Application for Employment

Frac Tank Rentals, LLC
191 Tammy Dr
Odessa, Texas 79766
In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.
Position you are applying for:
Date of this Appication: Click to choose the date.
 
First Name:

Last Name:

Telephone:

Email Address:
Date Available: Click to choose the date.  
By my electronic signature below, I authorize you to make such investigations and inquiries of my personal, employment, financial, or medical history and othe related matters as may be neccessary in arriving at an employment decision. (Generally, inquires regarding medical history will be made only if and after conditional off of employment as been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquires and releasing information in connection with my application.

In the event of employment, I understand, that false of misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purposes of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:
  • Review information provided by prrevious employers;
  • Have errrors in the information correctedd by previous employers and for those previous employers to re-send the corrected inforamation to teh prospective employerl and
  • Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on teh accuracy of the information.


Driver's License No:
Commercial Driver License Regular Driver License
License State:
Expires: Click to choose the date.
Endorsements: (mark all that apply)
None  
P-Passenger 
T-Double/triple trailer  
N-Tank Vehicles 
H-Hazardous Materials 
X-Tank Vehicle & Hazardous Materials
 Restrictions:
Current Address:
City: State: Zip:
How long at current address?: Years: Months:
If you have not lived at the above address for the past three years or longer, please list former addresses for the previous three years:
Address:
City:
State:
Zip:
How long? Years: Months:
Address:
City:
State:
Zip:
How long? Years: Months:
Address:
City:
State:
Zip:
How long? Years: Months:
Do you have the legal right to work in the United States?: 
 Are you a citizen of the United States?: 
Can you provide proof of age?:
Date of Birth (Required for Commercial Drivers Only): Click to choose the date.  
Have you worked for this company before?:
 If Yes, Where:
Dates: From Click to choose the date. To Click to choose the date.
Rate of pay:
Position:
Reason for Leaving:
Are you employed now?:
If no, how long since leaving your last employment?:
Who referred you?:
Rate of pay you would expect:
Is there any reason you might be unable to perform the functions of the job for which you have applied?:
(Note: if in doubt, please ask for a description of the complete duties you would be expected to perform in regard to the position you are applying for).  If yes, explain if you wish:
Have you ever been convicted of a felony?:
If yes, please list (Note: Convictions will not necessarily disqualify applicant):
EDUCATION
Highschool:
Dates From: Click to choose the date. To: Click to choose the date.  
Address:
Did you graduate?:
Diploma:
College:
Dates From: Click to choose the date. To: Click to choose the date.  
Address:
Did you graduate?:
Degree:
Other:
Dates From: Click to choose the date. To: Click to choose the date.  
Address:
Did you graduate?:
Degree:
REFERENCES
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name:
Relationship:
Company:
Phone:
Address:
Employment History
 
All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding three (3) years.  Please list the complete mailing address, contact person, and telephone number.
All applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an addition seven (7) years of information on those employers for whom the applicant operated such vehicles.
(Note: Please list employers in reverse order, starting with the most recent.)
Company:
Dates From: Click to choose the date. To: Click to choose the date.  
Street: Position Held:
City: State: Zip:
Starting Salary/Wage: Ending Salary/Wage:
Responsibilities:
Reason for Leaving:
Contact Person:
Phone Number:
May we contact previous supervisor for reference?:
Were you subject to the FMCSRs while employed?:
Was you job a designated safety function in and DOT-regulated mode subject to the drug and alcohal testing requirements of 49 CFR part 40?:
Company:
Dates From: Click to choose the date. To: Click to choose the date.  
Street: Position Held:
City: State: Zip:
Starting Salary/Wage: Ending Salary/Wage:
Responsibilities:
Reason for Leaving:
Contact Person:
Phone Number:
May we contact previous supervisor for reference?:
Were you subject to the FMCSRs while employed?:
Was you job a designated safety function in and DOT-regulated mode subject to the drug and alcohal testing requirements of 49 CFR part 40?:
Company:
Dates From: Click to choose the date. To: Click to choose the date.  
Street: Position Held:
City: State: Zip:
Starting Salary/Wage: Ending Salary/Wage:
Responsibilities:
Reason for Leaving:
Contact Person:
Phone Number:
May we contact previous supervisor for reference?:
Were you subject to the FMCSRs while employed?:
Was you job a designated safety function in and DOT-regulated mode subject to the drug and alcohal testing requirements of 49 CFR part 40?:
Company:
Dates From: Click to choose the date. To: Click to choose the date.  
Street: Position Held:
City: State: Zip:
Starting Salary/Wage: Ending Salary/Wage:
Responsibilities:
Reason for Leaving:
Contact Person:
Phone Number:
May we contact previous supervisor for reference?:
Were you subject to the FMCSRs while employed?:
Was you job a designated safety function in and DOT-regulated mode subject to the drug and alcohal testing requirements of 49 CFR part 40?:
Company:
Dates From: Click to choose the date. To: Click to choose the date.  
Street: Position Held:
City: State: Zip:
Starting Salary/Wage: Ending Salary/Wage:
Responsibilities:
Reason for Leaving:
Contact Person:
Phone Number:
May we contact previous supervisor for reference?:
Were you subject to the FMCSRs while employed?:
Was you job a designated safety function in and DOT-regulated mode subject to the drug and alcohal testing requirements of 49 CFR part 40?:
Company:
Dates From: Click to choose the date. To: Click to choose the date.  
Street: Position Held:
City: State: Zip:
Starting Salary/Wage: Ending Salary/Wage:
Responsibilities:
Reason for Leaving:
Contact Person:
Phone Number:
May we contact previous supervisor for reference?:
Were you subject to the FMCSRs while employed?:
Was you job a designated safety function in and DOT-regulated mode subject to the drug and alcohal testing requirements of 49 CFR part 40?:
ACCIDENT RECORD
List all accidents in which you were involved as a driver in the past three (3) years:
DATE NATURE OF ACCIDENT(head on, rear-end, upset , ect.) INJURIES FATALITIES HAZARDOUS MATERIAL SPILL
Click to choose the date.
Click to choose the date.
Click to choose the date.
TRAFFIC VIOLATION RECORD
List all violations of motor vehicle laws or ordinances (other than parking) of which you were convicted, paid fines, or forfeited bond or collateral during the past three (3) years:
DATE LOCATION CHARGE PENALTY
Click to choose the date.
Click to choose the date.
Click to choose the date.
EXPERIENCE AND QUALIFICATIONS
List all Drivers licenses or permits help in the past 3 years
STATE LICENSE NO CLASS ENDORSEMENTS EXPIRATION DATE
Click to choose the date.
Click to choose the date.
Click to choose the date.
Click to choose the date.
A. Have you ever been denied a license, permit or priviledge to operate a motor vehicle?:
B. Has your license, permit or privilege to drive ever been revoked?:
If yes to one of the above two questions ("A" or "B"), please explain:
Driving History

 
PREVIOUS DRIVING EXPERIENCE
"
CLASS OF EQUIPMENT TYPE OF EQUIPMENT(van, tank, flat, dump, refer) DATE START M/Y DATE END M/Y APPROX.NUMBER OF MILES
Straight Truck:
 Click to choose the date. Click to choose the date.
Tractor & Semi Trailer:
 Click to choose the date. Click to choose the date.
Tractor- Two Trailers:
 Click to choose the date. Click to choose the date.
Tractor- Three Trailers:
 Click to choose the date. Click to choose the date.
Motorcoach - Schoolbus ( more than 8 passangers):
 Click to choose the date. Click to choose the date.
Motorcoach- Schoolbus ( more than 15 passangers):
 Click to choose the date. Click to choose the date.
Other: Click to choose the date. Click to choose the date.
List states 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 and from whom?:
Experience and Qualifications - Other
Show any trucking, transportation or other experience that may help in your work for this company:
List courses and training other than shown elsewhere in this applicaiton:
List special equipment or technical materials you can work with (other than those already shown):
MILITARY STATUS
Have you served in the US Armed Forces?:
If yes, Branch: Date of Entry: Click to choose the date.
Rank at time of discharge: Date of Discharge: Click to choose the date.
Type of Discharge:
If not Honorable please explain:
EDUCATION
Highest grade completed:
College:
Name of last school attended: Year:
City: State:
Please list any areas of special study that would be applicable to the position you are applying for:
 
 
**This must be filled out by all applicants**
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.
Name:
Date Click to choose the date.