Today's Date
Note: For this JOB a CDL is not required.
Your name:
Do you have a CDL ?
Your email address:
Are you a U.S. Citizen ?
Your phone number:
Have you ever been convicted of a felony ?
Your address 1:
Have you ever been convicted of a DUI ?
Your address 2:
Do you currently have a valid drivers license ?
Your city:
Do you have transportation to drive to work ?
Your state code:
Your zip:
Have you ever driven a forklift ?
Have you ever hauled hay ?
Level of Education ?
This job requires you to be able to lift a bale
of hay weighing roughly 90 pounds.
Are you able to lift a bale of hay ?
LAST 3 REFERENCES:
Have you ever driven a semi-truck ?
Name
Are you always on-time ?
Company
Are you mechanically inclined ?
Phone
Do you change your own car oil ?
Position
Can you change a tire ?
Reason no
longer
employed?
Do you check your engine oil ?
Do you know how to adjust brakes on a
semi-truck ?
Name
Name
Company
Company
Phone
Phone
Position
Position
Reason no
longer
employed?
Reason no
longer
employed?