Apply for Tack Truck driver

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Tack Truck driver
ID:1014
Location:Eldersburg, MD
Department:Trucking
Salary Range:$26.00 - $29.00 Based on Experience
Company:MT Laney
Resume
Resume:
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Contact Information
* First Name:
Middle Name:
* Last Name:
Suffix:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
DOT Driver Application for Employment
PERSONAL INFORMATION
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EMPLOYMENT DESIRED
Full Time   Part Time   Seasonal
Yes   No
Yes   No
EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

Yes   No

School 2

Yes   No

School 3

Yes   No

School 4

Yes   No

School 5

Yes   No
DRIVER LICENSE INFORMATION

Licenses 1

DRIVER LICENSE INFORMATION

Section 383.21 FMCSR states "No person who operates a commercial motor vehicle shall at any time have more than one driver's license." I certify that I do not have more than one motor vehicle license, the information for which is listed below. Include all licenses held for the past 3 years; attach additional sheets if needed.

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License 2

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License 3

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DRIVING EXPERIENCE

COMPLETE IF ONLY APPLYING FOR A POSITION TO OPERATE A VEHICLE OVER 10,000LBS

Class of Equipment 1

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Class of Equipment 2

Class of Equipment 3
ACCIDENT RECORD FOR PAST 3 YEARS

COMPLETE IF ONLY APPLYING FOR A POSITION TO OPERATE A VEHICLE OVER 10,000LBS)

Accident 1

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Yes   No

Accident 2

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Yes   No

Accident 3

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Yes   No
TRAFFIC CONVICTIONS AND FORFEITURES F0R THE PAST 3 YEARS) (OTHER THAN PARKING VIOLATIONS)

COMPLETE IF ONLY APPLYING FOR A POSITION TO OPERATE A VEHICLE OVER 10,000LBS)

Yes   No
Yes   No

Conviction/Forteiture 1

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Conviction/Forteiture 2

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Conviction/Forteiture 3

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EMPLOYMENT HISTORY

Start with the last or current position, including any military experience, and work backward (attach separate sheets if necessary) for the previous (10) years of employment.

Employer 1

Must list the complete address Street Number and Name, City, State, and Zip Code. Any gaps in employment and or unemployment must be explained. Include Dates (MonthJYear)

The Federal Motor Carrier Safety Regulations (F MCS R's) apply to anyone operating a motor vehicle used to transport passengers or property when the vehicle (1) weighs or has a GVWR of 10,001Ibs 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.

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Employer 2

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Employer 3

Yes   No
Yes   No
Yes   No

Employer 4

Yes   No
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Yes   No

Employer 5

Yes   No
Yes   No
Yes   No
REFERENCES

Please provide three references (not relatives).

Reference 1

Reference 2

Reference 3
AUTHORIZATION

Disclaimer & Authorization - By signing, I hereby certify that the above information is correct to the best of my knowledge. I understand that falsification of this information may prevent me from being hired, or lead to my dismissal, if hired.

I understand and agree that employment is conditional on the successful completion of a background check and I hereby provide consent to a background check which may include pre-employment drug screening, motor vehicle records, SSN verification, criminal records and sex offender searches, and/or Workers’ Compensation data searches.

Driver Questions
Please complete all questions.
* Do you hold a valid class A/B CDL?
Yes
No
* Do you have a good driving record?
Yes
No
* Do you carry endorsements?  If so which ones?
(N) - Tank Endorsement
(H) - Hazmat Endorsement
(X) - Tank & Hazmat Endorsement
NO Endorsements
* How many years have you held your CDL?:
* Can you drive a manual transmission?
Yes
No
Tack Truck
* Do you have experience operating a Tack Truck?
Yes
No
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

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