Strittmatter Truck Driver 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.

Position Applying For *

Referred by? (Optional)

Are you legally authorized to work in the United States? *

Yes

No

Have you worked for us before? *

Yes

No

From +

To +

Position / Job Title

Applicant Information

First Name *

Middle (Optional)

Last Name *

How can we contact you? *

Address *

City *

State *

Zip Code *

Primary
Phone Number *

Personal
Email Address *

Medical Examiner Certification
Expiration Date (Optional) +

Drivers License Information

State *

DC

Maryland

Virginia

Other Other

Endorsements (Optional)

Employment History

Those applying for a position to drive a commercial motor vehicle requiring a CDL* must provide an additional 7 years of employment history (total of 10 years).

Most Recent

Employer 1

Company Name *

Start Date * +

End Date * +

Position *

Company Phone # *

May we contact? *

Yes

No

Add another job? *

Yes

No

2nd Most Recent

Employer 2

Company Name

Start Date +

End Date +

Position

Company Phone #

May we contact?

Yes

No

Add another job? *

Yes

No

3rd Most Recent

Employer 3

Company Name

Start Date +

End Date +

Position

Company Phone #

May we contact?

Yes

No

Qualifications (Optional)

Class of Equipment

Vehicle Operated

From +

To +

Approximate # of Miles

Class of Equipment

Vehicle Operated

From +

To +

Approximate # of Miles

Class of Equipment

Vehicle Operated

From +

To +

Approximate # of Miles

Terms, Authorization, & Approval

Lie Detector Notice

Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a lie detector or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100.

To be read and signed by the applicant...

1 - This certifies that I completed this application personally, and that all entries on it and information in it are true and complete to the best of my knowledge. In the event of my employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

2 - I understand, also, that I am required to abide by all rules and regulations of the Company, as permitted by Law. My services and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the Company or myself.

3 - I understand that no individual or representative of the Company other than the President has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement to the contrary.

4 - 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).

5 - I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

I have read, understand, agree, and authorize the terms above? *

Yes

No

Date Signed * +

Applicants Full Name *