WE ARE AN EQUAL OPPORTUNITY EMPLOYER.
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status or any other legally protected status.
Please answer all questions, indicating "None" where applicable. Resumes may be attached but will not be accepted in lieu of any information required on this form. This application must be completed in its entirety before any offer of employment will be considered.
Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes No Required question
Has any license, permit or privilege been suspended or revoked? Yes No Required question
Straight Truck Check if Yes
Tractor and Semi-Trailer Check if Yes
Tractor and Two-Trailers Check if Yes
Tractor and Three-Trailers Check if Yes
Coach Bus more than 8 passengers Check if Yes
Coach Bus more than 15 passengers Check if Yes
Check here if yes
Last Accident
Previous Accident
Last Violation
Previous Violation
Are you able to perform the essential functions of the job you're applying with or without reasonable accommodation(s)?* Yes No Required question
Have you ever filed an application with Xtreme Manufacturing LLC. before? Check if Yes
Do we currently employ a member of your family or household? Check if Yes
Have you ever been employed with Xtreme Manufacturing LLC.? Check if Yes
Are you currently employed?* Yes No Required question
May we contact your present employer?* Yes No Required question
Are you authorized for employment in the U.S.?* Yes No Required question
Have you ever had any job-related training in the military? Check if Yes
Please select which schools you have attended
High School
Years Completed 9 10 11 12 Required question
College/Undergraduate
Years Completed 1 2 3 4 Required question
Graduate/Professional
Other School
Diploma/Degree
Date
Describe Course of Study
Describe any specialized training/skills
State any additional information you feel may be helpful to us in considering your application
List any professional, trade, business, or civic activities and offices held.
Give the name, address and telephone number of three persons whom you have known for at least one (1) year. Please do not use relatives or previous employers/supervisors.
Start with your most recent and list all employment for the last ten (10) years. Explain all gaps in your employment, including periods of unemployment and self-employment. Resumes may not be substituted for requested information.
Check here if you do not have employment history, otherwise check here to continue. Thank you*.Required question
For this employer: Were you subject to the Federal Motor Carrier Safety Regulations? Yes No Required question
Were you in a safety sensitive function that subjected you to alcohol & controlled substances testing requirements? Yes No Required question
Description of Duties.*
Please list any gaps in unemployment and/or explain if employment listed is less than 10 years.
I, *, warrant the truthfulness on this day *, the information provided in this application.
I understand that selecting this constitutes a legal signature confirming that I acknowledge and agree to the above Certification and Agreement.