address: Corpus Christi, TX 78426-0197
phone icon phone: 1-800-895-8002

 

All information must be current and correct to the best of your knowledge.
* Required fields

Personal Information

Name:*
Address:*
City:*
State:*
Zip Code:*
Home Phone:*
SSN:*
Email:
Terminal Applying To: *
Job Applying For:*

Driver's License Information

License #:* State:*
Expires:* D.O.B.:*
Must be 25 yrs or older
Hazmat:* Yes No CDL Class:*
Must have class A CDL
Tanker Endorsement:* Yes No Yrs. Experience:*
2 yrs minimum required

Safety Record

Any Felonies:* Yes No License Revoked/Suspended:* Yes No
In the past 3 years: Any accidents:* Yes No Tickets:* Yes No
In the past 8 years: Any DWI/DUI:* Yes No    

Experience

I have experience pulling:*
(Check all that apply)
Tanker End/Bottom dump
Flatbed Van
I prefer to pull :*
(Check all that apply)
Tanker End/Bottom dump
Flatbed Van
I prefer to be:* Close to home Away 2-4 days
Away 1 week Away 2 weeks
 
Do you have a TWIC Card? Yes No  

Employment History

Previous Employer #1:
Position:
Address:
City:
State: Zip:
Phone:
Contact:
Employment Dates: From: To:
Previous Employer #2:
Position:
Address:
City:
State: Zip:
Phone:
Contact:
Employment Dates: From: To:
Previous Employer #3:
Position:
Address:
City:
State: Zip:
Phone:
Contact:
Employment Dates: From: To:
Previous Employer #4:
Position:
Address:
City:
State: Zip:
Phone:
Contact:
Employment Dates: From: To:
How did you hear about Trout Trucking Co., Inc?* Newspaper ad
Radio ad
JobSparx
Referred by current driver

Acceptance

I certify that I personally completed this application and that all of the information is true and correct. I hereby request and authorize any company that receives this application to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold Trout Trucking Co., Inc. harmless of all liability for providing this application for my use.

I have read the Driver Application Form and authorize a driver background check: Yes No

 

Disclosure & Release

In connection with my application for employment (including contract for services) with you, I understand that consumer reports which may contain public record information may be requested from various agencies. These reports may include the following types of information: names and dates of previous employers, reason for termination of employment, work experience, accidents, etc. I further understand that such reports may contain public record information concerning my driving record, workers’ compensation claims, credit, bankruptcy proceedings, criminal records, etc., from federal, state and other agencies which maintain such records; as well as information from previous employers concerning previous driving record requests made by others from such state agencies, and state provided driving records.

I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY TROUT TRUCKING, TO FURNISH THE ABOVE-MENTIONED INFORMATION.

I hereby authorize procurement of consumer report(s), If hired (or contracted), this authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time during my employment (or contract) period.


I have read the above statement and agree with the conditions: Yes No


 

 

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