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Application For Employment

Applicant Name    Date of Application (MM/DD/YY)  

Position(s) Applied for       

Name (First)    Last    Middle   

Current Address       

Street    City   State     

Zip    Phone    How Long? (yr./mo.)   

Previous Addresses       

1) Street    City   State/Zip  How Long? (yr./mo.) 
2) Street      City     State/Zip    How Long? (yr./mo.)   
3) Street     City     State/Zip    How Long? (yr./mo.)   

Do you have the legal right to work in the United States?   

Date of Birth (MM/DD/YY)   Can you provide proof of age?   

Have you worked for this company before?     Where?  

Dates:  From (MM/DD/YY) To (MM/DD/YY)  

Rate of Pay    Position  

Reason for leaving:   

Are you now employed?    If not, how long since leaving last employment?  

Who referred you?    Rate of pay   

Have you ever been bonded?
(Answer only if a job requirement)
  
  Have you ever been convicted of a felony?   

If yes, please explain fully below. Conviction of a crime is not an automatic bar to employment; all circumstances will be considered.  

 

Is there any reason you might be unable to perform the functions of the job for which you have applied [as described in the attached job description]? 
 

If yes, explain if you wish. 
 

EXPERIENCE
Our years of experience and the longevity of our employee relationships make for an efficient and safe way to get your goods where they need to go fast.

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SAFETY
We pride ourselves on a stringent safety record, and strive to make sure that our drivers are the safest on the road. Safe drivers mean safe transport.


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TECHNOLOGY
At McLane, we know that the integrity of our business is only as good as our hours on the road, which is why we use the latest Kenworth truck models.

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8498 Highway 67 North . Poplar Bluff, MO 63901 . 573-785-0177 . Fax 573-785-0212
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