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  • DRIVER EMPLOYMENT APPLICATION

    An Equal Opportunity Employer
  • COMPLETE IN FULL OR IT WILL NOT BE CONSIDERED.
  • Employer Information

  • Employer: Mason's Propane Service LLC

    317 W. King St.

    East Berlin, Pennsylvania 17316

    (717) 259-0624

  • It is the policy of Mason's Propane Service LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

  • Applicant Information

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  • PREVIOUS THREE YEARS RESIDENCY

  • LICENSE INFORMATION

    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, the information for which is listed below. Include all licenses held for the past 3 years; attach additional sheets if needed.
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  • PREVIOUSLY HELD LICENSES

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  • DRIVING EXPERIENCE

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  • 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. 

    Start with the last or current position, including any military experience, and work backwards (attach separate sheets if necessary). You are required to list the complete mailing address, including street number, city, state,zip; and complete all other information.

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  • TO BE READ AND SIGNED BY APPLICANT

    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.

     

     

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