Call / Text Us Today • 763.757.7100 MAKE A PAYMENT Employment Driver/Shop Application APPLICANT INFORMATION First Name * Middle Initial * Last Name * Street Address * Apartment / Unit # City * State * Zip Code * Today's Date * Phone Email * Position Applied For * How Many Hours? * Pay Rate Expected? * Date of Birth * Social Security # * License # Have you ever worked for this Company? * Choose One Yes No Are you legally able to be employed in the U.S.? * Yes No May we contact your present or past employers? * Yes No Have you ever been convicted of felony? * Yes No EDUCATION High School * Address * From * To * Did you graduate? * Yes No College Address From To Did you graduate? Yes No Degree Other Address From To Did you graduate? Yes No Degree Describe any specialized training, apprenticeship, skills & other activities that would be of importance to the position: REFERENCES Full Name * Relationship Company * Phone * Full Name Relationship Company Phone Full Name Relationship Company Phone PREVIOUS EMPLOYMENT Company * Phone * Address * Supervisor * Job Title * Starting Salary $ Ending Salary $ Responsibilities * From * To * Reason for leaving * May we contact your previous supervisor for a reference? * Yes No Company Phone Address Supervisor Job Title Starting Salary $ Ending Salary $ Responsibilities From To Reason for leaving May we contact your previous supervisor for a reference? Yes No Company Phone Address Supervisor Job Title Starting Salary $ Ending Salary $ Responsibilities From To Reason for leaving May we contact your previous supervisor for a reference? Yes No MILITARY Branch From To Rank of Discharge Type of Discharge If other then honorable, explain DRIVER QUALIFICATIONS • Valid Commercial Driver’s License (CDL) Class A or B w/airbrake in possession at the time of employment held for a minimum of three (3) years • Applicant must be twenty-three (23) years or older ACCIDENT RECORD FOR PAST 5 YEARS OR MORE (ATTACH SHEET IF NECESSARY) Last Accident Date * Nature of Accident * Fatalities * Injuries * Next Previous Nature of Accident Fatalities Injuries Next Previous Nature of Accident Fatalities Injuries Additional Accidents Drop a file here or click to upload Maximum upload size: 52.43MB EXPERIENCE AND QUALIFICATIONS - DRIVER LICENSES State * Licence # * Type * Expiration Date * State Licence # Type Expiration Date State Licence # Type Expiration Date Have you ever been denied a license, permit or privilege to operate a motor vehicle? * Yes No Has any license, permit or privilege ever been suspended or revoked? * Yes No DRIVING EXPERIENCE Straight Truck * Choose One Yes No Tractor & Semi-Trailer * Choose One Yes No Tractor - Two Trailers * Choose One Yes No Tractor - Three Trailers * Choose One Yes No Motorcoach - School Bus (more than 8 passengers) * Choose One Yes No Motorcoach - School Bus (more than 15 passengers) Choose One Yes No List States You've Operated In For The Last Five Years: * Show Special Courses Or Training That Will Help You As A Driver: * Which Safe Driving Awards Do You Hold & From Whom? * EXPERIENCE AND QUALIFICATIONS - OTHER Show any trucking, transportation or other experience that may help in your work for LePage & Sons. * Please list any additional courses and training not mentioned thus far. * Please list any special equipment or technical materials you can work with. * DISCLAIMER AND SIGNATURE I certify that the answers given herein are true and complete to the best of my knowledge. I hereby authorize LePage & Sons to investigate all statements contained in this application for employment and I release any party from claims based upon their providing information to LePage & Sons. I hereby authorize LePage & Sons to conduct a criminal background search and any further investigations deemed necessary by LePage & Sons. I authorize LePage & Sons to verify references and make other inquiries concerning any and all background information provided herein. I hereby waive any and all claims arising out of LePage & Sons’ investigation of my background. I understand and agree that any employment relationship with LePage & Sons is of an “at will” nature, which means that I may resign at any time and LePage & Sons may discharge me at any time with or without cause and with or without prior notice. It is further understood that this “at will” employment relationship may not be changed by verbal statement, written document, or by conduct unless such change is specifically acknowledged in writing by an authorized agent of LePage & Sons. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. Signature * Clear Today's Date * SUBMIT CONTACT LePage & Sons Inc. 23602 University Ave NW Bethel, MN 55005 Call / Text • 763.757.7100 info@mylepage.com HOURS Monday – Thursday • 8:00am – 4:30pm Friday • 8:00am – 4:00pm Saturday & Sunday • Closed SERVICES COMMERCIAL RESIDENTIAL RECYCLING BIG ITEM RECYCLING ROLL-OFF STORAGE CONTAINERS QUICK LINKS MAKE A PAYMENT COMMUNITY TESTIMONIALS FAQ CAREERS HOLIDAY SCHEDULE © 2020 Copyright - LePage & Sons Inc. | All Rights Reserved. Terms & Conditions Privacy Policy Damage Waiver Disposal Disclosure Sitemap