Job Application

Your Information


Are you legally eligible to work in the United States?

Are you over 18 years of age?

Have you ever been employed with us before?

Are you related to anyone employed by us?

Your Residency (last 3 years)



Are you currently employed?

Can we contact your current employer?

Do you have any commitments that might affect your employment with your company?


Are you able to perform the job duties described without accommodation?



Your Education

Do you have a high school diploma or GED?

Additional Schools Beyond High School


Did you graduate?


Your Work History

Please provide your employment data for the last 3 employers beginning with the most recent.


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?

*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.


Driving Experience (last 3 years)

Class of Equipment

Type of Equipment

Dates

OR

Approximate
Number 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)

N/A

Accident History (last 3 years)


Hazardous Materials Spill

Traffic Convictions and Forfeitures (last 3 years)


License/Permit Information (last 3 years)



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

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


Resume and Cover Letter (Optional)



Agreement

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.