 Application Form
Hicks Trucking, LLC
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Applicant Information
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| *Bold fields are required |
| Last Name |
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First Name |
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| Middle Name |
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Date |
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| Street |
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Apt/Unit # |
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| City |
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State |
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| Zip |
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Phone |
XXX-XXX-XXXX |
| Email |
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Email (verify) |
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| Date Available |
MM/DD/YYYY |
Social Security No. |
XXX-XX-XXXX |
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| Driver’s License
No. |
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State |
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| Exp. Date |
MM/DD/YYYY |
Endorsements: |
Hazmat
Double/Tripple
Tanker |
| Class: |
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| Position Applied for |
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| Are you a citizen of the United States? |
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If no, are you authorized to work in the U.S.? |
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| Have you ever worked for this company? |
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If so, when? |
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| Have you ever been convicted of a felony or are any charges against you currently pending? |
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If yes, explain |
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| Education |
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| High School |
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Address |
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| From |
(ex. May 2000) |
To |
(ex. May 2000) |
| Did you graduate? |
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Degree |
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| College |
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Address |
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| From |
(ex. May 2000) |
To |
(ex. May 2000) |
| Did you graduate? |
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Degree |
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| Other |
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Address |
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| From |
(ex. May 2000) |
To |
(ex. May 2000) |
| Did you graduate? |
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Degree |
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| Company |
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Phone |
XXX-XX-XXXX |
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| Driving History |
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| Accidents (past 3 yrs) |
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Moving Violations(past 3 yrs) |
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Driving Preference
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Your current status
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| Years driving tractor trailer |
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| Previous Employment |
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| COMPANY #1 |
| Company |
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Phone |
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| Address |
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Supervisor |
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| Job Title |
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Starting Salary ($) |
(ex. 25,000) |
| Ending Salary ($) |
(ex. 25,000) |
Responsibilities |
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| From |
(ex. May 2000) |
To |
(ex. May 2000) |
| Reason for Leaving |
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May we contact your previous supervisor for a reference? |
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| COMPANY #2 |
| Company |
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Phone |
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| Address |
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Supervisor |
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| Job Title |
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Starting Salary ($) |
(ex. 25,000) |
| Ending Salary ($) |
(ex. 25,000) |
Responsibilities |
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| From |
(ex. May 2000) |
To |
(ex. May 2000) |
| Reason for Leaving |
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May we contact your previous supervisor for a reference? |
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| COMPANY #3 |
| Company |
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Phone |
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| Address |
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Supervisor |
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| Job Title |
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Starting Salary ($) |
(ex. 25,000) |
| Ending Salary ($) |
(ex. 25,000) |
Responsibilities |
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| From |
(ex. May 2000) |
To |
(ex. May 2000) |
| Reason for Leaving |
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May we contact your previous supervisor for a reference? |
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| Disclaimer and Signature |
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I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
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| Signature |
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Date |
05/06/2024 |
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