Texas’ Oldest Oilfield Trucking Company

Hauling since 1895

Driver Application

Job Application: Oilfield Pipe Truck Driver

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Title: Oilfield Pipe Truck Driver

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

Personal Information

Referred By:
Full Name *
Social Security Number *
Home Phone #
Cell Phone #

Current Address

Street Address
City
State
Zip Code
How Long?

Date of Birth

Month
Day
Year

Education/Skills

High School

Name & Location of School
No. of Years Attended
Did you graduate? Degree Obtained?
Subjects Studied?
College / University
Name & Location of School
No. of Years Attended
Did you graduate? Degree Obtained?
Subjects Studied?

Trade / Business School

Name & Location of School
No. of Years Attended
Did you graduate? Degree Obtained?
Subjects Studied?
Describe any experience, skills, or qualifications that would be of special benefit in the job for which you are applying.

Employment Record

Are you currently employed? Yes
No
We routinely contact an applicant’s current employer for reference checks. Would this pose any particular difficulty for you? Yes
No
If Yes, please explain:

Current or Last Employer

Were you subject to the FMCSR’s while employed by this employer? No
Yes
Were you subject to DOT alcohol and controlled substances testing? No
Yes
Employer
Phone Number
Address
From
To
Supervisor
Weekly Wages?
Position
Duties
Reason For Leaving

NOTE:If you are hired for a driving position, you must keep us informed on any changes in your driving record.

General

Have you ever been convicted of a felony or a misdemeanor? No
Yes
If yes, please explain fully. Conviction of a crime is not an automatic bar for employment – all circumstances will be considered.

Driving Experience and Qualifications

D.L. Type and No.:
State Issued:
Exp. Date:
Have you ever been denied a license, permit, or privilege to operate a motor vehicle? No
Yes
Has your driver’s license ever been suspended or revoked for any reason? No
Yes
Have you been involved in a vehicle accident of any type within the last three (3) years? No
Yes
Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations? No
Yes
Do you have the physical and/or mental capabilities to perform the essential functions of the job? No
Yes
If no, please state the accommodations that would allow you to perform this job:
Are you currently abusing drugs and/or alcohol? No
Yes
E-Signature
Date:
 

*

To learn more about the benefits of driving with W.M. Dewey, visit our driver benefits page.

1.800.231.4659

U.S. DOT #115152

Let’s discuss YOUR Pipe Transportation needs