McKinley Group Petroleum Tank Truck Transportation     Driver Application Form
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All fields labeled in red are mandatory:

First name: Middle: Last name:
Social Security Number:
Address:    E-Mail:
City:
State:
Zip:
Phone: (XXX-XXX-XXXX)      Birth Date: (MM/DD/YY)

CDL Information:

CDL Driver's License #:
Issued in which state?      Expiration date: (MM/DD/YY)

Years of tractor/trailor experience?      Hazardous Materials Endorsement? yes no
Tanker Endorsement? yes no
Years of experience with these types of equipment: Van Tanker Flatbed Other
Has your license ever been suspended or revoked? yes no
                            If yes, when? Where?
Number of moving violations in the last 3 years?
Have you had any accidents in the last 3 years? yes no
                    If yes,  When? (MM/DD/YY)      Where?(City/State)
                    Amount of damage?         Who was at fault?
Have you ever been convicted of a crime? yes no   
                            If yes, explain:

Employer information:

Current Employer:      Position:
City:     State:
Phone: (XXX-XXX-XXXX)        Contact:
Employment dates: From:(MM/DD/YY)     To: (MM/DD/YY)     Monthly Income:

Previous Employer:      Position:
City:     State:
Phone: (XXX-XXX-XXXX)        Contact:
Employment dates: From:(MM/DD/YY)     To: (MM/DD/YY)     Monthly Income:
Why did you leave this company?

Previous Employer:      Position:
City:     State:
Phone: (XXX-XXX-XXXX)        Contact:
Employment dates: From:(MM/DD/YY)     To: (MM/DD/YY)     Monthly Income:
Why did you leave this company?

I certify that I have read and understood all of this employment application. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test.
I further certify that I am a a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason.
It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include and investigative Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living.
I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.
I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.
If hired, I agree to abide by all the rules and policies of the employer.
This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

[ Employment Opportunities | Home | McKinley History | Locations/Terminals | Request a Bid | Why do business with us? ]

How to contact us:

Telephone: 989-584-3177
FAX: 989-584-3388
652 N. Williams St.  - Carson City, Mi. 48811
mail.gif (4196 bytes) mg@mckinleygrp.com

Copyright © 1997-2000 McKinley Trucking Company, Inc.
Last modified: August 01, 2008