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Employee Information Request

 

Employee Information Request

Driver

How did you hear about us?


 
First Name:

Middle Name:

Last Name:

Address:
City: State: Zip:
Home Phone: -
Work Phone: -
Email:
Other Contact Info:
Position Desired:
Pay Desired:
 

License Information
License you currently hold:
Class If Other Please Specify:
Endorsements If Other Please Specify:
Number of Years Driving    
Type of equipment
Products Hauled
Number of Tickets in the last 5 years    
What were the offenses?
Number of Motor vehicle accidents in the last 5 years?    
Were any of the above accidents in a commercial vehicle?    
Within the past ten years, have you been convicted of a felony?    
If you answered yes above, please explain:
Personal Information
Have you recieved any training certificates or driver safety awards? (Please list)
Will you give us permission to check your criminal history?    
WIll you give us permission to check your driving record?    
Employment History
List current or most recent employer:
Company Name
Employment Dates:  to 
Describe your duties:
Ending Salary $
 
List Previous Employers:
1. Company Name
Employment Dates:  to 
Describe your duties:
Reason for Leaving:
 
2. Company Name
Employment Dates:  to 
Describe your duties:
Reason for Leaving:
 
3. Company Name
Employment Dates:  to 
Describe your duties:
Reason for Leaving:
 
List any information not provided above:
 
If you have an electronic resume, you may select it here to submit it with your application:
 
Please enter the code shown in the image at right:
 

 


This is a request for information only. No employment contract, either expressed or implied, is being offered.

Thanks for your interest in Thomas Petroleum.


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