Employment application for Cast Transportation Inc.

CAST Transportation
Employment Application

NOTICE:

CAST Transportation

all online web forms

not currently operational

be complete by Wednesday March 5th

Please use the printable version and FAX, mail, or email your request to CAST Transportation.

Note: The information submitted here will be emailed to CAST Transportation.
Neither this page nor the email are encrypted. DO NOT include your SS# or
other private/sensitive information with this application. You will be contacted
by a member of our staff regarding the next steps in the process.

CAST requires all applicants to be at least 25 years old
and have 2 years verifiable Class A (CDL) driving experience.

This form can be filled in and delivered on-line, or for a printer-friendly
application that can be sent by "snail mail," click HERE.

Be sure to complete ALL required fields (denoted by the red asterisk * ).

If you provide an email address, a confirmation will be sent to you upon successful completion.

A. Personal Info
NAME: *First: Middle: *Last:
*Address: *City: *State: *Zip Code:
*1st Phone: (include area code) 2nd Phone: (include area code)
Your email address:

*Applying For: Full Time Part Time Temporary Rate of Pay Expected: $ per week

B. Education
*Highest grade completed (1 Thru 12): Years of College Completed:
Last School Attended: (name) (Address)

C. General
*Have you ever been convicted of a felony? YES NO
If yes, please explain fully in space provided below.
Conviction of a crime is not an automatic bar to employment. All circumstances will be considered.

D. Driver Experience & Qualification

Current Drivers License Held

*State *License No. *Class

* List Endorsements *Expiration Date

A. * Have you ever been denied a license, permit or privilage to operate a motor vehicle? YES NO
B. * Has any license , permit or privilege ever been suspended or revoked? YES NO
C. * Have you ever been disqualified for violations of the FEDERAL Motor Carrier Safety Regulations? YES NO

If you answered yes to A, B or C complete Section 7 below.

E. *Driving Experience

Class of
Equipment
Type of Equipment
(van, tanker, flat, lowboy, etc.) Dates (approximate)
from - to (mo / yr) Total Miles
Driven

1.

from: to:
TTL Miles:

2.

from: to:
TTL Miles:

3.

from: to:
TTL Miles:

4.

from: to:
TTL Miles:

*List States Operated in during last five years:

F. *ACCIDENT REVIEW FOR THE PAST 3 YEARS (If none enter 'N/A' in first box.)

Nature of Accident
(head-on, rear-end, sideswipe, overturn, etc.) Accident
Date No. of
Injuries No. of
Fatalities

1.

2.

3.

4.

*Are there more accidents than what appear here in the last 3 years? YES NO

G. *Traffic Convictions and Forfeitures for the Past 3 Years (If none enter 'N/A' in first box.)
( Other than parking violations )

Date
Location
Charges
Penalties

1.

2.

3.

4.

*Are there more convictions & violations than what appear here in the last 3 years? YES NO

H. *EMPLOYMENT RECORD

The U.S. Department of Transportation requires that diver applications show all employment for the past three years.
Effective July, 1987, they must also show commercial driver employment for the seven years immediately preceding
this (current) year period. S391.21 (B) (10), (11)
Start with last or current position, including military experience, and work back.

	Employer Name	Phone Number (include area code)	Employment Dates (mm/yy)	Position Held	Reason Left
1.			From: To:
2.			From: To:
3.			From: To:
4.			From: To:
5.			From: To:
6.			From: To:
7.			From: To:

I. Use this box for additional information or to elaborate on any item(s) above.

*ELECTRONIC SIGNATURE:

Home Back

	Class of Equipment	Type of Equipment (van, tanker, flat, lowboy, etc.)	Dates (approximate) from - to (mo / yr)	Total Miles Driven
1.			from: to:	TTL Miles:
2.			from: to:	TTL Miles:
3.			from: to:	TTL Miles:
4.			from: to:	TTL Miles:

	Nature of Accident (head-on, rear-end, sideswipe, overturn, etc.)	Accident Date	No. of Injuries	No. of Fatalities
1.
2.
3.
4.