HOME SERVICES SAFETY CAREERS NEWS ABOUT EMPLOYEES CONTACT 254 582 0205 FOLLOW US Bobcat Contracting is the premier employer for energy services. Our team is constantly growing, and every role in the company is important. If you are interested in joining the Bobcat team, or would like more information on competitive compensation and benefits available Enter your form ID to retrieve a previously saved form Retrieve Bobcat Contracting Employment Application NOTE TO APPLICANT: The information you supply will be used, and your previous employers will be contacted for the purpose of investigating your safety performance history information as required by section 391.23 of the FMCSRs. DATE CURRENT ADDRESS If at the above address for less than 3 years, list below residences for the past 3 years. Attach a separate sheet if necessary. POSITION APPLYING FOR: RATE OF PAY EXPECTED? WHO REFERRED YOU? WHEN ARE YOU AVAILABLE FOR WORK? NAMES OF ANY RELATIVES EMPLOYED BY THIS COMPANY EDUCATION – TRAINING – AWARDS HIGHEST GRADE LEVEL COMPLETED LAST SCHOOL ATTENDED LIST SPECIAL COURSES OR TRAINING THAT WILL HELP YOU AS A DRIVER LIST DRIVING AWARDS HELD AND FROM WHICH COMPANY GENERAL HAVE YOU EVER BEEN DENIED A BOND? IF SO WHEN HAVE YOU EVER BEEN CONVICTED OF A CRIME OTHER THAN TRAFFIC VIOLATIONS? IF YES, EXPLAIN HISTORY OF EMPLOYMENT FILL OUT COMPLETELY AND ANSWER ALL QUESTIONS. DOT REGULATIONS REQUIRE THAT COMMERCIAL MOTOR VEHICLE OPERATORS APPLYING FOR WORK MUST PROVIDE AT LEAST TEN YEARS PRIOR WORK HISTORY. DO NOT LEAVE GAPS BETWEEN EMPLOYMENT DATES, IF UNEMPLOYED, SO STATE AND GIVE DATES. IF SELF EMPLOYED, GIVE PERSON(S) THAT CAN VERIFY. START WITH YOUR LAST/ CURRENT POSITION, INCLUDING MILITARY EXPERIENCE, AND WORK BACK. (ATTACH A SEPARATE SHEET IF NECESSARY): COMPANY: SUPERVISORS NAME: ADDRESS: PHONE: POSITION HELD: FROM: TO PAY: WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS WITH THIS JOB ? YesNo WAS THIS JOB DESIGNATED AS A SAFETY SENSITIVE FUNCTION AND SUBJECT TO DOT REGULATED ALCOHOL AND CONTROLLED SUBSTANCES TESTING AS REQUIRED BY 49 CFR PART 40? YesNo REASON FOR LEAVING: COMPANY: SUPERVISORS NAME: ADDRESS: PHONE: POSITION HELD: FROM: TO PAY: WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS WITH THIS JOB ? YesNo WAS THIS JOB DESIGNATED AS A SAFETY SENSITIVE FUNCTION AND SUBJECT TO DOT REGULATED ALCOHOL AND CONTROLLED SUBSTANCES TESTING AS REQUIRED BY 49 CFR PART 40? YesNo REASON FOR LEAVING: COMPANY: SUPERVISORS NAME: ADDRESS: PHONE: POSITION HELD: FROM: TO PAY: WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS WITH THIS JOB ? YesNo WAS THIS JOB DESIGNATED AS A SAFETY SENSITIVE FUNCTION AND SUBJECT TO DOT REGULATED ALCOHOL AND CONTROLLED SUBSTANCES TESTING AS REQUIRED BY 49 CFR PART 40? YesNo REASON FOR LEAVING: COMPANY: SUPERVISORS NAME: ADDRESS: PHONE: POSITION HELD: FROM: TO PAY: WERE YOU SUBJECT TO THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS WITH THIS JOB ? YesNo WAS THIS JOB DESIGNATED AS A SAFETY SENSITIVE FUNCTION AND SUBJECT TO DOT REGULATED ALCOHOL AND CONTROLLED SUBSTANCES TESTING AS REQUIRED BY 49 CFR PART 40? YesNo REASON FOR LEAVING: DRIVER’S LICENSE STATE ISSUING EXP.DATE SOCIAL SECURITY # CDL CLASS RESTRICTIIONS ENDORSEMENTS DATE OF BIRTH DRIVING EXPERIENCE: TYPE OF EQUIPMENT YEARS OF DRIVING THIS TYPE FLATBEDS STRAIGHT TRUCKS TRACTORS SEMITRAILERS DOUBLES (PUPS) OTHER ACCIDENTS: Below is a list of all accidents that I have had in the previous 3 years preceding the date of this application: DATE OF ACCIDENT NATURE OF ACCIDENT INJURIES FATALITIES DATE OF ACCIDENT NATURE OF ACCIDENT INJURIES FATALITIES DATE OF ACCIDENT NATURE OF ACCIDENT INJURIES FATALITIES TRAFFIC VIOLATIONS: Below is a listing of all traffic violations of motor vehicle laws or ordinances of which I was convicted or forfeited bond or collateral during the 3 years preceding the date of this application (excluding parking violations): DATE OFFENSE LOCATION DATE OFFENSE LOCATION DATE OFFENSE LOCATION HAVE YOU EVER HAD A DENIAL, REVOCATION, OR SUSPENSION OF ANY LICENSE, PERMIT, OR PRIVILEGE TO OPERATE A MOTOR VEHICLE THAT HAS BEEN ISSUED TO YOU? (IF YES, EXPLAIN FACTS BELOW) HISTORY OF EMPLOYMENT This Company does not discriminate on the basis of race, color, religion, creed, national origin, sex, or ancestry, or on the basis of age. No question on this application is intended to secure information to be used for such discrimination. This application will be given every consideration, but its receipt does not imply that the applicant will be accepted. APPLICANT MUST READ AND SIGN I certify that I have read and understand all of this employment application. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test. I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason. It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigative consumer report, including information regarding my character, general reputation, personal characteristics, and mode of living. I agree to furnish such additional information and complete such examinations as may be required to complete my driver qualification file. I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal. If hired, I agree to abide by all the rules and policies of the employer. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. DATE APPLICANT SIGNATURE FOLLOW US © 2021 Bobcat Contracting L.L.C. All Rights Reserved