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Application For Employment

 
Notice to the Applicant: We appreciate your interest in Tite Water Energy, LLC. A clear understanding of your background and work history will assist us with your possible placement or future advancement in our organization. Tite Water Energy, LLC. is an equal opportunity employer and you will be considered for employment without regards to race, color, religion, sex, national origin, age, marital status, or non-job related disabilities.

Please complete this application accurately and answer ALL questions. If the answer to any question is NO or NONE, do not leave blank.

CDL Type

         
Current Address & 3 years previous Addresses

Have you worked for Tite Water Energy before?
If Yes, Describe when and where:
Do you have any conditions that could affect your performance in this position?
If Yes, please explain
Some positions at Tite water Energy are safety sensitive; employment in one of these positions is conditional on the results of mandatory drug and alcohol testing, as described in the company's drug and alcohol policy
Are you willing to be tested for drug and/or alcohol before and while being employed?
Do you have reliable transportation to and from work?
Are you legally eligible to be employed in the USA? Can you provide proof?

Employment history: give a complete record of all employment for the past 10 years, including any unemployment or self-employment, and all commercial driving experienc for the past 10 years. List reasons for any gaps in employment over 3 molnths. Use comment section at the end of this application to provide other information.
FMCSR Employer?
Was the job rated as Safety Sensitive and DOT Regulated subject to the Drug/Alcohol Testing Requirements of 49 CFR Part 40:
 
FMCSR Employer?
Was the job rated as Safety Sensitive and DOT Regulated subject to the Drug/Alcohol Testing Requirements of 49 CFR Part 40:
 
FMCSR Employer?
Was the job rated as Safety Sensitive and DOT Regulated subject to the Drug/Alcohol Testing Requirements of 49 CFR Part 40:
 
FMCSR Employer?
Was the job rated as Safety Sensitive and DOT Regulated subject to the Drug/Alcohol Testing Requirements of 49 CFR Part 40:
 
FMCSR Employer?
Was the job rated as Safety Sensitive and DOT Regulated subject to the Drug/Alcohol Testing Requirements of 49 CFR Part 40:
 

* The Federal Motor Carrier Safety Regulations (FMCSR) apply to anyone who operates a motor vehicle on the highway in interstate commerce to transport passengers or property when the vehicle (1) has GVWR or weighs 10,001 pounds or more, (2) is designed or used to transport nine or more passengers, OR (3) is of any size used to transport hazardous materials in quantity requiring placarding.

Notice: Tite Water Energy, LLC reserves the right to contact previous employers to gather employment related information only. Present employers may also be contacted unless a notation of "DO NOT CONTACT" is made in the end date section of the present employer. Information collected will be used for screening, selection, and employment purposes only.

If approved for hire, per DOT regulations, ALL FORMER EMPLOYERS will be contacted regardless of whether you marked "DO NOT CONTACT" or not.

Education & Training
WHMIS First Aid TDG H2S GODI PDIC OHC

Driver's License Information:
Have you ever been denied a license, permit, or privlege to operate a motor vehicle?
Has any license, permit, or privilege ever been suspended or revoked?
Is there any reason you might be unable to perform the functions of the job for which you applied?
Have you ever been convicted of a felony?
If you answered "Yes" to any of the above questions, please give details:

Driving Experience:
Winch Tractor
Winch Tanker
Vacuum Pump
Other
Other
Other
List ALL states operated in, for past 5 years:

Accident record:
List all vehicle accidents you have had for the last 3 yers, use comment section if necessary.

Traffic convictions and forfeitures:
List for the last 3 years, othr than parking violations.
                   
                   
                   

Personal references:


I hereby certify that the best of my knowledge and belief that all of the answers given by me to the foregoing questions and all statements made by me in this application are true and correct. I further certify that I have read and understand fully all of the Notice to Applicants contained in this application. I hereby authorize Tite Water Energy, LLC to make an investigation of me as deemed necessary so far as such investigations are conducted within the legal limits established by the law. If employed, I agree to comply with the policies, rules and regulations of Tite Water Energy, LLC.