVEN IN

CHECK TYPE OF EQUIPMENT DRIVEN

CHECK TYPE OF TRAILER PULLED

DO YOU HAVE KNOWLEDGE OF CSA OR FEDERAL MOTOR CARRIER SAFETY REGULATIONS

IF YES, PLEASE SPECIFY

ARE YOU CURRENTLY EMPLOYED

IF YES, MAY WE CONTACT YOUR CURRENT EMPLOYER

WHEN WILL YOU BE AVAILABLE TO START?

ARE YOU PREVENTED FROM LAWFUL EMPLOYMENT IN THIS COUNTRY BECAUSE OF IMNMAGRATION STATUS?

LIST YOUR ADDRESS FOR THE LAST 3 YEARS

LIST 2 PERSONAL REFERENCES (PROFESSIONAL/FAMILY/FRIEND)

NAME

Field Name

ADDRESS

ADDRESS 2

City

State

Zip

PHONE NUMBER

HOW LONG HAVE YOU KNOWN

RELATIONSHIP

NAME

Last Name

ADDRESS

ADDRESS 2

Field Name

State

Zip

PHONE NUMBER

HOW LONG HAVE YOU KNOWN

RELATIONSHIP

HOW MANY JOBS HAVE YOU HAD IN THE LAST 3 YEARS?

PLEASE LIST EMPLOYMENT FOR THE LAST 3 YEARS STARTING WITH MOST RECENT

LAST/CURRENT EMPLOYER

ADDRESS

ADDRESS 2

City

Field Name

FROM DATE

END DATE

POSITION

SUPERVISOR NAME

Field Name

PHONE

REASON FOR LEAVING

MAY WE CONTACT CURRENT EMPLOYER?

EMPLOYER

Field Name

ADDRESS

Field Name

FROM DATE

END DATE

POSITION

SUPERVISOR NAME

Field Name

REASON FOR LEAVING

EMPLOYER

Field Name

ADDRESS

Field Name

FROM DATE

END DATE

POSITION

SUPERVISOR NAME

Last Name

PHONE

REASON FOR LEAVING

BEST TIME FOR A RECRUITER TO CALL

PHONE

Upload Requested Documents

Copy of CDL (Front & Back), Copy of Long Form Physical (more than 6 months of validity), Copy of Social Security or Work Visa (Front and Back), Signed Important Disclosure Form, Signed Drug & Alcohol Clearinghouse Consent Form

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NOTICE TO APPLICANT

Please understand that any misrepresentations of information given above shall be considered an act of falsification. I agree and understand that the employer or his agents may investigate my background to ascertain any and all information concern to my employment is factual. I certify that this application was completed by me, and all entries on it and information in it are true and complete to the best of my knowledge.

SUBMIT