Chemoil Application Form PDF Details

Embarking on a career in the transportation sector, especially with a reputable organization like Chemoil, begins with the careful completion of the Driver Application for Employment. Situated at 4 East Sheridan, Suite 400, Oklahoma City, OK, this form is a comprehensive document designed to gather a wide array of information from potential employees. From personal contact details and previous residential addresses to detailed professional experiences and credentials, the form ensures a holistic audit of the applicant's background. Important to note, the application mandates that all entries be handwritten in blue or black ink, embodying a personal touch and attention to detail. Applicants are reminded that the information provided will be verified in accordance with federal regulations, particularly to assess their safety performance history. The form also dives into specifics such as the type of license held, the applicant's driving history including any incidents or convictions, and personal information which might impact their employability or suitability for the desired position. Additionally, it canvasses the applicant's legal work status, educational qualifications, and even military service, if applicable. Designed with scrutiny, the Chemoil Application form underscores the importance of integrity and thoroughness in its completion, as any discrepancy or falsification may lead to application rejection or future termination.

QuestionAnswer
Form NameChemoil Application Form
Form Length15 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min 45 sec
Other nameschemoil form online, chemoil energy biz for application, chemoil application employment, chemoil jobs

Form Preview Example

4 East Sheridan, Suite 400

Oklahoma City, OK 73104

Driver Application for Employment:

*This Application must be filled out completely, in Blue or Black ink and in your own handwriting. If an item does not apply to you, please write N/A. Before you complete the application know the information your provide in accordance with 391.21 Part (b)(1-10) shall be used and your previous employers contacted for the purposes of investigating your Safety Performance History as required in 391.23 (d) & (e).

Appli a t’s Na e:

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(Last Name)(First Name) (Middle Initial) (Date of Application)

Current Address:

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(Current Street Address)

(City)

(State)

(Zip Code)

*If at the above address less than three (3) years, list below all residences for the past three years. Attach a separate sheet if necessary.

Previous Addresses:

_____________________________________________________________________________________

(Street Address)

(City)

(State)

(Zip Code)

(How long? Yrs./Mo.)

_____________________________________________________________________________________

(Street Address)

(City)

(State)

(Zip Code)

(How long? Yrs./Mo.)

_____________________________________________________________________________________

(Street Address)

(City)

(State)

(Zip Code)

(How long? Yrs./Mo.)

_____________________________________________________________________________________

(Street Address)

(City)

(State)

(Zip Code)

(How long? Yrs./Mo.)

Home Phone: ( )_________________________

Cell Phone: (

) __________________________

Email Address: ____________________________

Fax Number: (

) _________________________

Date of Birth: _____________________________

Social Security Number: ____________________

 

 

Desired Position:

Position Applying For:

_____________________

State:

________________________________

 

(Transport or Frac Refill)

 

(City & State of Operation)

What shifts are you

 

Salary

 

 

able to work:

_____________________

Desired:

________________________________

 

 

 

 

 

4 East Sheridan, Suite 400

 

 

 

 

 

Oklahoma City, OK 73104

 

 

Commercial Motor Vehicle Experience:

Class of Equipment:

Years of Operation:

Approximate Miles:

Type of Equipment:

 

 

 

 

 

Va , Flat ed, Ta k ago , et …

Tanker (80,000 GVWR):

 

 

 

 

 

 

 

 

 

 

 

 

Straight Truck:

 

 

 

 

 

 

 

 

 

 

 

 

T i T aile s LCV’s :

 

 

 

 

 

 

 

 

 

 

 

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dri er’s Li e se I

for atio :

 

 

D i e ’s Li e se Nu e :

________________

Issuing State:

_________________ License Class (A/B):

____________

Endorsements:

________________

CDL Issue Date:

_________________

CDL Expiration Date:

____________

 

 

 

Do you have any

 

If yes,

 

 

 

restrictions on your

______________

please explain:

________________________________________________

license?

 

 

 

 

 

Has your license, or permit to drive or privilege to operate a motor vehicle ever been denied, revoked, or suspended? If yes, please provide a statement detailing the facts and circumstances _______________________________________

__________________________________________________________________________________________________

Accident History: (Please provide accidents for the last three (3) years. Attach additional page(s) if necessary.)

Date of Incident:

Type of Accident:

Number of Fatalities

Number of Injuries

 

Hazardous Materials

 

(Head-on, Rear-e d, Rollo er, et …

 

 

 

 

 

Spill?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4 East Sheridan, Suite 400

Oklahoma City, OK 73104

Commercial Motor Vehicle Traffic Convictions and Forfeitures:

(List any for the last three (3) years from the date of the application in which you were convicted of or forfeited bond or collateral – do not list parking tickets.)

Date:

Offense:

Location:

(City, State)

Type of Vehicle

Operated:

Penalty:

 

 

Personal Information:

 

Are you a citizen of the

 

If hired, can you provide

 

United States?

_______________________

proof?

_______________________

Have you ever been

 

If yes, please explain:

 

convicted of a felony?

_______________________

 

_______________________

Did you graduate High

 

If no, do you have a GED?

 

School?

_______________________

 

_______________________

Did you graduate Truck

 

If yes, name of Truck Driving

 

Driving School?

_______________________

School?

_______________________

Have you ever served in the

 

From/To?

 

U.S. Military Service?

_______________________

 

_______________________

What branch of service?

 

Final Rank?

 

A

, Na , Ma i e, et …

_______________________

 

_______________________

Have you ever worked for

 

If yes, when?

 

Chemoil before?

_______________________

 

_______________________

Were you referred to

 

If yes, employee name?

 

Chemoil by a Chemoil

_______________________

 

_______________________

Employee?

 

 

 

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. I further understand that any misleading, incorrect, or omitted statements or information can render this application void and if employed would be just cause for termination.

X________________________________

X________________________________

(Applicant Signature)

(Date)

4 East Sheridan, Suite 400

Oklahoma City, OK 73104

Work History: (List current or most recent employer first, then all previous employers for the last 10 years. Account for all periods of unemployment or self-employment. (Your application will not be processed without 10 years work history.)

Current or Last Employer Name: _________________________________________________________________

__________________________________________________________________________________________________

 

(Address)

 

(City)

 

 

(State & Zip Code)

 

 

Job Title:

_____________________ Supervisor Name:

________________________________________________

Reason for Leaving:

________________________________________________________________________________

Major Job Duties:

________________________________________________________________________________

Dates of Service – From:

_________________________

To:

__________________

Wages: ______________

Was this position subject to FMCSR Rules?

Yes or No

 

Was this a Safety Sensitive Position?

Yes

or

No

 

 

 

 

 

 

 

 

 

Phone Number:

(

)_________________________

Contact Name:

_______________________________

 

 

 

 

Previous Employer Name:

_________________________________________________________________

__________________________________________________________________________________________________

 

(Address)

 

(City)

 

 

(State & Zip Code)

 

 

Job Title:

_____________________ Supervisor Name:

________________________________________________

Reason for Leaving:

________________________________________________________________________________

Major Job Duties:

________________________________________________________________________________

Dates of Service – From:

_________________________

To:

__________________

Wages: ______________

Was this position subject to FMCSR Rules?

Yes or No

 

Was this a Safety Sensitive Position?

Yes

or

No

 

 

 

 

 

 

 

 

 

Phone Number:

(

)_________________________

Contact Name:

_______________________________

 

4 East Sheridan, Suite 400

 

Oklahoma City, OK 73104

 

 

Previous Employer Name:

_________________________________________________________________

__________________________________________________________________________________________________

 

(Address)

 

(City)

 

 

(State & Zip Code)

 

 

Job Title:

_____________________ Supervisor Name:

________________________________________________

Reason for Leaving:

________________________________________________________________________________

Major Job Duties:

________________________________________________________________________________

Dates of Service – From:

_________________________

To:

__________________

Wages: ______________

Was this position subject to FMCSR Rules?

Yes or No

 

Was this a Safety Sensitive Position?

Yes

or

No

 

 

 

 

 

 

 

 

 

Phone Number:

(

)_________________________

Contact Name:

_______________________________

 

 

 

 

Previous Employer Name:

_________________________________________________________________

__________________________________________________________________________________________________

 

(Address)

 

(City)

 

 

(State & Zip Code)

 

 

Job Title:

_____________________ Supervisor Name:

________________________________________________

Reason for Leaving:

________________________________________________________________________________

Major Job Duties:

________________________________________________________________________________

Dates of Service – From:

_________________________

To:

__________________

Wages: ______________

Was this position subject to FMCSR Rules?

Yes or No

 

Was this a Safety Sensitive Position?

Yes

or

No

 

 

 

 

 

 

 

 

 

Phone Number:

(

)_________________________

Contact Name:

_______________________________

How to Edit Chemoil Application Form Online for Free

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Part no. 1 of filling out chemoil job application

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