Chucks Trucking Inc., Employment Application
5655 IH 35 South New Braunfels, TX 78132
Phone 830.625.5999 Fax 830.625.2524
ABOUT YOU
Name
SSN
Phone Number
Date of Birth
Present Address
City
State
Zip
How Long
Your Experience/ Present OR Last Employer
How Many Years of Tractor Experience do you have?
May we contact your present employer
Yes
No
Present/Last Employer
City
State
Zip
Phone
From
To
Position
Equipment Operated
Van
Flatbed
Previous Employer
City
State
Zip
Phone
From
To
Position
Equipment Operated
Van
Flatbed
Previous Employer
City
State
Zip
Phone
From
To
Position
Equipment Operated
Van
Flatbed
Current DL Number
State
CDL?
Yes
No
Endorsements
Moving Violations
(last 3 yrs)
Accidents
(last 3 yrs)
Has your license ever been suspended or revoked
Yes
No
Have you had a DUI/DWI
Yes
No
Have you ever had a criminal conviction
Yes
No
Be sure to read the privacy act. Do you agree to the terms?
No
Yes