Additional Schools Beyond High School
All applicants wishing to drive in interstate commerce must provide the following information on all employers during the preceding three (3) years. You must give the same information for all employers for whom you have driven a commercial vehicle seven (7) years prior to the initial three years (total of ten year employment record).
*Any gaps in employment and/or unemployment must be explained. *Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 16 or more passengers (including the driver), 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 passengers or property when the vehicle: (1) weights 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.
Class of Equipment
Type of Equipment
Dates
OR
ApproximateNumber of Miles
From
To
Straight Truck
Tractor & Semi-Trailer
Tractor - Two Trailers
Tractor - Three Trailers
Motorcoach - School Bus(Greater than 8 passengers)
N/A
Motorcoach - School Bus(Greater than 15 passengers)
Other:
Please provide your driver licenses or permits held in the past 3 years.
I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU.
I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OR PAYMENT OF WAGES OR SALARY BE TERMINATED BY ME OR T&R RECYCLING, LLC. AT ANY TIME WITHOUT PRIOR NOTICE.
My typed first and last names below shall have the same force and effect as my written signature.
715-720-9311 • TR Recycling • Scrap Metal Recycling • 13744 Co Hwy Oo • Chippewa Falls, WI 54729