Offering Extensive Experience in Legal and Oversize Flatbed Freight
 

Oktoberfest 2011, La Crosse, WI

 
 
 

Federal ID# 39-2041745

 US DOT# 734693 MC# 343157 SCAC# OLSO
 
 

Join Our Team!


Olson Trucking Direct is always looking for both company drivers and owner/operators.
Complete the form below and we will contact you soon!

Olson Trucking Direct Inc. 311 Ryan St. Holmen, WI 54636 608-526-2959 FAX 608-526-3834
QUALIFICATION STATEMENT
Name: Address:
Telephone: Date of birth:
Address last 3 years:
Has your license ever been revoked? No Yes When
Why?
Any MOVING VIOLATIONS in the past THREE years? No Yes
When? Reason? State?
Any CRASHES in the past THREE years? No Yes
When? Where? What Happened?
Have you EVER tested positived or REFUSED a drug OR alcohol test ANYWHERE you
worked OR applied? No Yes
If yes, when? Where you seen by a SAP?
 

Olson Trucking Direct Inc, is an interstate carrier, as such we are REQUIRED BY LAW to inquire your past CDL employment including participation in alcohol and controlled substances testing, results, and refusals.

You are required to submid and pass a pre-employment controlled substances test BEFORE you can begin driving a CDL vehicle for us. False, or misleading data will be grounds for dismissal YOUR SIGNATURE authorizes us to make these inquiries. WE much inquire into your driving, credit, and past employment records as required by the Title 49 of Federal Regulations as necessary.

Released I swear my above statements are true and correct:
Date:
Date Hired:
 

EMPLOYMENT RECORD

Note: DOT Requires that employment for at least 3 years and /or commercial driving experience for the past 10 years to be shown.

CURRENT/LAST EMPLOYER
Name: Telephone Number:
Address: City: State: Zip:
Position: Dates of Employment: To: Salary:
Reason for Leaving:
Was this position subject to Federal Motor Carrier Safety Regulations? No Yes
Was this position subject to alcohol and controlled substance testing requirements under 49 CFR, Part 40? No Yes
PREVIOUS EMPLOYER
Name: Telephone Number:
Address: City: State: Zip:
Position: Dates of Employment: To: Salary:
Reason for Leaving:
Was this position subject to Federal Motor Carrier Safety Regulations? No Yes
Was this position subject to alcohol and controlled substance testing requirements under 49 CFR, Part 40? No Yes
PREVIOUS EMPLOYER
Name: Telephone Number:
Address: City: State: Zip:
Position: Dates of Employment: To: Salary:
Reason for Leaving:
Was this position subject to Federal Motor Carrier Safety Regulations? No Yes
Was this position subject to alcohol and controlled substance testing requirements under 49 CFR, Part 40? No Yes
PREVIOUS EMPLOYER
Name: Telephone Number:
Address: City: State: Zip:
Position: Dates of Employment: To: Salary:
Reason for Leaving:
Was this position subject to Federal Motor Carrier Safety Regulations? No Yes
Was this position subject to alcohol and controlled substance testing requirements under 49 CFR, Part 40? No Yes
PREVIOUS EMPLOYER
Name: Telephone Number:
Address: City: State: Zip:
Position: Dates of Employment: To: Salary:
Reason for Leaving:
Was this position subject to Federal Motor Carrier Safety Regulations? No Yes
Was this position subject to alcohol and controlled substance testing requirements under 49 CFR, Part 40? No Yes
TO BE READ AND SIGNED BY THE APPLICANT
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 understand that the information in this application will be used and that prior employers will be contacted for purposed of investigation as required by 391.23 of the Federal Motor Carrier Safety Regulations.
   
Applicant's Signature
Date
   
The above information is excerpted from the U.S. Department of Transportation, Federal Motor Carrier Safety Administration, Office of Motor Carrier's publication "A Motor Carrier's Guide to improving Highway Safety".