Non-Driver Application – Hanke Trucking And Terminals

Name*

First Last

Phone*

Today's Date

Social Security No*

Cell Phone

Current Address*

Street Address Address Line 2 City State ZIP Code

How Long*

List all addresses other than the current address that you have resided in during the past 3 years, and how long you lived there:

Previous Address

Street Address Address Line 2 City State ZIP Code

How Long

Previous Address

Street Address Address Line 2 City State ZIP Code

How Long

Have you ever worked for Hanke Trucking, Inc. before?*

Yes
No

When?

Why did you leave?

Who referred you to Hanke Trucking, Inc. or what publication did you see our ad in?*

Has your license, permit or privilege to operate a motor vehicle ever been denied, revoked or suspended?*

Yes
No

IF Yes, please explain

EMPLOYMENT DESIRED

POSITION*

AVAILABLE START DATE*

SALARY DESIRED*

ARE YOU CURRENTLY EMPLOYED?*

Yes
No

MAY WE CONTACT YOUR CURRENT EMPLOYER?

Yes
No

EDUCATION

HIGH SCHOOL*

(NAME AND LOCATION OF SCHOOL)

*NO. OF YEARS ATTENDED*

*DID YOU GRADUATE?*

Yes
No

SUBJECTS STUDIED*

COLLEGE/UNIVERSITY

(NAME AND LOCATION OF SCHOOL)

*NO. OF YEARS ATTENDED

*DID YOU GRADUATE?

Yes
No

SUBJECTS STUDIED

TRADE, BUSINESS OR CORRESPONDENCE SCHOOL

(NAME AND LOCATION OF SCHOOL)

*NO. OF YEARS ATTENDED

*DID YOU GRADUATE?

Yes
No

SUBJECTS STUDIED

U.S. MILITARY OR NAVAL SERVICE

(NAME AND LOCATION OF SCHOOL)

*NO. OF YEARS ATTENDED

*DID YOU GRADUATE?

Yes
No

SUBJECTS STUDIED

*The Age Discrimination Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.

List all employment during the past 10 years, beginning with your present or most recent position

Employer Name

Address

Street Address Address Line 2 City State ZIP Code

Contact Person

Phone

From (M/Y)

To (M/Y)

Position Held

Salary/Wage

Reason for leaving

Employer Name

Address

Street Address Address Line 2 City State ZIP Code

Contact Person

Phone

From (M/Y)

To (M/Y)

Position Held

Salary/Wage

Reason for leaving

Employer Name

Address

Street Address Address Line 2 City State ZIP Code

Contact Person

Phone

From (M/Y)

To (M/Y)

Position Held

Salary/Wage

Reason for leaving

Employer Name

Address

Street Address Address Line 2 City State ZIP Code

Contact Person

Phone

From (M/Y)

To (M/Y)

Position Held

Salary/Wage

Reason for leaving

Employer Name

Address

Street Address Address Line 2 City State ZIP Code

Contact Person

Phone

From (M/Y)

To (M/Y)

Position Held

Salary/Wage

Reason for leaving

BE SURE THAT YOU HAVE LISTED ALL EMPLOYMENT FOR THE PAST 10 YEARS

REFERENCES

*Give the names of three persons (not related) whom you have known at least one year, which we may call for personal reference.

Name*

Address/Phone*

Business/Relationship*

Years Acquainted*

Name*

Address/Phone*

Business/Relationship*

Years Acquainted*

Name*

Address/Phone*

Business/Relationship*

Years Acquainted*

EXPERIENCE/QUALIFICATIONS

*Please list any relevant experience to the job you are applying for.

MICROSOFT OFFICE SUITE*

Yes
No

YEARS OF EXPERIENCE

ADOBE/VISUAL SOFTWARE*

Yes
No

YEARS OF EXPERIENCE

CUSTOMER SERVICE*

Yes
No

YEARS OF EXPERIENCE

TRACTOR REPAIR*

Yes
No

YEARS OF EXPERIENCE

WELDING STEEL*

Yes
No

YEARS OF EXPERIENCE

TIRES*

Yes
No

YEARS OF EXPERIENCE

BILLING*

Yes
No

YEARS OF EXPERIENCE

ACCOUNTING*

Yes
No

YEARS OF EXPERIENCE

DISPATCHER*

Yes
No

YEARS OF EXPERIENCE

TRAILER REPAIR*

Yes
No

YEARS OF EXPERIENCE

WELDING ALUMINUM*

Yes
No

YEARS OF EXPERIENCE

OPERATING EQUIPMENT*

Yes
No

YEARS OF EXPERIENCE

TO BE READ AND SIGNED BY APPLICANT

It is agreed and understood that any misrepresentation given above shall be considered an act of dishonesty.

It is agreed and understood that Hanke Trucking, Inc. or his agents may investigate the applicant’s background to ascertain any and all information of concern to applicant’s record, whether same is of record or not, and applicant releases employers and person named herein from all liability for any damages on account of his furnishing such information.

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 Investigating 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 employment file.

It is agreed and understood that this application for qualification in no way obligates Hanke Trucking, Inc. to employ the applicant.

It is agreed and understood that if qualified, the applicant may be on a probationary period during which time he/she may be disqualified without recourse.

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.

APPLICANTS SIGNATURE*

Date*

Email

This field is for validation purposes and should be left unchanged.