Online Application

Name: Last
 First
Middle
Street/Route City
State
Zip
Phone: Social Security #:
Position Applying For:
Who Referred You?
If not employed, how long since you left your last employment?:
Have you worked for DDL before? If yes, where?
List dates of employment:
From: To
Position held    
Have you ever worked for this company under another name?
If Yes, under what name? Where?
Madien or other names applicant has ever used:    
Do you have any friends or relatives working for ODDL?    
If yes, please advise their:
Name Location employed at
and relationship    
Emergency contact Person Relationship
Phone number    
List Addresses at which you have resided for the past 10 Years
(Most recent first)
Address 1:
(Street/Route) (City) (State) (Zip)
Address 2:
(Street/Route) (City) (State) (Zip)
Address 3:
(Street/Route) (City) (State) (Zip)
Address 4:
(Street/Route) (City) (State) (Zip)
Address 5:
(Street/Route) (City) (State) (Zip)
"Criminal Record & Background Check Policy"
Attention Applicant
"Please read this notice before filling out application"
Incomplete applications will not be considered for employment.  Your answers/information must be complete, accurate, and legible.  ("N/A" is not an acceptable reply.)  You must furnish all previous employer names, complete mailing address-including zip code, phone numbers, position held, and reason for leaving.  We have the right to verify all information contained in the application.  Please make certain that all answers/information are answered fully and honestly.
As stated in our application:  "MISREPRESENTATION OR OMISSION OF INFORMATION WILL RESULT IN REJECTION OR DISMISSAL"
We may contact all previous employers, by phone prior to employment and by US Mail or Fax after employed, to verify information you supply.
We obtain criminal back ground checks on all applicants/employees when hired.  It is very important that you list all criminal convictions regardless whether Misdemeanors or Felonies.  Failure to do so may result in termination of employment/application.
1 A Misdemeanor conviction will not necessarily disqualify your application provided you answer honestly and depending on the circumstances such as the seriousness of the misdemeanor and time of conviction.
2 Felony conviction prior to the age fo 21 will receive consideration, depending upon factors such as the seriousness and time lapse since conviction.
3 It is required that if at any time you are arrested and/or convicted of any crime (misdemeanor or felony) during employment you will immediately notify your manager and provide all arrest/conviction documents.  We may at any time run additional criminal record checks during your employment.
You must explain all gaps between employment, including unemployed time(s).
Note to all applicants:
On all employees, we obtain MVR's annually.  You are required to report to your manager any citation received while operating any motor vehicle, private or company owned, within 24 hours of receipt and before beginning work after receiving a citation.  you are also required to keep your manager updated on the disposition of the citation as it progresses, including conviction or dismissal, etc.

Employment for past 10 Years

Applicant must furnish complete mailing address for application to be considered.

Start with last or current position, including prior military experience, and work back.  Explain any gaps in time. If more space is needed, please add on page marked "Additional Comments" 
Employer: Telephone No.
Address: City
State Zip
Position Held: Supervisor's Name
From To
Reason for Leaving:
During the last year of previous employment, how many days were you absent?
   
Employer: Telephone No.
Address: City
State Zip
Position Held: Supervisor's Name
From To
Reason for Leaving:
During the last year of previous employment, how many days were you absent?
   
Employer: Telephone No.
Address: City
State Zip
Position Held: Supervisor's Name
From To
Reason for Leaving:
During the last year of previous employment, how many days were you absent?
   
Employer: Telephone No.
Address: City
State Zip
Position Held: Supervisor's Name
From To
Reason for Leaving:
During the last year of previous employment, how many days were you absent?
   
Employer: Telephone No.
Address: City
State Zip
Position Held: Supervisor's Name
From To
Reason for Leaving:
During the last year of previous employment, how many days were you absent?
General
Have you ever been discharged from a job?

If yes, explain in precise detail:
ALL YES answers must be explained throughly in "additional comments section".  You must furnish dates, charges, disposition/sentence and reason for same.
Have you ever been convicted of a FELONY?
Have you ever been convicted of any type of robbery, theft, forgery or worthless checks?
Have you ever been convicted of any charge pertaining to a controlled or illegal substance?
Have you ever tested positive for a controlled or illegal substance?
Have you been convicted of a misdemeanor in the previous 3 years?
Have you ever plead gulty or no contest to criminal charges; received any type of deferred prosecution or adjudication; had a finding or determination of guilt entered against you by any court; or are criminal charges pending against you?
If Yes, please explain fully in the "Additional Comment" section at the end of this application.
Twin Trailers
Triple Trailers
Tanker
Other (Identify)
List special courses or training received that will help you as a driver:
List safe driving awards held and from what companies:
Management Qualifications
List All Specialized training programs you have completed:
A.
B.
C.
D.
List previous employers with which you held supervisory or managerial positions:
A.
From
To
B.
From
To
C.
From
To
D.
From
To
Describe positions held in No. 2 and areas of responsibility:
A.
B.
C.
D.
Number of people you directly supervised in No. 2:
A.
B.
C.
D.

APPLICANT MUST READ AND SIGN
AUTHORIZATION AND CONSENT
I hereby state that the information given by me in my employment application is true and complete in all respects, and I agree that if any information therein is found to be false or incomplete at any time and any respect, I will besubject to rejection of my application or termination of my employment and benefits.  I understand that in considerationof my application, an investigation may be conducted of my past employment and activities.  I authorize pastemployers, personal references and any other persons with whom I am acquainted to answer all questions askedconcerning my previous employment record, ability, character, reputation, educational background, medical andworkers' compensation history, military service, credit history and mode of living.  I release all persons, includingpast employers, credit bureaus, and government agencies from any liability or damages on account of havingfurnished such information in good faith.
In consideration of my application for employment, I authorize all previous employers or where I have applied and/orits agents to conduct such an investigation, and release the company named above, including its officers,employees, agents and representatives from all liability or responsibility for this investigation, which may include, butis not limited to the performance of medical examinations, and the gathering of information regarding personal,professional and educational reference, credit or consumer investigations, driving histories, and any criminal historyinformation which may be in the files of any state or local criminal justice agency. I understand that the informationrequested below regarding sex, race and date of birth are for the sole purpose of gathering the above informationaccurately, and will not be used to discriminate against me in violation of any law.  A facsimile or a copy of this authorization shall be as valid as the original.
FAIR CREDIT REPORTING ACT - PLEASE READ

In making this application for employment, I understand that a consumer report may be requested or an investigationconducted to determine my suitability for employment.  I further understand that if employment is denied in wholeor part because of information obtained by my prospective employer from a consumer reporting agency, I have theright to make a written request within a reasonable period of time to receive information about the scope and natureof the investigation.

It is also agreed that I release Dominion Dedicated to give my employment record, work history, and any other btained information to any and all future employers and/or their agents.

As an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing taskswhich are pertinent to the job.  I also understand that if offered a job, it may be conditioned on the results of aphysical examination and/or alcohol or drug test.

I agree to furnish such additional information and complete such examinations as may be required to complete myemployment file.

If hired I agree to abide by all the Rules and Policies of Dominion Dedicated Logistics, Inc.  This application is limited to the position applied for.  I understand that if I am not hired for this position, this application will not be considered for any future employment openings and it will be necessary for me to complete additionalapplications if I desire to be considered for employment in the future.

I understand this application does not constitute an contract of employment with Dominion Dedicated  either expressed orimplied, but that if employed it will be an "employment at will" which may be terminated at any time by Dominion Dedicatedor me.

I certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with Dominion Dedicated Logistics, Inc. and for no other reason.

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 also understand that any misrepresentation or omission of information or factsmay result in my rejection or dismissal.

I certify that I have read and understood all of this employment application.

ADDITIONAL CONTENTS

By clicking 'Proceed', I certify that the information provided is accurate.