APPLICATION FOR EMPLOYMENT
Call 432-943-2600
Employment

Doc’s Reverse Units & Rental Tools, Inc. is an Equal Opportunity Employer. Doc’s Reverse Units & Rental Tools, Inc. does NOT discriminate on the basis of race, religion, ethnicity, sex, or age.

APPLICATION FOR EMPLOYMENT
Download Employment Application

Complete, Sign, Scan, and Email applications to jobs@docsreverseunits.com

    Position Applying For:
    First Name
    Middle Name, If any
    Last Name
    PHONE
    ADDRESS (Must add state, city and zip code)
    HOW LONG?
    ADDRESS FOR THE PAST 3 YEARS (Must add state, city and zip code)
    HOW LONG?
    Attach additional address information here if needed.

    MILITARY STATUS

    (IN N.J. DO NOT FILL IN THIS LINE UNLESS HIRED)

    EDUCATION

    EXPERIENCE AND QUALIFICATIONS ----- DRIVER

    STATE
    LICENSE NO.
    TYPE
    EXPIRATION DATE
    A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?

    B. Has any license, permit or privilege ever been suspended or revoked?

    IF THE ANSWER TO EITHER A OR B IS YES, ATTATCH STATEMENT GIVING DETAILS

    EMPLOYMENT FOR THE PAST 7 YEARS

    (Upload resume here or attach additional information if needed.)
    LAST EMPLOYER #1: NAME
    ADDRESS
    POSITION HELD
    FROM
    TO
    SALARY
    REASONS FOR LEAVING
    LAST EMPLOYER #2: NAME
    ADDRESS
    POSITION HELD
    FROM
    TO
    SALARY
    REASONS FOR LEAVING
    LAST EMPLOYER #3: NAME
    ADDRESS
    POSITION HELD
    FROM
    TO
    SALARY
    REASONS FOR LEAVING
    LAST EMPLOYER #4: NAME
    ADDRESS
    POSITION HELD
    FROM
    TO
    SALARY
    REASONS FOR LEAVING
    LAST EMPLOYER #5: NAME
    ADDRESS
    POSITION HELD
    FROM
    TO
    SALARY
    REASONS FOR LEAVING
    LAST EMPLOYER #6: NAME
    ADDRESS
    POSITION HELD
    FROM
    TO
    SALARY
    REASONS FOR LEAVING
    LAST EMPLOYER #7: NAME
    ADDRESS
    POSITION HELD
    FROM
    TO
    SALARY
    REASONS FOR LEAVING

    PREVIOUS DRIVING EXPERIENCE

    (a) Have you been employed as a driver by other Motor Carriers prior to date of this application?

    ACCIDENT RECORD

    List all accidents in which you were involved as a driver during the preceding five years.

    Date
    Nature
    Number of Fatalities
    Persons Injured
    Date
    Nature
    Number of Fatalities
    Persons Injured
    Date
    Nature
    Number of Fatalities
    Persons Injured
    Date
    Nature
    Number of Fatalities
    Persons Injured

    WORK INJURY RECORD

    List all personal injuries suffered by you that were job connected, and give the following information pertaining to each injury. If not, so state:

    Date
    Employer
    Type
    Compensatory
    Non- Compensatory
    Date
    Employer
    Type
    Compensatory
    Non- Compensatory
    Date
    Employer
    Type
    Compensatory
    Non- Compensatory
    Date
    Employer
    Type
    Compensatory
    Non- Compensatory

    TRAFFIC VIOLATION RECORD

    List all violations of motor vehicle law or ordinances (other than violations involving only parking) of which you were convicted or forfeited bond or collateral during the three years preceding date of this application.

    Date
    Type
    Location
    Date
    Type
    Location
    Date
    Type
    Location
    Date
    Type
    Location
    By submitting this application it is agreed and understood that any misrepresentations of information given above shall be considered an act of dishonesty. It is agreed and understood that the employer or his agents may investigate the applicant’s background to ascertain any and all information of any damages on account of his furnishing such information. The applicant agrees to furnish such additional information and complete such examinations as may be required to complete his employment file. It is agreed and understood that this application for employment in no way obligates the employer to employ this applicant. It is agreed and understood that if hired, the employee may be on a probationary period during which time he may be may be discharged without recourse. It is further understood that the information in this application will be used, and prior employers will be contacted for, purposes of investigation as required by 391.29 of Motor Carrier Safety Regulations.