American Infrastructure Technologies Corporation
8799 Highway 31
Hanceville, AL 35077
1-256-739-4747
1-866-630-AITC
(1-866-630-2482)
Application for Employment
***Prior to filling in this form please read the agreement.
CLICK HERE
.
Applicant Information
Name (required)
Social Security Number
Address/City/State
Phone (required)
Date of Birth
Previous Address (Last 3 Years)
Education
Name/Location High School
Highest Grade Completed
6
7
8
9
10
11
12
GED
List Subjects Studied & Degrees (Major/Minor)
Name/Location College
College Completed
1
2
3
4
5
6
Any Additional Training
Employment History
Company Name or Military Branch
Date
Started
Date
Left
Rate
of Pay
Job Title
Company Address
Reason for Leaving
Job Duties
Company Name or Military Branch
Date
Started
Date
Left
Rate
of Pay
Job Title
Company Address
Reason for Leaving
Job Duties
Company Name or Military Branch
Date
Started
Date
Left
Rate
of Pay
Job Title
Company Address
Reason for Leaving
Job Duties
Company Name or Military Branch
Date
Started
Date
Left
Rate
of Pay
Job Title
Company Address
Reason for Leaving
Job Duties
Company Name or Military Branch
Date
Started
Date
Left
Rate
of Pay
Job Title
Company Address
Reason for Leaving
Job Duties
Company Name or Military Branch
Date
Started
Date
Left
Rate
of Pay
Job Title
Company Address
Reason for Leaving
Job Duties
Company Name or Military Branch
Date
Started
Date
Left
Rate
of Pay
Job Title
Company Address
Reason for Leaving
Job Duties
Company Name or Military Branch
Date
Started
Date
Left
Rate
of Pay
Job Title
Company Address
Reason for Leaving
Job Duties
May we contact your present employer?
Yes
No
Former employers?
Yes
No
Driver's license and driving record information must be completely filled out.
EXPERIENCE AND DRIVER QUALIFICATIONS
Driver
Licence
State
License Number
Type
Expiration
Date
DRIVING EXPERIENCE
Class of Equipment
Type of Equipment
(van, tanker, flat, etc.)
Dates
To
Dates
From
Approximate
Number 0f Miles
(Total)
Straight Truck
Tractor/Semi Trailer
Tractor/Two Trailers
Other
ACCIDENT RECORD FOR PAST 3 YEARS OR MORE (attach sheet if more space is needed)
Dates
Nature of Accident
(head on, rear end, etc.)
Fatalities
Injuries
Last Accident
Next Previous
Next Previous
TRAFFIC CONVICTIONS AND FORFEITURES FOR PAST 3 YEARS (other than parking)
Location
Date
Charge
Penalty
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
Yes
No
Has any license, permit, or privilege ever been suspended or revoked?
Yes
No
Have you failed or refused pre-employment tests taken within the past two years for DOT-covered, safety-sensitive positions
Yes
No
If YES to any of the above, please explain:
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.
Please read this agreement before signing below and sending!
CLICK HERE
Date:
(Checking this box is equivalent to your signature)
or
Contact us direct
American Infrastructure Technologies Corporation
8799 Highway 31
Hanceville, AL 35077
1-256-739-4747
1-866-630-AITC
(1-866-630-2482)
