Oddson Underground

Serving all your underground utilities needs

Job Application: Oddson Underground Application

Title: Oddson Underground Application

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

Name *
Email Address *

Contact Details

Address *
City *
State & Zip Code
Post code *
How Long? *
Date of Birth *
Social Security No.
Cell phone
Telephone *
Emergency Contact Information

Previous Three Years Residency

Residency #1 Street
City
State & Zip Code
Number of years
Residency #2 (if applicable) Street
City
State & Zip Code
Number of years
Residency #3 (if applicable) Street
City
State & Zip Code
Number of years

License Information

State licensed to
License number
Type
Expiration Date

Driving Experience- Straight Truck (if applicable)

Class of equipment
Type of equipment (van, tank, flat, etc.)
Dates from & to
Approx. number of total miles

Driving Experience- Tractor and Semi Trailer (if applicable)

Other:

Class of equipment
Type of equipment (van, tank, flat, etc.)
Approx. number of total miles
Dates from and to

Accident record for past three years (attach sheet if more space is needed)

Dates
Nature of accident (head-on, rear-end, upset, etc.)
Number of fatalities
Number of injuries
Upload your sheet with additional info

Traffic convictions and forfeitures for the past three years (other than parking violations)

Date Convicted (month/year)
Violation
State of violation location
Penalty (forfeited bond, collateral and/or points)
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Has any license, permit or privilege ever been suspended or revoked?
If yes, explain

**Please note that we will be running your drivers license prior to hiring to verify you have a valid drivers license and a clean driving record**

Education

Name of High School and College and Graduation dates

Employment Record- must list the complete mailing address, street number and name, city state and zip code

Last Employer, Name
Address
Phone
Position Held
From
To
Salary
Reasons for Leaving
Any gaps in employment and/or unemployment must be explained. Include dates (month/year) and reason.
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by the previous employer?
Second Last Employer, Name
Address
Phone
Position Held
From
To
Salary
Reasons for Leaving
Any gaps in employment and/or unemployment must be explained. Include dates (month/year) and reason.
Third Last Employer, Name
Address
Phone
Position Held
From
To
Salary
Reasons for Leaving
Any gaps in employment and/or unemployment must be explained. Include dates (month/year) and reason.

Please note that Oddson Underground, Inc, reserves the right to contact previous employers to verify past employment

Are you an American Citizen?
Have you ever been convicted of, or pleaded no contest, to a felony within the last five years?
Have you ever been in the Armed Forces?
If yes, please explain.
Are you now a member of the Armed Forces?
If yes, please list your specialty and date entered

By submitting this I certify that all of the information is true and complete to the best of my knowledge.

 
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