NOTE TO THE APPLICANT: This application is used to evaluate your qualifications for employment. Please answer all the questions on your application accurately. If you fail to do so, you may lose employment opportunities or delay consideration of your employment. This application is not an employment contract. Manatt’s is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local laws. Additional testing of job-related skills, as well as post-offer, pre-employment physical (which will include a drug test), may be required.
Attention! All questions must be answered to submit your application.
PART 40.25(j) requires Manatt’s to ask applicant/driver whether he/she has tested positive or refused to test on any pre-employment alcohol or drug test administered by an employer in which you applied for, but did not obtain safety sensitive transportation work covered by Department of Transportation (DOT) agency drug and alcohol testing rules during the past two (2) years. Please answer the following two questions.
During the past two (2) years have you refused to test on a pre-employment alcohol or drug test administered by an employer in which you applied for, but did not obtain safety sensitive transportation work covered by Department of Transportation (DOT) drug and alcohol testing rules?
Yes
No
During the past two (2) years have you tested positive on a pre-employment alcohol or drug test administered by an employer in which you applied for, but did not obtain safety sensitive transportation work covered by Department of Transportation (DOT) drug and alcohol testing rules?
Yes
No
If you answered YES to either of the questions above, please explain and provide documentation of your successful completion of the return-to-duty process required by Part 40 Subpart 0.
All CDL applicants who have held a CDL for 10 years, must provide the following information on all employers during the preceding 10 years. The entire 10 year period must be accounted for. During periods of unemployment, list dates and write “unemployed” in employer information. If you have not had a CDL for 10 years, provide information back to the date you first obtained CDL license. List employers starting with the most recent.
List most recent employer first. For each of the employers required per explanation above, include: Name, Address, Supervisor, Phone, Fax, Dates of Employment, Position, Wage, Reason for Leaving, and indicate if this was your 1st CDL employer.
Would you accept employment that requires Statewide travel unaccompanied by family?
Yes
No
List any craft training program or special courses in which you have participated.
Summarize special skills and qualifications acquired from employment or other experience.
What type of trucks or types of construction equipment can you operate?
Please list any traffic convictions/forfeitures (other than parking violations) on record for the past 5 years. If none, type none.
Please list any accident on your record for the past 5 years. Include dates, nature of accident (head-on, rear-end, upset, etc.), number of fatalities, and number of injuries. If none, type none.
Have you had an OWI, DUI, DWI in the past 5 years? If so, when?
Has any of your licenses, permits or privileges to operate a motor vehicle been suspended or revoked at any time? If yes, please explain.
Please enter your drivers license number, state issued, license type, expiration date and any endorsements you hold.
Are you on lay-off, subject to recall?
On what date will you be available for work?
Have you worked for Manatt’s before? Is so, please list dates, location, and supervisor.
What rate of pay do you require?
How did you find out about this position?
Can we text you with other job opportunities?
Are you eligible for employment in the U.S.?
Yes
No
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal, and I agree to hold my employer harmless in the event of my dismissal based thereon.
I authorize investigation of all statements contained herein and to do background checks to give you and all information concerning my previous employment and any pertinent information they may have, confidential or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.
I realize that under certain legal provisions, pre-employment drug testing could be a condition of my employment. I also acknowledge that the employer may require drug testing at a subsequent time providing that proper advance notice of testing is provided.
I also recognize that I could be offered employment subject to appropriate medical examination and that such a report could nullify my ultimate employment by this employer. I agree to submit to physical examination if required.
I understand and agree that, if hired, my employment is for no definite period and may, regardless of the method of payment of my wages and salary, be terminated at any time without prior notice. If employment is obtained under this application, I will comply with all the rules and policies of my employer."
AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
This employer does not discriminate in hiring or employment on the basis of age, race, color, sex, religion, national origin, disability, military or veteran status
I understand and accept the