Drive AA&E with Ramar Transportation Application For Employment Commercial Drivers This transportation company is an equal opportunity employer in compliance with all Federal and State equal employment opportunity laws. Consideration of qualified applicants for any position is made without regard to the applicant’s sex, race, color, national origin, marital status, age, religion or non-job related disability.Date* MM slash DD slash YYYY Name (Last, First, Middle)* DOB SSN Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How Long Phone*CellEmail* Previous Address (Go Back 3 years) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How Long Can you legally be employed in the United States? Do you have any proof of age? (Required for commercial drivers) Have you ever been employed by this company before? If so, When? What was your rate of pay? Position Held Reason for leaving Currently Employed May we contact your present employer? If not, How long since you were last employed? What pay rate are you expecting? How did you hear about this company? After reviewing the job description, for what reasons might you be unable to perform the duties of the position for which you are applying? You may explain.Employment History Past 10 YearsPlease give the following information regarding your current and previous employers. Start with the most recent. Use additional sheets if necessary and please explain any employment gaps.Employer Contact PhoneDate From MM slash DD slash YYYY Date To MM slash DD slash YYYY Position Salary Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reason for Leaving Were you subject to the FMCSRs while employed? Yes No Was your job designated as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40? Yes No Employer Contact PhoneDate From MM slash DD slash YYYY Date To MM slash DD slash YYYY Position Salary Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reason for Leaving Were you subject to the FMCSRs while employed? Yes No Was your job designated as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40? Yes No Employer Contact PhoneDate From MM slash DD slash YYYY Date To MM slash DD slash YYYY Position Salary Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reason for Leaving Were you subject to the FMCSRs while employed? Yes No Was your job designated as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40? Yes No Employer Contact PhoneDate From MM slash DD slash YYYY Date To MM slash DD slash YYYY Position Salary Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reason for Leaving Were you subject to the FMCSRs while employed? Yes No Was your job designated as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40? Yes No Employer Contact PhoneDate From MM slash DD slash YYYY Date To MM slash DD slash YYYY Position Salary Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reason for Leaving Were you subject to the FMCSRs while employed? Yes No Was your job designated as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40? Yes No Employer Contact PhoneDate From MM slash DD slash YYYY Date To MM slash DD slash YYYY Position Salary Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reason for Leaving Were you subject to the FMCSRs while employed? Yes No Was your job designated as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40? Yes No Please use this space for comments, additional information, or to explain periods of time between employers.Driving Qualifications And ExperienceLICENSES HELDState License No Type Expiration Date MM slash DD slash YYYY State License No Type Expiration Date MM slash DD slash YYYY State License No Type Expiration Date MM slash DD slash YYYY State License No Type Expiration Date MM slash DD slash YYYY EQUIPMENT EXPERIENCETractor (Equipment Type, For How Long? (yrs), Total Miles (Approx.)Tractor w/ Two-Trailers (Equipment Type, For How Long? (yrs), Total Miles (Approx.)Straight Truck (Equipment Type, For How Long? (yrs), Total Miles (Approx.)Other (Equipment Type, For How Long? (yrs), Total Miles (Approx.)In what states have you operated in the past three years?Have you ever had your license revoked or suspended? If so, when and where? Why? (Please Explain)Have you ever been convicted of a felony? If so, when and where? Why? (Please Explain)Have you tested positive for a pre-employment or random Drug or Alcohol test in the past three years? Yes No Accidents And ViolationsACCIDENTS IN THE PAST THREE YEARS (List most recent first - attach additional sheets if necessary)Date MM slash DD slash YYYY Injuries? Fatalities? Vehicle Type DescribeDate MM slash DD slash YYYY Injuries? Fatalities? Vehicle Type DescribeDate MM slash DD slash YYYY Injuries? Fatalities? Vehicle Type DescribeAttach additional sheets if necessaryMax. file size: 64 MB.TRAFFIC CONVICTIONS IN THE PAST THREE YEARS (Not parking violations)Date MM slash DD slash YYYY Where? Violation Penalty Date MM slash DD slash YYYY Where? Violation Penalty Date MM slash DD slash YYYY Where? Violation Penalty Education And TrainingPlease provide the following information about completed education, starting with the most recent.School or University Years Completed Field of Study Graduate? (yes or no) When School or University Years Completed Field of Study Graduate? (yes or no) When School or University Years Completed Field of Study Graduate? (yes or no) When School or University Years Completed Field of Study Graduate? (yes or no) When Have you ever served in the military? If so, when and what branch? Please list any training you have received that you think will benefit you in the position for which you are applyingPlease provide three personal referencesName Years Known PhoneName Years Known PhoneName Years Known PhonePlease use the following space to list any experience or knowledge you have not mentioned previously, special accomplishments or comments you would like us to considerCarefully Read The Following And SignBy signing this statement, I certify that this employment application has been completed by me, and all of the entries provided are true, complete, and accurate, to the best of my knowledge. By signing below I also authorize this company to make such inquiries into my employment, financial, personal, or medical history as might be needed to make an employment decision. I understand that inquiries into my medical history are generally made after a job offer is made. I hereby release my former employers, healthcare providers and schools from any and all liability in making response to these inquiries and from releasing the requested information.Date MM slash DD slash YYYY Applicant's Signature*Captcha