Dig-It Inc
Dig-It Field Application
Union City, IN
Full Time
Step 1 of 4
First name*
Last name*
Phone*
Email*
What is your current job title?*
What position are you interested in working?*
Do you have a valid CDL?*
OSHA Certification*
If you have any certifications, please upload in the "Upload Resume" section. Dig-It requires a copy of your OSHA card to be on file.
Relevant Machinery Experience
Please list specific rigs/equipment (e.g., LoDril, Hydro-Vac, Excavators).
Date Available to Begin Working*
Travel Availability*
Do you have legal right to work in the United States?*
RESIDENCY HISTORY*
Please provide the current and prior places of residence for the past three years. Include the street address, city, state, and zip code for each, as well as the number of years at each address.
LICENSE INFORMATION - CURRENT*
Please include the following information:
Issuing State
License #
Type/Class
Endorsements
Expiration Date
LICENSE INFORMATION - PREVIOUSLY HELD*
No person who operates a commercial motor vehicle shall at any time have more than one driver’s license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license.
If you have previously held a license from another state, please include the following information:
Issuing State
License #
Type/Class
Endorsements
Expiration Date
ACCIDENT RECORD FOR THE PAST 3 YEARS*
In the past three years, have you had any vehicle/equipment accidents?
If yes, provide details of each accident that occurred within the past three years. Include the date of each accident, the nature of the accident, number of fatalities, number of injuries, and if it included a chemical spill.
TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS)*
In the past three years, have you had any traffic convictions or forfeitures? Do not include parking violations.
If yes, provide details of each violation that occurred within the past three years. Include the date convicted (Month/Year), the violation, the state of the violation, and the penalty (e.g. - Forfeited bond, collateral and/or points)
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?*
If yes, explain
Has any license, permit, or privilege ever been suspended or revoked?*
If yes, explain
EMPLOYMENT HISTORY VERIFICATION*
I authorize you to make investigations (including contacting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company.
I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23. I understand that I have the right to:
• Review information provided by current/previous employers;
• Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer; and
• Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.
This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations.
Social Security Number*
A Social Security Number is required to conduct the pre-employment verification and investigative review associated with your job application. All information will be handled confidentially and in accordance with applicable privacy requirements.
Date of Birth*
EMPLOYMENT HISTORY
The Federal Motor Carrier Safety Regulations (49 CFR 391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years (for a total of ten (10) years). Any gaps in employment in excess of one (1) month must be explained.
On the next page, start with the last or current position, including any military experience, and work backwards. You are required to list the complete mailing address, including street number, city, state, zip; and complete all other information.
In your employment history, were any of your positions subject to the Federal Motor Carrier Safety Regulations? If yes, list each employer.
In your employment history, were any of your jobs designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40? If yes, list each employer.
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