Driver's Application For Employment

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.

Kruepke Trucking, Inc.
2881 Highway P
Jackson, WI 53037

Basic Information
 
Date: Phone:
Name: SS #:
Address: Birthdate:
City, State: Zip Code:
Cell Phone: Email:
 
Employment History

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state, and zip code. Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle. Note: List employers in reverse order starting with the most recent.

 
Employer #1
Name: Contact Person:
Address City/State/Zip:
Phone Number: Position Held:
Date From: Date To:
Reason For Leaving:    
 
Employer #2
Name: Contact Person:
Address City/State/Zip:
Phone Number: Position Held:
Date From: Date To:
Reason For Leaving:    
 
Employer #3
Name: Contact Person:
Address City/State/Zip:
Phone Number: Position Held:
Date From: Date To:
Reason For Leaving:    
 
Experience & Qualifications
 
Driver's License:
State: License No.:
 
Driving Experience
 
Straight Truck
From: To:
 
Tractor And Semi-Trailer
From: To:
 

Have you tested positive or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years? Please check the appropriate answer:

Yes:   No:
 
When you click "submit", an email will be sent to Kruepke Trucking and will be carbon copied to the email address you supplied.

You must be at least 25 years old with 1 year of verifiable over the road experience, good driving record, and pass a DOT physical and drug test. Thanks for applying!