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V-CAT TRUCKING, LLC
AN EQUAL OPPORTUNITY EMPLOYER
APPLICATION FOR EMPLOYMENT

Name:

Present Address:

Phone:

EMail:

SOMEONE NOT LIVING WITH YOU THAT CAN ALWAYS REACH YOU:

POSITION APPLYING FOR:

SCHOOLS ATTENDED: (High School and above)

SCHOOL DATE ATTENDED
SCHOOL DATE ATTENDED

EMPLOYMENT HISTORY:

LIST THE LAST THREE (3) EMPLOYERS BEGINNING WITH RECENT (EXCLUDING PRESENT EMPLOYER)

REFERENCES: (DO NOT INCLUDE RELATIVES)

LIST MACHINES YOU CAN OPERATE

ARE YOU OVER 25 YEARS OLD? (FOR INSURANCE PURPOSES)

ARE YOU MARRIED? SINGLE? (FOR INSURANCE PURPOSES) MARRIED    SINGLE

DO YOU HAVE YOUR CDL?         CDL ISSUE DATE:

YEARS OF DUMP TRUCK DRIVING EXPERIENCE?

TRAFFIC CITATIONS IN THE LAST TEN YEARS?

TRAFFIC CITATIONS IN A COMMERCIAL VEHICLE?

BY CHECKING THIS BOX YOU AGREE TO ABIDE BY THE SAFETY RULES OF THE COMPANY

MESSAGE TO V-CAT MANAGER

BY APPLYING YOUR NAME BELOW AND SUBMITTING THIS APPLICATION,
YOU STATE THAT THE ABOVE INFORMATION IS TRUE AND CORRECT
TO THE BEST OF YOUR KNOWLEDGE AND UNDERSTAND THAT ANY FALSE STATEMENT MADE
ON THIS APPLICATION OR MISREPRESENTATION OF QUALIFICATION WILL BE CAUSE FOR DISMISSAL