CDL Driver Careers - Lansing at Granger Waste Services

First Name *

Last Name *

Email *

Home Phone

Cell Phone *

Resume (optional)

Copy of your Motor Vehicle Report (MVR) (optional)

Street Address *

City *

State: *

Zip Code *

How long have you lived at this address? *

If you were at the above address less than three years, list your previous address.

How long did you live at your previous address?

How did you hear about this opportunity? *

If someone referred you to this position, please share their name.

Date available to start employment *

Have you applied at Granger before? If so, when and for what position?

Have you ever been convicted of any crime (including misdemeanor or felony), been imprisoned, or are you presently charged with a felony? *

If you answered yes above, please state citation, date and place where offense occurred.

Date of birth (required for commercial drivers) *

Can you provide proof that you are eligible to work in the United States? *

What is the starting rate of pay you are expecting in your next job? *

The Federal Motor Carrier Safety Administration requires all persons applying for employment as a commercial motor vehicle operator to provide employment history for the 10 years preceding the date the application is submitted. Granger also requires additional information in order to be considered for employment. Please provide name of most recent employer. *

Position *

Start date *

End date *

Hours worked per week *

Address (Street/City/State/Zip) *

Phone

Supervisor's name and title *

Why did you leave, or if you currently work there, why are you interested in leaving? *

Ending salary *

Was your job designated as a safety-sensitive function under the Department of Transportation rules and were you subject to drug and alcohol testing? (If your employment required a CDL, you were subject to these regulations.) *

Were you subject to Federal Motor Carrier Safety Regulations while employed? (If your employment required a CDL, you were subject to these regulations.) *

If you do not want us to contact this employer or if you have any other comments, please explain here. *

Next most recent employer *

Next most recent position *

Start date (for next most recent position) *

End date (for next most recent position)

Any gap in employment must be explained between most recent and next most recent employer. Please include dates (month/year) and reason. *

Hours worked per week (for next most recent employer) *

Address (Street/City/State/Zip, for next most recent employer) *

Phone (for next most recent employer) *

Supervisor's name and title (for next most recent employer) *

Why did you leave? *

Ending salary (for next most recent employer) *

Was this next most recent job designated as a safety-sensitive function under the Department of Transportation rules and were you subject to drug and alcohol testing? (If your employment required a CDL, you were subject these regulations.) *

Were you subject to Federal Motor Carrier Safety Regulations while employed in this next most recent job? (If your employment required a CDL, you were subject to these regulations.) *

If you do not want us to contact this next most recent employer or if you have any other comments, please explain here. *

Third most recent employer

Third most recent position

Start date (for third most recent position)

End date (for third most recent position)

Please explain any gap in employment between the second and third most recent employer. Include dates (month/year) and reason.

Hours worked per week (for third most recent employer)

Address (Street/City/State/Zip for third most most recent employer)

Phone (for third most recent employer)

Supervisor's name and title (for third most recent employer)

Why did you leave this third most recent employer?

Ending salary (for third most recent employer)

Was this third most recent job designated as a safety-sensitive function under the Department of Transportation rules and were you subject to drug and alcohol testing? (If your employment required a CDL, then you were subject to these regulations.)

Were you subject to Federal Motor Carrier Safety Regulations while employed in this third most recent job? (If your employment required a CDL, you were subject to these regulations.)

If you do not want us to contact this third most recent employer or if you have any other comments, please explain here.

Fourth most recent employer

Fourth most recent position

Start date (for fourth most recent position)

End date (for fourth most recent position)

Please explain any gap in employment between the third and fourth most recent employer. Include dates (month/year) and reason.

Hours worked per week (for fourth most recent employer)

Address (Street/City/State/Zip for fourth most recent employer)

Phone (for fourth most recent employer)

Supervisor's name and title (for fourth most recent employer)

Why did you leave this fourth most recent employer?

Ending salary (for fourth most recent employer)

Was this fourth most recent job designated as a safety-sensitive function under the Department of Transportation rules and were you subject to drug and alcohol testing? (If your employment required a CDL, then you were subject to these regulations.)

Were you subject to Federal Motor Carrier Safety Regulations while employed in this fourth most recent job? (If your employment required a CDL, you were subject to these regulations.)

If you do not want us to contact this fourth most recent employer or if you have any other comments, please explain here.

Fifth most recent employer

Fifth most recent position

Start date (for fifth most recent position)

End date (for fifth most recent position)

Please explain any gap in employment between the fourth and fifth most recent employer. Include dates (month/year) and reason.

Hours worked per week (for fifth most recent employer)

Address (Street/City/State/Zip for fifth most recent employer)

Phone (for fifth most recent employer)

Supervisor's name and title (for fifth most recent employer)

Why did you leave this fifth most recent employer?

Ending salary (for fifth most recent employer)

Was this fifth most recent job designated as a safety-sensitive function under the Department of Transportation rules and were you subject to drug and alcohol testing? (If your employment required a CDL, you were subject to these regulations.)

Were you subject to Federal Motor Carrier Safety Regulations while employed in this fifth most recent job? (If your employment required a CDL, you were subject to these regulations.)

If you do not want us to contact this fifth most recent employer or if you have any other comments, please explain here.

Have you ever been terminated from a prior job, regardless of how long ago? *

If yes, please provide name of employer and reason for termination.

Section 383.21 FMCSR states "No person who operates a commercial motor vehicle shall at any time have more than one driver's license." I certify that I do not have more than one motor vehicle license, the information for which is listed below *

State in which license issued *

License type *

License expiration date *

License number *

Have you ever been denied a license, permit or privilege to operate a motor vehicle? *

Has a license, permit or privilege ever been suspended or revoked? *

Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations? *

If yes, please explain.

Straight/box truck driving experience (list types of equipment such as van, tank, etc.)

Straight/box truck dates of driving (M/Y)

Approximate total miles driven (straight/box truck)

Tractor & semi-trailer driving experience (list types of equipment such as van, tank, etc.)

Tractor & semi-trailer dates of driving (M/Y)

Tractor & semi-trailer approximate total miles driven

Motor coach/bus driving experience (list types of equipment such as van, tank, etc.)

Motor coach/bus dates of driving (M/Y)

Motor coach/bus approximate total miles driven.

Other driving experience (list types of equipment such as van, tank, etc.)

Other dates of driving (M/Y)

Other approximate total miles driven

List states operated in for last 5 years.

List special courses of training completed that will help you as a driver.

List safety driving awards held and from whom.

List special equipment or technical materials you can work with.

Accident #1: Date (enter "none" below if no accidents and skip remaining accident fields) *

Accident #1: Nature of accident (head on, rear-end, etc.)

Accident #1: Fatalities

Accident #1: Injuries

Accident #1: Spills

Accident #2: Date

Accident #2: Nature of accident (head on, rear-end, etc.)

Accident #2: Fatalities

Accident #2: Injuries

Accident #2: Spills

Accident #3: Date

Accident #3: Nature of accident (head on, rear-end, etc.)

Accident #3: Fatalities

Accident #3: Injuries

Accident #3: Spills

Traffic Incident #1: Date (enter "none" below if no incidents and skip remaining traffic incident fields) *

Traffic Conviction or Forfeiture #1: Location

Traffic Conviction or Forfeiture #1: Charge

Traffic Conviction or Forfeiture #1: Penalty

Traffic Conviction or Forfeiture #2: Date

Traffic Conviction or Forfeiture #2: Location

Traffic Conviction or Forfeiture #2: Charge

Traffic Conviction or Forfeiture #2: Penalty

Traffic Conviction or Forfeiture #3: Location

Traffic Conviction or Forfeiture #3: Charge

Traffic Conviction or Forfeiture #3: Penalty

Traffic Conviction or Forfeiture #3: Date

List any additional traffic incidents:

EDUCATION: Have you graduated from high school or completed the GED equivalent? *

Name and location of high school

OTHER EDUCATION (college or university, graduate school, trade school). School #1: Name and location

School #1: Number of years attended

School #1: Graduated

School #1: Major/degree

School #2: Name and location

School #2: Number of years attended

School #2: Graduated

School #2: Major/degree

School #3: Name and location

School #3: Number of years attended

School #3: Graduated

School #3: Major/degree

MILITARY SERVICE: Branch of Service

Dates of Service

Rank

Reserve Status

Duties/Special Training

REFERENCES (This section must be completely filled out to be considered for employment.) Do not list family or friends, but rather people who are well acquainted with your work ability and character. Reference #1: Name *

Reference #1: Address *

Reference #1: Phone *

Reference #1: Relationship to you *

Reference #2: Name *

Reference #2: Address *

Reference #2: Phone *

Reference #2: Relationship to you *

Reference #3: Name *

Reference #3: Address *

Reference #3: Phone *

Reference #3: Relationship to you *

Emergency Contact Name *

Emergency Contact Phone *

Do you have activities, commitments or responsibilities (such as school or other employment) that might interfere with your ability to work full-time, including overtime, in the position for which you are applying? If so, explain.

Provide any additional information such as special skills, training, driving or other awards, management experience, equipment operation, or qualifications that you feel will be helpful to us in considering your application.

Please read the following statements carefully before attesting to indicate your understanding. I certify that all of the information furnished on this application is true, complete, and correct. *

I understand and agree that any falsification, misrepresentation or omission of fact either on this application or during the pre-hire process may result in my not being offered employment or being dismissed at any time from the service of Granger if employed. *

I understand that Granger is an at-will employer and, if hired, either Granger or I may terminate the employment relationship at any time with or without notice and with or without cause. This provision supersedes any oral or written representations to the contrary, unless the written statement is signed by the president of Granger. *

I authorize and request my former employers, references, educational institutions, and any credit agencies or reporting services that have information about me to give Granger any information and opinions about me in their possession and which may lawfully be disclosed. *

I hereby waive written notice of such releases of information and opinions, and I release such former employers, references, educational institutions, and any credit agencies or reporting services from any liability or claim relating to such release of information and opinions. *

I authorize/request federal, state, and local governmental agencies to release to Granger any information concerning any criminal convictions of my record. Medical and workers’ compensation information will only be requested in compliance with the Federal Americans with Disabilities Act (ADA) and/or other applicable state laws. A copy of this signed waiver will be valid as original. *

I understand that all Granger associates are required to take a drug screen test prior to employment. If offered employment by Granger, a pre-employment physical will be required prior to my employment. *

In the event that I have a disability that will affect my ability to take the physical, Granger must be informed prior to the physical so that a reasonable accommodation can be made. I understand that Granger reserves the right to require medical documentation regarding the need for accommodation. *

I understand that information I provide regarding current or previous employers may be used, and those employers will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). *

I understand that I have the right to review information provided by previous employers, have errors corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer, and have a rebuttal statement attached to the alleged erroneous information, if the previous employer and I cannot agree on the accuracy of the information. *

I also understand that reports verifying my previous employment, previous drug and alcohol test results, and my driving record may be obtained for the purpose of determining whether I will be employed by Granger. These reports are required by FMCSR and this statement informs me that Granger will obtain these records in accordance with the FCRA and CCRA. *

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