Employment Application

Applicant Information
Name*
First Last
Email*
Phone
Date of Birth*
MM slash DD slash YYYY
Position you are applying for:*
Applicant Address*
Street Address City State ZIP Code

To be read and signed by the applicant:
In compliance with federal and state equal employment opportunities 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.

I authorize you, the Company, All-In Removal, to make such investigations and inquiries of my personal employment, financial, or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers. schools, health care providers, and other personnel from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand that I am required to abide by all rules and regulations of the Company.

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23 (d) and (e).

I understand that I have the right to:
  • Review information provided by previous employers;
  • Have errors in the information corrected by previous employers, and for previous employers to re-send the corrected information to the prospective employer;
  • Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy or the information.
Required*
- I have read and understand the above content

Accident Record
Report all accidents for the past 3 years. If no accident history, write 'None.'
Last Accident Date

Date and nature of accident (head-on, rear-end, etc.)
Last Accident Info

List any fatalities, injuries, or hazardous material spilled.
Next Previous Accident Date

Date and nature of accident (head-on, rear-end, etc.)
Next Previous Accident Info

List any fatalities, injuries or hazardous material spilled.
Next Previous 2 Accident Date

Date and nature of accident (head-on, rear-end, etc.)
Next Previous 2 Accident Info

List any fatalities, injuries, or hazardous material spilled.

Traffic Convictions and Forfeitures
List location, date, charge, and penalty for the past 3 years (other than parking violations). If none, write none.
Traffic Convictions 1
Traffic Convictions 2
Traffic Convictions 3

Experience and Qualifications
List all driver licenses and permits held in the past 3 years. Must include the state, license number, license type, and expiration date.
License 1
License 2
License 3
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
- Yes
- No
Have you ever had a license, permit or privilege suspended or revoked?
- Yes
- No
If you answered yes to any of the above, please provide details below.
If you answered yes to any of the above, please provide details below.

Driving Experience
If you have experience in a class of equipment, then list the type, dates, and number of miles for each.
Straight Truck
Tractor and Semi-Trailer
Tractor (One to Two Trailers)
Tractor (Three Trailers)
Motorcoach or School Bus
Other
Safe Driving Awards

List any relevant safe driving awards and who awarded them to you.
Other Experience and Qualifications
Please detail any other relevant experience and qualifications below.

Additional Qualifications
Additional trucking, transportation, or other experience
Detail any additional trucking, transportation, or other experience that may help in your work for this company.
List courses and training
List courses and training other than those described elsewhere in this application.
List special equipment or technical materials
List special equipment or technical materials you have experience with other than those described elsewhere in this application.

Education
Highest Grade Completed
Last School Attended and Location (city, state, zip code).

Employment History
Employer 1 Name
Employer 1 Contact and Phone Number
Employer 1 Address (city, state, zip code)
Employer 1 Dates

List start and end dates.
Employer 1 Position Held
Employer 1 Salary/Wage
Reason for separation
Were you subject to the FMCSRs** while employed?
- Yes
- No
Was your Job designated as a safety-sensitive function in any Department of Transportation (DOT) regulated mode, subject to the drug and alcohol testing requirements of 49 CFR Part 40?
- Yes
- No

Employer 2 Name
Employer 2 Contact and Phone Number
Employer 2 Address (city, state, zip code)
Employer 2 Dates

List start and end dates.
Employer 2 Position Held
Employer 2 Salary/Wage
Reason for separation
Were you subject to the FMCSRs** while employed?
- Yes
- No
Was your Job designated as a safety-sensitive function in any Department of Transportation (DOT) regulated mode, subject to the drug and alcohol testing requirements of 49 CFR Part 40?
- Yes
- No

Employer 3 Name
Employer 3 Contact and Phone Number
Employer 3 Address (city, state, zip code)
Employer 3 Dates

List start and end dates.
Employer 3 Position Held
Employer 3 Salary/Wage
Employer 3 Reason for separation
Were you subject to the FMCSRs** while employed?
- Yes
- No
Was your Job designated as a safety-sensitive function in any Department of Transportation (DOT) regulated mode, subject to the drug and alcohol testing requirements of 49 CFR Part 40?
- Yes
- No

Miscellaneous Questions
Do you have the legal right to work in the United States?*
- Yes
- No
Are you currently employed?
- Yes
- No
Have you worked for this company before?
- Yes
- No
If yes, describe where, the dates, and the reason for leaving.
If you have worked for this company before, describe where, the dates, and the reason for leaving.
*Includes vehicles having GWVR of 26,0011bs. or more, vehicles designed to transport 16 or more passengers {including the driver), or any size vehicle used to transport hazardous materials in the 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) weighs or has a G"Wt/R of 10,0001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver). OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.
Check the box below to certify that this application was completed by me and that all information provided is true and complete to the best of my knowledge.*
- Yes
Phone
This field is for validation purposes and should be left unchanged.

To apply for general employment please fill out the Job Application form below. To apply to be a driver, please complete the Driver Application form.

Job Application

To apply to be a driver please fill out the form below.

Driver Application

Step 1 of 12

Applicant Information

To be read and signed by the applicant:

Accident Record

Traffic Convictions and Forfeitures

Experience and Qualifications

Additional Qualifications

Education

Employment History

Miscellaneous Questions

View the employee handbook

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