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Employee Application

Beck Construction & Excavation Inc. 

Contact Info

  • Address: 10432 South 1055 West
    South Jordan, UT 84095
  • Mailing: PO Box 95026, South Jordan, UT 84095
  • Phone: 801-870-7922
  • Fax: 801-606-7273
Employee Application Driver
Last
First
Middle
Your Current Address
Your Current Address
City
State/Province
Zip/Postal
Country

EXPERIENCE & QUALIFICATIONS 

Do you have any certifications or training that may help in your work for this company?

EDUCATION

Degree Obtained:

OTHER EXPERIENCE

On a scale of 1-5, with five being the best, please rank your experience in the following:

EMPLOYMENT HISTORY 

List all employment for the previous 3 years, all driving jobs for the previous 10 years, including any gaps between employers.

Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Were you subject to the Federal Motor Carrier Safety Regulations during this Period?
Were you subject to 49 CFR part 40 controlled substance and alcohol testing during this period?

ADDITIONAL PREVIOUS EMPLOYER INFORMATION 

Address
Address
City
State/Province
Zip/Postal
Country
Were you subject to the Federal Motor Carrier Safety Regulations during this Period?
Were you subject to 49 CFR part 40 controlled substance and alcohol testing during this period?

DRIVER'S LICENSE INFORMATION

List All licenses held within the previous 3 years

Have you ever had any driver's license denied, suspended, revoked, or canceled by any state agency? If yes, give state of issuance and explanation of the circumstances:

List all traffic violations or convictions for the previous 3 years (Write NONE, or ignore below section if you do not have any)

Commercial Vehicle
Commercial Vehicle
Commerciale Vehicle

List all accidents for the previous 3 years (write NONE, if none)

For Driver applicants of commercial motor vehicles that require a Commercial Driver's License (CDL) the applicant must disclose their controlled substance and alcohol status per the requirements of 49 CFR part 40.25(j).

As a perspective driver employee, you will have the right to review information provided by previous employers. You have the right to have errors in the information corrected by the previous employer(s) and for that previous employer(s) to re-send the corrected information to the prospective employer; the right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.

Driver employees who have previous Department of Transportation regulated employment history in the preceding three eyars, and wish to review previous employer provided investigative information, must submit a written request to the prospective employer, which may be done at any time, including when applying or as late as thirty (30) days after being employed or being notified of denial of employment. The prospective employer must provide this information to the applicant within five (5) business days of receiving the written request. If the prospective employer has not yet received teh requested information from the previous employer(s), then the five (5) business day deadline will begin when the perspective employer receives the requested safety performance history information. If the drive has not arranged to pick up or receive the requested records within thirty (30) days of the prospective employer making them available, the prospective motor carrier may consider the driver to have waived their request to review the records.

Certification

"I certify 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."

Maximum file size: 134.22MB