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  • CORPORATE: 701.225.8521info@wyomingcasingservice.com
  • Application for CDL Drivers

    ATTENTION: YOU MUST BE ABLE TO READ, WRITE & SPEAK FLUENT ENGLISH.

    Your Information


    Can you legally work in the US?
    Do you have a driver license?

    Previous address(es) for 3 years preceding the date of this application


    Select position(s) to apply for

    Corporate Office
    Mid-Continent Region
    Northeast Region
    Rocky Mountain Region

    When can you start?


    DRIVER LICENSE INFORMATION

    List DRIVER’S LICENSE NUMBER & following information Please include your CURRENT, valid license plus past 3 years including permits. REQUIRED INFORMATION

    DRIVING EXPERIENCE & CDL DATE REQUIRED

    Need date the CDL license was first obtained. The nature and extent of your experience in the operation of motor vehicles, including the type of equipment (such as buses, trucks, truck tractors, semitrailers, full trailers, and pole trailers) which you have operated. Due to SUBPART E- ENTRY-LEVEL DRIVER TRAINING REQUIREMENTS- Part 380 this information is required.



    MOTOR VEHICLE ACCICENTS

    List all motor vehicle accidents in which you were involved during the 3 years preceding the date that the application is submitted. Please include the date, location, nature of accident, fatalities or personal injuries. (Use additional paper if necessary.) If NONE, please write NONE


    SAFETY-SENSITIVE FUNCTION §382.107

    Safety sensitive subject to 49 CFR Part 40 is required information on the application under past employment history - must be completed for each previous employer.

    The FMCSA originally determined that “safety-sensitive” functions (382.107) were functions performed as part of on-duty time. However, the FMCSA amended the rule to remove this complex link with on-duty time.

    Safety-sensitive function – means all time from the time a driver begins to work or is required to be in readiness to work until the time he/she is relieved from work and all responsibility for performing work.

  • All time at an employer or shipper plant, terminal, facility, or other property, or on any public property, waiting to be dispatched, unless the driver has been relieved from duty by the employer; This includes employees who are “eligible” at work to drive a CMV at anytime, e.g., salesperson, clerks, secretaries, supervisors.
  • All time inspecting equipment as required by 392.7 and 392.8 of this subchapter or otherwise inspecting, servicing, or conditioning any commercial motor vehicle at any time;
  • All time spent at the driving controls of a commercial motor vehicle in operation;
  • All time, other than driving time, in or upon any commercial motor vehicle except time spent resting in a sleeper berth (a berth conforming to the requirements of 393.76 of 393.76 this subchapter);
  • All time loading or unloading a vehicle, supervising, or assisting in the loading or unloading, attending a vehicle being loaded or unloaded, remaining in readiness to operate the vehicle, or in giving or receiving receipts for shipments loaded or unloaded; and
  • All time repairing, obtaining assistance, or remaining in attendance upon a disabled vehicle.
  • NOT-Safety-Sensitive

  • All time spent providing a breath sample or urine specimen, including travel time to and from the collection site, in order to comply with the random, reasonable suspicion, post accident or follow-up testing required by part 382 when directed by an employer.
  • Performing any other work in the capacity of or in the employ or service of a common, contract or private employer.

  • Are you employed now?
    May we contact your employer?

    Education Background

    High School
    Did you graduate?
    Vocational or Technical School
    Did you graduate?
    College
    Did you graduate?
    Graduate School
    Did you graduate?
    Professional Seminars or Additional Training

    General Background

    Subjects of Special Study or Research Work
    Special Skills
    Military Service
    Currently in Guard/Reserve?

    Former Employment
    List below your last three employers, starting with the most recent.List names and addresses where you were employed during the last 10 years. This is a DOT requirement. (391.21(10&11)
    **You must include the complete address including street, city, state, zip code and phone number**


    Employer & Position Information

    I was subject to FMCSR rules while employed at this company:
    My job was designated as a safety sensitive subject to 49 CFR Part 40

    Employer & Position Information

    I was subject to FMCSR rules while employed at this company:
    My job was designated as a safety sensitive subject to 49 CFR Part 40

    Employer & Position Information

    I was subject to FMCSR rules while employed at this company:
    My job was designated as a safety sensitive subject to 49 CFR Part 40

    Employer & Position Information

    I was subject to FMCSR rules while employed at this company:
    My job was designated as a safety sensitive subject to 49 CFR Part 40

    Employer & Position Information

    I was subject to FMCSR rules while employed at this company:
    My job was designated as a safety sensitive subject to 49 CFR Part 40

    Employer & Position Information

    I was subject to FMCSR rules while employed at this company:
    My job was designated as a safety sensitive subject to 49 CFR Part 40

    Employer & Position Information

    I was subject to FMCSR rules while employed at this company:
    My job was designated as a safety sensitive subject to 49 CFR Part 40

    Employer & Position Information

    I was subject to FMCSR rules while employed at this company:
    My job was designated as a safety sensitive subject to 49 CFR Part 40

    Employer & Position Information

    I was subject to FMCSR rules while employed at this company:
    My job was designated as a safety sensitive subject to 49 CFR Part 40

    Employer & Position Information

    I was subject to FMCSR rules while employed at this company:
    My job was designated as a safety sensitive subject to 49 CFR Part 40

    Traffic Violations

     
    In CMV?
     
    In CMV?
     
    In CMV?
     
    In CMV?

    Revocations & Suspensions

    Have you ever had a license, permit, or privilege to operate a motor vehicle denied, revoked, or suspended?

    Emergency Contact


    Wyoming Casing Service, Inc. is a DRUG FREE WORKPLACE.

    A pre-employment HAIR FOLLICLE test is required before anyone may begin work. Employees are subject to frequent random urinalysis testing and hair follicle testing while employed with WCS.

    By submitting this application:

  • I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.
  • In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into an agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.
  • Note: Previous employer(s) may be contacted and information provided may be used to investigate the applicant’s background. Per 391.23(i), (due process rights) the employee can request information received as part of the background investigations completed.

  • (i)(1)(i) The right to review information provided by previous employers;
  • (i)(1)(ii) The right to have errors in the information corrected by the previous employer and for that previous employer to re-send the corrected information to the prospective employer;
  • (i)(1)(iii) The right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information. (For a more detailed explanation of the driver’s rights please see FMCSR 391.23)
  • “This certifies that the application was completed by me, and that all entries on it and information contained in it are true and complete to the best of my knowledge. I understand that if I am employed, false statements may result in dismissal. I authorize Wyoming Casing Service Inc. to make an investigation of any of the facts set forth in this application.”

    All offers of employment are conditional upon satisfactory reference checks. Successful completion of a physical exam and drug test is required for certain classifications.

    By signing this form I authorize Wyoming Casing Service Inc. to obtain a Motor Vehicle Report pursuant to §391.23 requirements.