Scribd Logo
Upload

Welcome to Scribd!

  • Employment History

    Uploaded by

    deviasco
    17 views1 page
    This document contains an employment history form for the past 3-7 years. It requests information about previous employers such as company name, dates of employment, position held, average weekly earnings, reason for leaving, whether the applicant was subject to drug and alcohol testing or FMCSA regulations. It also asks about any accidents and the type of equipment driven for each employer. Periods of unemployment between jobs are also documented with start and end dates.

    Original Description:

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document contains an employment history form for the past 3-7 years. It requests information about previous employers such as company name, dates of employment, position held, average weekly earnings, reason for leaving, whether the applicant was subject to drug and alcohol testing or FMCSA regulations. It also asks about any accidents and the type of equipment driven for each employer. Periods of unemployment between jobs are also documented with start and end dates.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    17 views1 page

    Employment History

    Uploaded by

    deviasco
    This document contains an employment history form for the past 3-7 years. It requests information about previous employers such as company name, dates of employment, position held, average weekly earnings, reason for leaving, whether the applicant was subject to drug and alcohol testing or FMCSA regulations. It also asks about any accidents and the type of equipment driven for each employer. Periods of unemployment between jobs are also documented with start and end dates.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Employment History For Past 3 Years (Continued)

    (Ten Years For Experienced Drivers)


    Fourth to Last Employer:
    Company Name______________________________________________ From ______ / ______ To ______ / ______
    month year month year
    Address_____________________________________________________ Position Held_______________________________________________
    City_______________________________State__________Zip__________ Average Weekly Earnings______________ / C.P.M.______________
    Telephone (______) _ __________________________________________ Reason for Leaving__________________________________________
    Supervisor_ __________________________________________________ Self Employed? o Yes o No
    Subject to Drug & Alcohol Testing? o Yes o No Subject to FMCSA Regulations? o Yes o No
    Accidents: o Yes o No How Many (Please Circle) 1 2 3 4 More
    Equipment Driven: o Tractor Trailer o Straight Truck o Other _______________________________ Miles Per Week_ ___________

    Period of unemployment (if any) between employers: From ______ / ______ To ______ / ______
    month year month year

    Fifth to Last Employer:


    Company Name______________________________________________ From ______ / ______ To ______ / ______
    month year month year
    Address_____________________________________________________ Position Held_______________________________________________
    City_______________________________State__________Zip__________ Average Weekly Earnings______________ / C.P.M.______________
    Telephone (______) _ __________________________________________ Reason for Leaving__________________________________________
    Supervisor_ __________________________________________________ Self Employed? o Yes o No
    Subject to Drug & Alcohol Testing? o Yes o No Subject to FMCSA Regulations? o Yes o No
    Accidents: o Yes o No How Many (Please Circle) 1 2 3 4 More
    Equipment Driven: o Tractor Trailer o Straight Truck o Other _______________________________ Miles Per Week_ ___________

    Period of unemployment (if any) between employers: From ______ / ______ To ______ / ______
    month year month year

    Sixth to Last Employer:


    Company Name______________________________________________ From ______ / ______ To ______ / ______
    month year month year
    Address_____________________________________________________ Position Held_______________________________________________
    City_______________________________State__________Zip__________ Average Weekly Earnings______________ / C.P.M.______________
    Telephone (______) _ __________________________________________ Reason for Leaving__________________________________________
    Supervisor_ __________________________________________________ Self Employed? o Yes o No
    Subject to Drug & Alcohol Testing? o Yes o No Subject to FMCSA Regulations? o Yes o No
    Accidents: o Yes o No How Many (Please Circle) 1 2 3 4 More
    Equipment Driven: o Tractor Trailer o Straight Truck o Other _______________________________ Miles Per Week_ ___________

    Period of unemployment (if any) between employers: From ______ / ______ To ______ / ______
    month year month year

    Seventh to Last Employer:


    Company Name______________________________________________ From ______ / ______ To ______ / ______
    month year month year
    Address_____________________________________________________ Position Held_______________________________________________
    City_______________________________State__________Zip__________ Average Weekly Earnings______________ / C.P.M.______________
    Telephone (______) _ __________________________________________ Reason for Leaving__________________________________________
    Supervisor_ __________________________________________________ Self Employed? o Yes o No
    Subject to Drug & Alcohol Testing? o Yes o No Subject to FMCSA Regulations? o Yes o No
    Accidents: o Yes o No How Many (Please Circle) 1 2 3 4 More
    Equipment Driven: o Tractor Trailer o Straight Truck o Other _______________________________ Miles Per Week_ ___________

    Period of unemployment (if any) between employers: From ______ / ______ To ______ / ______
    month year month year

    You might also like