Personal Information
Position Desired
Driver License History
Practical Experience
Educational Information
Employment History
References
Signature

Personal Information

Position Desired

Are you available to work (check all that apply):
Have you ever applied for a position at Kraemer Trucking and Excavating, Inc. before?
Have you ever worked at Kraemer Trucking and Excavating, Inc. before?
If hired, can you provide proof you are eligible to work in the U.S.A.?

Driver's License History (List all licenses held within the last 3 years)

License Endorsements

License Class

Do you have a current CDL?

Do you have a current DOT Health Card?

Would you submit to drug/alcohol testing as mandated under 49 C.F.R. Part 382?

Vehicle Experience

Equipment Experience

Accident History

Violation History/Convictions (last 3 years)

Education Information

# Years Completed
Did You Graduate?
Subjects Studied / Degree Earned

Employment History (Last 10 Years of Employment)

Were you subject to the Federal Motor Carrier Safety Regulation during this period?
May we contact this employer?
Were you subject to 49 CFR part 40 controlled substance and Alcohol Testing During this period?

References (Offer 3 people not related to you whom you have known for a least 1 year)

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for dismissal. Further, I understand if hired, Kraemer Trucking and Excavating is a Employment-At-Will company and I agree that my employment is not based on a contract of employment, whether express or implied, and I am an At-Will Employee. That my employment and compensation can be terminated with or without cause and with or without advance notice at any time by either Kraemer Trucking and Excavating or myself. That any employment rules, policies, benefits, or other statements, whether oral or written, express or implied, made by KTE or by its representatives ARE NOT intended to be, nor are they to be interpreted as contracts of employment between KTE and me. That no person or representative of KTE who has the authority to negotiate, offer, or agree to an employment contract has negotiated, offered, or agreed to a contract of employment with me.

 

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