Job Application: Oddson Underground Application Title: Oddson Underground ApplicationFields marked with an asterisk (*) must be filled out before submitting.Personal DetailsName *Email Address *Contact DetailsAddress * City *State & Zip CodePost code *How Long? *Date of Birth * Social Security No.Cell phoneTelephone *Emergency Contact InformationPrevious Three Years ResidencyResidency #1 StreetCityState & Zip CodeNumber of yearsResidency #2 (if applicable) StreetCityState & Zip CodeNumber of yearsResidency #3 (if applicable) StreetCityState & Zip CodeNumber of yearsLicense InformationState licensed toLicense numberTypeExpiration DateDriving Experience- Straight Truck (if applicable)Class of equipmentType of equipment (van, tank, flat, etc.)Dates from & toApprox. number of total milesDriving Experience- Tractor and Semi Trailer (if applicable)Other:Class of equipmentType of equipment (van, tank, flat, etc.)Approx. number of total milesDates from and toAccident record for past three years (attach sheet if more space is needed)DatesNature of accident (head-on, rear-end, upset, etc.)Number of fatalitiesNumber of injuriesUpload your sheet with additional info Traffic convictions and forfeitures for the past three years (other than parking violations)Date Convicted (month/year)ViolationState of violation locationPenalty (forfeited bond, collateral and/or points)Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes NoHas any license, permit or privilege ever been suspended or revoked? Yes NoIf 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**EducationName of High School and College and Graduation dates Employment Record- must list the complete mailing address, street number and name, city state and zip codeLast Employer, NameAddressPhonePosition HeldFrom To SalaryReasons for LeavingAny 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? Yes NoSecond Last Employer, NameAddressPhonePosition HeldFrom To SalaryReasons for Leaving Any gaps in employment and/or unemployment must be explained. Include dates (month/year) and reason. Third Last Employer, NameAddressPhonePosition HeldFromToSalaryReasons 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 employmentAre you an American Citizen? Yes NoHave you ever been convicted of, or pleaded no contest, to a felony within the last five years? Yes NoHave you ever been in the Armed Forces? Yes NoIf yes, please explain. Are you now a member of the Armed Forces? Yes NoIf yes, please list your specialty and date enteredBy submitting this I certify that all of the information is true and complete to the best of my knowledge.