KILLER B TRUCKING INC APPLICATION FOR EMPLOYMENT
2078 Westgate Drive Main Phone 307-362-5210
Rock Springs Wyoming 82901 Fax 307-362-3378
www.kbtinc.biz [email protected]
Instructions to Applicant-
Fill application out completely, accurately and read carefully. 10 years of work/employment history should be
provided leaving no gaps. If applicantwas un-employed or attending school, please explain in between employment
records on previous and current employment page (2). Resume may be attached but does not permit applicant to
omit work history section. Current MVR should be provided from applicants who wish to apply for a job where a
company vehicle may be driven (Sand hauler/Truck Driver). Information provided will be verified and could affect
your eligibility for employment. Incomplete applications will not be considered
.
Applicant In
formation
Last Name First M.I.
Please print any other names you have used
Current Address
State Zip
State Zip
Street Address Unit# City
Mailing Address
Street or PO Box City
LIST THREE YEARS OF PREVIOUS ADDRESS IF AT CURRENT ADDRESS LESS THAN 3 YEARS
Previous Address
Street Address Uni
t# City
State Zip
Previous Address
Street Address Uni
t# City
State Zip
Home Phone Cell Phone Email
Social Security Nu
mber Physical Exam Expiration Date
Position applying f
or Date Available Desired Salary
Are there any specific times or days that you cannot work? YES
If so when?
EMERGENCY CONTACT INFORMATION
FULL NAME NUMBER RELATIONSHIP
Are you age 18 or over?
YES NO
Are you legally eligible for employment in the United States?
YES NO
Have you ever been convicted of a felony? YES NO
If yes please explain in detail
Are you a registered sex offender?
YES NO
Can you perform the duties for the job you are applying for?
YES NO
Have you ever worked for this company before?
YES NO
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