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General 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.

I authorize you 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 hear by release employers, schools, health care providers and other persons 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, also, that I am required to abide by all rules and regulations of the Company.


TO BE READ AND SIGNED BY APPLICANT



Applicant to Complete

List your addresses of residency for the past 3 years.



Current address



Previous Address



Previous Address

Do you have the legal right to work in the United States?
Yes
No
Birthday
Month
Day
Year
Can you provide proof of age?
Yes
No
Have you previously worked for Crane Service Company?
Yes
No
Are you currently employed?
Yes
No


Employment History

Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall provide 10 years’ information on those employers for whom the applicant operated such a vehicle. (Most recent to oldest)

Employer

Date

Were you subject to the FMCSRs while employed?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol testing requirements of 49CFR Part 40?
Yes
No

Employer

Date

Were you subject to the FMCSRs while employed?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol testing requirements of 49CFR Part 40?
Yes
No

Employer

Date

Were you subject to the FMCSRs while employed?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the Drug and Alcohol testing requirements of 49CFR Part 40?
Yes
No

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 GVWR of 10,001 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.



EXPERIENCE AND QUALIFICATIONS - OTHER

Education

High School

Graduate
Yes
No


College

Graduate
Yes
No


College

Graduate
Yes
No

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

Date
Month
Day
Year
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