Application for Diver / DOT

Application for Driver / DOT

Scherer Bros. is proud to be a drug free work place. A screening for illegal drug use is required as a condition of employment.

Scherer Bros. is proud to be a drug free work place. A screening for illegal drug use is required as a condition of employment. A Pre-Employment Physical, DOT Health Check and Background Checks will be conducted for Driving Position. A criminal conviction or other adverse results does not automatically disqualify you for the position.

Scherer Bros. Lumber Co. is an equal opportunity employer and does not discriminate against qualified applicants on the basis of race, color, religion, creed, gender or any other legally protected status.
Position applying for:*
Date of Application:*
MM slash DD slash YYYY
Name*
First M.I. Last
Phone*
Best time to contact you:*

: Hours

Minutes

AM/PM
Email*
Preferred method of contact:*
- Phone
- E-mail
List your addresses of residency for the past 3 years:*
Current Address:

Street Address City State ZIP Code
How Long?
How Long?
Previous Address:
Previous Address:

Street Address City State ZIP Code
How Long?
How Long?
Previous Address:
Previous Address:

Street Address City State ZIP Code
How Long?
How Long?
Do you have a legal right to work in the United States?*
Proof of citizenship or immigration status will be required upon employment.
- Yes
- No
Date of Birth:
(Required for Commercial Drivers)
MM slash DD slash YYYY
Can you provide proof of age?*
- Yes
- No
Have you ever been employed with us before?*
- Yes
- No
If yes, list date & location:
Reason for Leaving:
How did you hear about this position?
Did someone refer you (Name)*
Date Available for Work:
MM slash DD slash YYYY
What is your desired salary range:

Eduction:
Please select all that apply:*
- High School
- College
- Vocational or College
High School
Name & Address
Course of Study
# years completed
Diploma / Degree
College
Name & Address
Course of Study
# years completed
Diploma / Degree
Vocational or College
Name & Address
Course of Study
# years completed
Diploma / Degree
EXPERIENCES & QUALIFICATIONS
Divers License(s)
State
State
License No.
Type of License
Expiration Date
State
State
License No.
Type of License
Expiration Date
State
State
License No.
Type of License
Expiration Date
As a prospective employer, Scherer Bros. Lumber Co. must ask any applicant applying for a driving position with our company, whether he/she has tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which the applicant applied for, but did not obtain, “safety-sensitive transportation work” (driving a commercial motor vehicle) during the past three years.
- Yes, I have tested positive for drug/alcohol, or refused to take a pre-employment drug/alcohol test in the three years preceding the date of this application.
- No, I have not tested positive for drug/alcohol, or refused to take a pre-employment drug/alcohol test in the three years preceding the date of this application.
DOT regulations prohibit our utilizing you to perform a “safety-sensitive function” (driving a commercial motor vehicle) if you admit that you had a positive test, or refusal to test, until and unless you provide documents showing successful completion of the return-to-duty process in accordance with DOT regulation.

This certifies that I completed this addendum to the employment application, and that all information wherein is true and complete to the best of my knowledge. I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.
Signature
Date
MM slash DD slash YYYY
APPLICANT’S STATEMENT:

This certifies that the application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge and I authorize Scherer Bros. to verify their accuracy and to obtain reference information on my work performance and history. I hereby release Scherer Bros. from any/all liability of whatever kind of nature, which could result from obtaining and having an employment decision based on such information.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Scherer Bros. is of an “at will” nature, which means that I may resign at any time and Scherer Bros. may discharge me at any time without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Scherer Bros.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations at Scherer Bros.
Signature
Date
MM slash DD slash YYYY

Step 1 of 5

Application for Driver / DOT

Employment History:

List any accidents of record in the past 3 years.

List any traffic convictions, forfeitures, revocation, or suspensions in the past three (3) years.

Eduction:

High School

College

Vocational or College

EXPERIENCES & QUALIFICATIONS

APPLICANT’S STATEMENT:

Applicant Self Identification Form