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Apply for Hazmat Vacuum Truck Driver

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Hazmat Vacuum Truck Driver
ID:1002
Location:Midland, Texas
Department:Operations
Resume
Resume:
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Application Information
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Attachments
Cover Letter:
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Application for Employment
PERSONAL INFORMATION
Yes   No
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EMPLOYMENT DESIRED
Full Time   Part Time   Seasonal
Yes   No
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1-2   2-5   5-10   10+
Yes   No
Yes   No
LICENSE
EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

Yes   No

School 2

Yes   No

School 3

Yes   No

School 4

Yes   No

School 5

Yes   No
EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment. MUST INCLUDE AT LEAST 10 YEARS OF CDL Driving history if applying for CDL driving position

Employer 1

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Yes   No

Employer 2

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Employer 3

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Employer 4

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Employer 5

Yes   No
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REFERENCES

Please provide three references (not relatives).

Reference 1

*
*
*

Reference 2

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Reference 3
AUTHORIZATION

I hereby certify that I have read or had someone read the above questions, and that I understand the questions asked and information requested. I hereby certify that the answers and information provided above is true to the best of my knowledge; and that I understand that false or misleading answers or information could result in the rejection of my application or my latter termination. Furthermore, I understand that an employment offer will be conditional upon a negative drug test result, additional job-skills and/or performance related testing, pre-hire physical testing, and may be required prior to employment.

I hereby expressly authorize any person associated with any educational institution, past or present employer (including federal, state, local governments, organizations, or law enforcement agencies), credit reporting agency, or any person who has personal knowledge or my character, work history, and overall mode of living to RELEASE this information to Dunagin Transport Company or its representatives for the purpose of being considered for employment. I hereby agree to RELEASE Dunagin Transport Company, or its representatives from any and all liability for damages of whatever kind or nature, whether known or unknown, which may at any time accrue to me on account of 1) reliance by such persons or entities on the information submitted, in my employment application, 2) reliance by such persons or entities on the information obtained pursuant to this authorization, 3) compliance with or any attempt to comply with this authorization and 4) termination of my employment based on information obtained pursuant to this authorization.

I have read the above disclosure and hereby authorize an investigative report be obtained as described above. I hereby authorize a copy of this RELEASE and NOTIFICATION to be as valid as the original.

CMV Driver General Questionnairre
Please complete all questions below
* Have you held your Commercial Driver's License for at least 2 years
Yes
No
* Do you have at least 2 years experience in a like field as you are currently applying for?
Yes
No
* Do you currently have a Tanker Endorsement on your CDL?
Yes
No
* Do you currently have a Hazmat Endorsement on your CDL?
Yes
No
* Upload a Picture of the FRONT of your current CDL
* Upload a Picture of the BACK of your current CDL
* Have you been involved in any motor vehicle accident in the past 3 years?
Yes
No
If yes, when and where?
* Have you received any traffic convictions or forfeitures in the past 3 years (excluding parking violations)
Yes
No
If yes, when and where?
* Have you ever been convicted of a Felony offense?
Yes
No
If so, for what and when?
FMCSA Clearinghouse Limited Query Consent

General Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse

I,

hereby provide consent to DUNAGIN TRANSPORT COMPANY to conduct a limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me exists in the Clearinghouse. This consent in inclusive of Pre-Employment queries, Return to Duty Queries, and for the duration of my employment with the Company, as annual queries are to be conducted in accordance with FMCSA law.

I understand that if the limited query conducted by DUNAGIN TRANSPORT COMPANY indicates that drug or alcohol violation information about me exists in the Clearinghouse, FMCSA will not disclose that information to DUNAGIN TRANSPORT COMPANY without additional specific consent from me.

further understand that if I refuse to provide consent for DUNAGIN TRANSPORT COMPANY to conduct a limited query of the Clearinghouse, DUNAGIN TRANSPORT COMPANY must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA’a drug and alcohol program regulations.

SAP/FMCSA CH
* In the past Five (5) Years, have you had a positive or refusal on DOT Drug/Alcohol test, resulting in a violation in the FMCSA Clearinghouse and/or requirement to complete SAP?
Yes
No
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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