Strittmatter Companies - Driver Job Application

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It's our policy to provide equal employment opportunity to qualified persons without discrimination because of any characteristics protected by applicable, local, state or federal law.

Are you legally authorized to work in the United States? *
Have you worked
for us before? *
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Applicant Information

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Current Home Address

3 Years
Residency
In-State? *

Drivers License Information

Section 383.21 FMCSR states "No person who operates a commercial motor vehicle shall at any time have more than one drivers license". I certify that I do not have more than one motor vehicle license, the information for which is listed below.
Endorsement
CDL
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Driving Experience

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Add Another *
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Add Another *
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Accident Record For Past 5 Years

Have you been involved in any traffic accidents in the past 5 years? *
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Were you Charged? *
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Were you Charged? *
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Were you Charged? *
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Were you Charged? *

Traffic convictions and forfeitures for the past 3 years (other than parking violations)

Do you have any traffic convictions and forfeitures for the past 3 years (other than parking violations)? *
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Add Another? *
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Add Another? *
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Add Another? *
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Have you ever been denied a license, permit
or privilege to operate a motor vehicle? *
Has any license, permit or privilege ever       
been suspended or revoked? *

Employment Record

To be able to drive for us, please provide the following information on all employers for previous 5 years


Current or most recent employer.
Employer 1
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Were you subject to the Federal Motor Carrier Safety
Regulations (FMCSRs) while employed by the previous
employer? *
Was the previous job position designated as a safety sensitive function
in any DOT regulated mode, subject to alcohol and controlled substances
testing requirements as required by 49 CFR Part 40? *
2nd Most Recent
Employer 2
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Were you subject to the Federal Motor Carrier Safety
Regulations (FMCSRs) while employed by the previous
employer? *
Was the previous job position designated as a safety sensitive function
in any DOT regulated mode, subject to alcohol and controlled substances
testing requirements as required by 49 CFR Part 40? *
3rd Most Recent
Employer 3
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Were you subject to the Federal Motor Carrier Safety
Regulations (FMCSRs) while employed by the previous
employer? *
Was the previous job position designated as a safety sensitive function
in any DOT regulated mode, subject to alcohol and controlled substances
testing requirements as required by 49 CFR Part 40? *
4th Most Recent
Employer 4
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Were you subject to the Federal Motor Carrier Safety
Regulations (FMCSRs) while employed by the previous
employer? *
Was the previous job position designated as a safety sensitive function
in any DOT regulated mode, subject to alcohol and controlled substances
testing requirements as required by 49 CFR Part 40? *
 Click Next for Authorization of Employment Records 
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