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Join our team!

Join our team!Jordan Doucet2023-11-28T11:32:48-06:00

Delta One Employment Application

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Application for Employment

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, gender, national origin, age, martial status, veteran status, non-job related disability, or any other protected group status.

Your Personal Information

MM slash DD slash YYYY

Your Name*

Your Email Address

Address*

MM slash DD slash YYYY

This field is hidden when viewing the form

Undeleted DD-214 will be requested.

Conviction of a crime is not an automatic bar to employment. All circumstances will be considered.

Position You're Applying For

Desired Position*

MM slash DD slash YYYY

What hours are you available each day?*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
 

If yes, please provide the information below.*
Date
Location
Reason for leaving
 

CDL Driver's Application for Employment

To the applicant: The information below is required by the Department of Transportation (DOT) regulations section 391.23. We may investigate all information provided below and contact your previous employers for the purpose of evaluating you application.

Driver must be at least 23 years old

(Required for Commercial Drivers)

A minimum of 2 years of verifiable experience required.
Drivers Licenses*
State
License No.
Type
Expiration Date
 

Please list your driving experience.
(equipment class e.g., Straight Truck, Tractor & Semi Trailer, Tractor-Two Trailers, Tractor-Three Trailers, Other)
Class of Equipment
Type (Van, Tank, Flat, Dump, Refer)
Dates (MM/YYYY) to (MM/YYYY)
Approx. No. of Miles (Total)
 

Accident Record for the past THREE years or more:*
Start with the most recent. Nature of accident e.g., head-on, rear-end, upset, etc.
Dates
Nature of Accident
Fatalities
Injuries
HazMat Spill
 

Traffic Conviction and Forfeitures for the past THREE years (other than parking violations):*
(e.g., buses, trucks, tractors, semi-trailers, and pole trailers)
Location
Date
Charge
Penalty
 

Employment History

Your Previous Employers
Please list your previous employers, the dates you worked and the position you held.
Employer
Address
Phone
Position
Start/End Dates
Name of Supervisor
Reason for Leaving
Final Salary
May we contact?
 

Please list your previous employers, the dates you worked and the position you held within the past THREE years, as well as all employers for whom you have operated a Commercial Motor Vehicle (CMV) in the past SEVEN years.
Your Previous Employers
Employer
Address
Phone
Position
Start/End Dates
Name of Supervisor
Reason for Leaving
Final Salary
May we contact?
 

Education

Schools Attended
Please list the below information for schools attended.
School Name
Location
Year
Major
Degree
 
Certifications
Certification Name
Issued by
Expiration Date
 

References

Professional References*
Please give names and contact numbers of at least THREE non-related people, preferably from previous work places, who you have known for more than one year.
Name
Company
Position
Phone
 

EMERGENCY CONTACT INFO

In case of emergency, please notify:*
Please the information of at least TWO people who you consider an emergency contact.
Name
Address
Phone
Relationship
 

More About You

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            Blank Release of Information Form – 49 CFR Part 40 (opens in new tab)

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              Applicant Acknowledgement*
              TO BE READ AND AGREEDED TO BY APPLICANT
              I certify that all information provided by me on this application is true and complete to the best of my knowledge and that I have withheld nothing that, if disclosed, would alter the integrity of this application.
              I authorize my previous employers, schools, or persons listed as references to give any information regarding employment or educational record. I agree that this company and my previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment is terminated because of false statements, omissions, or answers made by myself on this application. In the event of any employment with this company, I will comply with all rules and regulations as set by the company in any communication distributed to the employees.
              In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to the company that verifies my right to work in the United States on the first day of employment. I have received from the company a list of the approved documents that are required.
              I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I hereby acknowledge that I have read and understand the above statements.
              Applicant Acknowledgement for Driver Applicants*
              TO BE READ AND AGREEDED TO BY APPLICANT
              I authorize you to make such, investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby-release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.
              In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations at the Company. I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) 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 in the information corrected by previous employers and for those previous employers to
              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(s) And I cannot agree on the accuracy of the information.

              This field is for validation purposes and should be left unchanged.

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              Phone: 337-585-4553
              Fax: 337-585-7750
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              Office Hours: Monday-Friday
              7:00 a.m. – 5:00 p.m.
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