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About
Experience + Equipment
Safety
Where We Work
Services
Oil & Gas Prices
Gallery
Contact
Application For Employment
Application For Employment
Step
1
of
4
25%
State
--Choose State--
Michigan
North Dakota
Pennsylvania
Position(s) applied for
Supervisor/Pusher
Rig Operator
Derrick Hand
Floor Hand
Hot Shot Trucking
General Information
Name
First
Last
Phone
Date of Birth
MM slash DD slash YYYY
Email
Current Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long at current address?
If less than 3 years, please provide former address
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Do you have the legal right to work in the United States?
Yes
No
Have you worked for this company before?
Yes
No
If Yes, Dates: From
Date From
MM slash DD slash YYYY
Date To
MM slash DD slash YYYY
Reason for leaving
Are you currently employed?
Yes
No
If not, how long since last employed:
Did anyone refer you to Team Services?
Yes
No
Employment History
Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall also provide an additional 7 years information on those employers for whom the applicant operated such vehicle.
Previous Job
Name
Date From
MM slash DD slash YYYY
Date To
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Position Held
Salary
Contact Person
Reason for leaving
Previous Job
Name
Date From
MM slash DD slash YYYY
Date To
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Position Held
Salary
Contact Person
Reason for leaving
Previous Job
Name
Date From
MM slash DD slash YYYY
Date To
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Position Held
Salary
Contact Person
Reason for leaving
Experience And Qualifications
List all driver licenses or permits held in the past 3 years
State
License Number
Type
Expiration Date
State
License Number
Type
Expiration Date
State
License Number
Type
Expiration Date
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Yes
No
If yes, explain
Has any license, permit or privilege ever been suspended or revoked?
Yes
No
If yes, explain
Driving Experience
Straight Truck
Type of Equipment
Dates From & To
Approx. Total Miles
Tractor And Semi-Trailer
Type of Equipment
Dates From & To
Approx. Total Miles
Tractor-Two Trailers
Type of Equipment
Dates From & To
Approx. Total Miles
Tractor-Three Trailers
Type of Equipment
Dates From & To
Approx. Total Miles
Motorcoach-School Bus
(8+ passengers)
Type of Equipment
Dates From & To
Approx. Total Miles
Motorcoach-School Bus
(15+ passengers)
Type of Equipment
Dates From & To
Approx. Total Miles
Other
Type of Equipment
Dates From & To
Approx. Total Miles
List states operated in for the last five years
Education
Highest level of education completed
To be read and signed by applicant
Consent
This certifies that this application was completed by me, and all entries on it and information in it are true and complete to the best of my knowledge.
Date
MM slash DD slash YYYY
Signature
CAPTCHA
