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J. Bauer Trucking Application for Employment
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.
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Name
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Last
Address (Street, City, State, Zip)
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City
State
Zip Code
Country
Phone Number
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Position Applied For
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Desired Rate of Pay
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Date
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Date Of Birth
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Previously Employed here?
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Are you currently employed?
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Dates: From - To
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First
Last
If not, now long since leaving last employment?
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Position
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Rate of Pay
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Is there any reason you might be unable to perform the functions of the job for which you have applied?
If yes, explain:
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Employment History
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 additional 7 years’ information on those employers for whom the applicant operated such vehicle. (NOTE: List employers in order starting with the most recent.)
Employer
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Dates: From - To
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First
Last
Position
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Address
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City
State
Zip Code
Country
Contact Person
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Phone Number
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Reason For Leaving
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Employer
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Dates: From - To
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First
Last
Contact Person
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Phone Number
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Reason For Leaving
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Position
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Employer
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Dates: From - To
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First
Last
Contact Person
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Phone Number
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Reason For Leaving
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Position
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Employer
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Dates: From - To
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First
Last
Contact Person
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Phone Number
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Reason for Leaving
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Position
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Employer
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Dates: From - To
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First
Last
Contact Person
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Phone Number
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Reason For Leaving
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Position
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Qualifications
Driver licenses or permits held in the past 3 years:
State
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State
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State
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State
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License Number
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License Number
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License Number
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License Number
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Class
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Class
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Class
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Class
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Endorsement(s)
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Endorsement(s)
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Endorsement(s)
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Endorsement(s)
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Expiration Date
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Expiration Date
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Expiration Date
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Expiration Date
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Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Yes or No?
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Yes
No
Has any license, permit or privilege ever been suspended or revoked?
Yes or No?
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Yes
No
If yes to either question, provide details:
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Driving Experience
Class of Equipment
Tractor & Semi-trailer
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Yes
No
Type of equipment used
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Van
Tank
Flat
dump
refer
Approx. number of miles (total)
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Dates: From - to
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First
Last
Please list any additional training or courses you've taken that may help your job at this company:
Comment
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Is there any additional information you'd like us to know?
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