Truck Driver Application | Affiliated Foods Inc

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Home Page > Careers > Truck Driver Application

PTG - EMPLOYMENT APPLICATION:

QUALIFIED APPLICANTS ARE CONSIDERED FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, MARITAL OR VETERAN STATUS, OR THE PRESENCE OF MEDICAL CONDITION OR HANDICAP.

ENTIRE APPLICATION MUST BE COMPLETED FOR CONSIDERATION. PLEASE DIRECT ANY QUESTIONS TO (806) 345-7864

POSITION(s):

SOURCE:

NAME:

SS #:

ADDRESS:

EMAIL:

PHONE:

DL # and State:

Have you filled out an application here before?

YesNo

Date:

Have you ever been employed here before?

YesNo

Date:

Do you have a valid Drivers License?

YesNo

Are you legally entitled to work in the Country?

YesNo

Are you available to work?

Full TimePart TimeShift Work

Are you on Lay-Off or subject to recall?

YesNo

Are you 18 yrs of age or over?

YesNo

Have you ever tested positive, or refused to test, on any pre-employment drug test administer on behalf of an employer to which you have applied for, but did not obtain employment in a safety-sensitive transportation position (i.e., truck driver) covered by the Department of Transportation (DOT) drug and alcohol testing rules during the past two years?

YesNo

Have you tested positive, refused to test or had an adulterated test for drug or alcohol test for pre-employment, random, post-accident, or reasonable suspicion covered by the DOT drug and alcohol testing rules during the past two years?

YesNo

If you answered yes, can you provide/obtain proof that you've successfully completed the DOT return-to-duty requirements?

YesNo

Do any of your friends or relatives work here?

YesNo

IF YES LIST NAME(S):

During the past 5 years, have you ever been convicted of, or have you pleaded guilty or no contest (NOLO CONTENDER) to, a Felony Offense?

YesNo

In case of an medical or other emergency

Please notify:

Relationship to you:

Phone:

Are you a Veteran of the U.S. Military services or currently in the National Guard or Reserves?

Branch:

EMPLOYMENT LAST 10 YEARS (ENTER LAST JOB FIRST)

Employer

Dates: to

Address

Monthly Avg. Salary:

Duties Performed:

Reason for leaving:

Employer 2

Dates: to

Address

Monthly Avg. Salary:

Duties Performed:

Reason for leaving:

Employer 3

Dates: to

Address

Monthly Avg. Salary:

Duties Performed:

Reason for leaving:

Employer 4

Dates: to

Address

Monthly Avg. Salary:

Duties Performed:

Reason for leaving:

Employer 5

Dates: to

Address

Monthly Avg. Salary:

Duties Performed:

Reason for leaving:

Employer 6

Dates: to

Address

Monthly Avg. Salary:

Duties Performed:

Reason for leaving:

ACCIDENT RECORD FOR PAST 3 YEARS OR MORE (Use Note Section for Additional violations)

DATES mm/dd/yyyy

NATURE OF ACCIDENT

Injuries/Death

DATE mm/dd/yyyy:

NATURE OF ACCIDENT:

Injuries/Death:

DATE mm/dd/yyyy:

NATURE OF ACCIDENT:

Injuries/Death:

DATE mm/dd/yyyy:

NATURE OF ACCIDENT:

Injuries/Death:

TRAFFIC CITATIONS OR CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS

Date and Location

Charge

Penalty

Date and Location:

Charge:

Penalty:

Date and Location:

Charge:

Penalty:

Date and Location:

Charge:

Penalty:

Date and Location:

Charge:

Penalty:

DRIVING EXPERIENCE

CLASS OF EQUIPMENT

TYPE OF EQUIPMENT

APPROX. NO. OF MILES

CLASS OF EQUIPMENT: Straight Truck

TYPE OF EQUIPMENT:

APPROX. NO. OF MILES:

CLASS OF EQUIPMENT: Tractor and semi-trailer

TYPE OF EQUIPMENT:

APPROX. NO. OF MILES:

CLASS OF EQUIPMENT: Tractor and two trailers

TYPE OF EQUIPMENT:

APPROX. NO. OF MILES:

CLASS OF EQUIPMENT: Other

TYPE OF EQUIPMENT:

APPROX. NO. OF MILES:

List States Operated in for last 5 yrs

List special courses or training to help drive:

List Safe driving awards and from whom:

Any Other Special Training or Experience?

REFERENCES

NOT RELATED TO YOU

NAME

ADDRESS

PHONE

REFERENCE 1 NAME:

REFERENCE 1 ADDRESS:

REFERENCE 1 PHONE:

REFERENCE 2 NAME:

REFERENCE 2 ADDRESS:

REFERENCE 2 PHONE:

REFERENCE 3 NAME:

REFERENCE 3 ADDRESS:

REFERENCE 3 PHONE:

EDUCATION

School Name

Years Completed

Diploma/Degree

Describe Course of Study

High School

School Name

Years Completed

Diploma/Degree

Describe Course of Study

College

School Name

Years Completed

Diploma/Degree

Describe Course of Study

Technical

School Name

Years Completed

Diploma/Degree

Describe Course of Study

- I CERTIFY THAT ANSWERS GIVEN HEREIN ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION FOR EMPLOYMENT AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION.

- 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, ALSO, THAT I AM REQUIRED TO ABIDE BY ALL RULES AND REGULATIONS OF THE COMPANY.

- I HEREBY AUTHORIZE MY PRIOR EMPLOYER(S), TO RELEASE ANY & ALL INFORMATION, RELATED TO MY EMPLOYMENT WITH THAT COMPANY. I FURTHER RELEASE MY FORMER EMPLOYER(S) FROM ANY & ALL LIABILITES THAT MAY RESULT FROM THE RELEASE AND/OR USE OF SUCH INFORMATION.

Please review your application carefully prior to hitting submit. Once you send your application your information along with your digital signature and date/time stamp will be sent to our HR department. If you are attaching a resume only the following types of attachments are supported .doc, .docx, .pdf, .txt, and .xml

Optional Upload Resume -

Electronic Signature:

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