DRIVER - APPLICATION FOR EMPLOYMENT

ASPLIN EXCAVATING, INC.

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3100 41ST STREET S

FARGO, ND 58104

701-277-0048

DRIVER - APPLICATION FOR EMPLOYMENT

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NAME:

First Name:

M.I.:

Last Name:

Rate of Pay Desired:

Date of Birth:

Phone Number:

Current Address:

How long at this address?

Previous Address:

How long at previous address?

How did you hear about us?

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EXPERIENCE AND QUALIFICATIONS – DRIVER

State:

Class:

Exp. Date:

Any special restrictions or endorsements (e.g. automatic only):

Class of Equipment:

From:

To:

Approx. Miles (Total):

Class of Equipment:

From:

To:

Approx. Miles (Total):

Class of Equipment:

From:

To:

Approx. Miles (Total):

Class of Equipment:

From:

To:

Approx. Miles (Total):

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ACCIDENT/INCIDENT/CONVICTION RECORDS FOR PAST 3 YEARS (excludes parking violations)

Date:

Description:

Fatalities/Injuries/Charges:

Date:

Description:

Fatalities/Injuries/Charges:

Any DUI convictions:

If convicted, date:

Driving privileges ever suspended/revoked?

If suspended/revoked, date:

Have you had any previous injuries or worker's compensation claims?

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EMPLOYMENT HISTORY

Last/Current Employer:

Address:

Phone Number:

Position/Job Duties:

Dates of Employment:

Reason for Separation:

Previous Employer:

Address:

Phone Number:

Position/Job Duties:

Dates of Employment:

Reason for Separation:

I AGREE TO DOT/NON-DOT DRUG TESTING FOR PRE-EMPLOYMENT

Signature (please type full name):

***You may upload your resume if desired.***

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Note: A motor carrier may require an applicant to provide information in addition to that which is required by the Federal Motor Carrier Safety Administration.

701-277-0048

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Asplin Inc.

3100 41st St S

Fargo, ND 58104

Tel: 701-277-0048

sasplin@asplinexc.com

Now Hiring Multiple Positions

Driver Application Equipment Operator Application

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