Employment

P O BOX 206

Pantego, NC 27860

(252) 943-3379

Toll Free (800) 682-2477

Get In Touch

support@shavender.com

Complete Online Job Application HERE:

Employment Application

Position Applied For *

Name *

First

Last

Social Security Number *

Current Address *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Previous Address *

Address Line 1

Address Line 2

City

State

Zip Code

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Do you have the legal right to work in the United States? *

Date Of Birth *

Have you ever worked for this company before? *

If So Where?

Dates: From - To

Rate of Pay

Can you provide proof of age?

Reason For Leaving

Are you currently Employed?

If not, how long since your last employment?

Who Referred You?

Rate of pay expected

Have you ever been bonded?

Name Of Bonding Company

Is there any reason you might be unable to perform functions of the job for which you have applied {as described in the attached job description}

Name of Previous Empolyer

Address

Address Line 1

Address Line 2

City

State

Zip Code

Contact Person and Phone Number

Position Held

Date / Time

From When To When

Rate Of Pay

Where you subject to the FMCSR's while employed?

Was your job designated as a safety-sensitive function in any DOT-Regulated Mode Subject to the drug and alcohol testing requirements of 49 CFR Part 40?

Reason For Leaving

Name of Previous Employer

Address

Address Line 1

Address Line 2

City

State

Zip Code

Contact Person and Phone Number

Position Held

Date / Time

From When To When

Rate Of Pay

Where you subject to the FMCSR's while employed?

Was your job designated as a safety-sensitive function in any DOT-Regulated Mode Subject to the drug and alcohol testing requirements of 49 CFR Part 40?

Reason For Leaving

Name of Previous Employer

Address

Address Line 1

Address Line 2

City

State

Zip Code

Contact Person and Phone Number

Position Held

Date / Time

From When To When

Rate Of Pay

Where you subject to the FMCSR's while employed?

Was your job designated as a safety-sensitive function in any DOT-Regulated Mode Subject to the drug and alcohol testing requirements of 49 CFR Part 40?

Reason For Leaving

Last Accident

Date / Nature of Accident / Fatalities / Injuries / Hazardous Material Spill

Next Previous

Date / Nature of Accident / Fatalities / Injuries / Hazardous Material Spill

Next Previous

Date / Nature of Accident / Fatalities / Injuries / Hazardous Material Spill

Driver's Licenses Held in the Past 3 Years

State / License Number / Class / Endorsements / Expiration Date

Driver's Licenses Held in the Past 3 Years

State / License Number / Class / Endorsements / Expiration Date

Driver's Licenses Held in the Past 3 Years

State / License Number / Class / Endorsements / Expiration Date

Driving Experience - Straight Truck

Tractor and Semi-Trailer

Tractor - Two Trailers

Tractor - Three Trailers

Motorcoach - School Bus

More Than 8 Passengers

Motorcoach - School Bus

More Than 15 Passengers

Other Driving Experience

Date / Time

From - To Each

Approximate Miles

List States Operated In for the last 5 years

Tell Us about any trucking, transportation or other experience that may help in your work for this company.

List Courses and Training other than shown elsewhere in this application

List Special Equipment or Technical materials you can work with (other than already shown)

Highest Grade Completed

Last School Attended

How Many Years of High School Completed

How Many Years of College

Signature

MVR Report Authorization

Shavender Trucking, LLC | P O BOX 206 Pantego, NC 27860 | (252) 943-3379 | Toll Free (800) 682-2447