Driver Employment Application - Custom Hangers, Barns, Shops, ECT

READ THE INSTRUCTIONS BEFORE PROCEEDING

REQUIRED:
1. Order DMV driving record “FOR EMPLOYMENT”
2. Prepare it to upload (Download from DMV or scan hard copy to computer) NOTE: Maximum file size allowed for upload is 15MB, if larger you can email to Sales.Rmsteel@gmail.com
3. Attach it to this application (upload button is at the bottom of this form)
Complete “ALL” Fields (exception: SSN may be left blank)
To complete the online application process. we will email you a form to sign. follow the steps below:
1. Print email attachment.
2. Complete the “Driver’s Name” field only
3. Sign the form on the “Driver’s Signature” line
4. Return form 1 of 3 ways:
  1. reply to our original email and attach signed form
  2. fax signed form to 208-454-1801
  3. email signed form to Sales.Rmsteel@gmail.com
After application submission you will be redirected to a thank you page.

PERSONAL INFORMATION

Last Name:*required

First Name:*required

Social Security Number

Date of Birth:

Phone Number:*required

Email:*required

Current Address:

Street:

City:

State:

Zip:

Previous Address:

Street:

City:

State:

Zip:

Emergency Contact:

Name:

Phone:

Additional Information:

When will you be available?

Expected Pay Rate:

Are you employed? YesNo

Have you ever worked for R & M Steel? YesNo

Have you ever been convicted of a felony, misdemeanor, or criminal violation? YesNo

Are you prevented from lawful employment in this country because of immigration status?YesNo

DRIVER'S LICENSE INFORMATION

Valid Driver's License Number:

State:

Expiration:

License Type:

CDL Endorsements:

Has your license, permit, or privilege to operate a motor vehicle ever been denied, revoked or suspended? YesNo

If yes, explain reason:

Have you ever been disqualified under §383 or §391 of the federal motor carrier safety regulations? YesNo

If yes, explain reason:

Do you have more than one driver license? YesNo

EDUCATION

What is last grade completed?

Years of college?

Other training:

Do you have full knowledge of the federal motor carrier safety regulations? YesNo

DRIVING EXPERIENCE

Type of Equipment

Number of Years

States You Have Driven In

Tractor

Trailer/Flatbed

Trailer/Tank

Straight Truck

Bus

Other(Specify)

ACCIDENT RECORD LAST THREE YEARS

Date

Nature of Accident

No. of Fatalities

No. of Injuries

Commercial Vehicle / Personal Vehicle

Commercial VehiclePersonal Vehicle

TRAFFIC CONVICTIONS AND FORFEITURES - LAST THREE YEARS

State

Date

Charge

Penalty

Commercial Vehicle / Personal Vehicle

Commercial VehiclePersonal Vehicle

EMPLOYMENT HISTORY

Last Employer

Last Employer Name:

Phone:

Address:

City:

State:

Zip:

Supervisor's Name:

From:

To:

Position:

Reason For Leaving:

Did you operate a CDL Vehicle? YesNo

Did you perform safety sensitive functions while employed? YesNo

Were you subject to the federal motor carrier safety regulations while employed? YesNo

Were you required to participate in a U.S. DOT mandated drug and alcohol testing program? YesNo

2nd Last Employer

Last Employer Name:

Phone:

Address:

City:

State:

Zip:

Supervisor's Name:

From:

To:

Position:

Reason For Leaving:

Did you operate a CDL Vehicle? YesNo

Did you perform safety sensitive functions while employed? YesNo

Were you subject to the federal motor carrier safety regulations while employed? YesNo

Were you required to participate in a U.S. DOT mandated drug and alcohol testing program? YesNo

3rd Last Employer

Last Employer Name:

Phone:

Address:

City:

State:

Zip:

Supervisor's Name:

From:

To:

Position:

Reason For Leaving:

Did you operate a CDL Vehicle? YesNo

Did you perform safety sensitive functions while employed? YesNo

Were you subject to the federal motor carrier safety regulations while employed? YesNo

Were you required to participate in a U.S. DOT mandated drug and alcohol testing program? YesNo

ACKNOWLEDGEMENT

Can you perform the job functions described in the job descriptions? YesNo

I agree and understand that any misrepresentation or omissions of information or facts given on this form shall be considered an act of falsification.

I agree and understand that the carrier or its agents may investigate any and all information given on this form to determine validity.

I understand that all employment history information from previous employers will be used by the carrier only as part of the deciding whether to hire me.

I understand that under U.S. DOT regulation §391.23(i), I cannot bring an action or proceeding for defamation, invasion of privacy, or interference with a contract against this carrier or any previous employer based on furnishing or using employment history information.

I agree to furnish such additional information and complete such examinations as may be required to complete my driver qualification and employment files.

If hired, I agree to abide by all the rules and policies of this carrier.

Upload DMV for employment driving record here: *NOTE: Maximum file size allowed is 15MB

Quality Pre-Engineered Metal Building Systems

PERSONAL INFORMATION

DRIVER'S LICENSE INFORMATION

EDUCATION

DRIVING EXPERIENCE

ACCIDENT RECORD LAST THREE YEARS

TRAFFIC CONVICTIONS AND FORFEITURES - LAST THREE YEARS

EMPLOYMENT HISTORY

Last Employer

2nd Last Employer

3rd Last Employer

ACKNOWLEDGEMENT

R & M Steel Company