Apply for CDL CLASS A or B DELIVERY DRIVER

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:CDL CLASS A or B DELIVERY DRIVER
ID:1086
Department:Delivery
Contact Information
* First Name:
* Middle Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Primary Phone:
Cell Phone:
* Email Address:
* Social Security Number:
Referral: Yes    No   
Were you referred by a current employee of our organization?
Referral Name:
Attachments
Resume:
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Cover Letter:
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Applicant Consent for Pre-Employment Investigation
I certify and declare under penalty of perjury under relevant state and federal law that the information contained in my employment application is complete, true and accurate. I acknowledge that falsification or omission of information may result in immediate dismissal or retraction of any offer of employment. In review of my application for employment, I hereby voluntarily consent to and authorize Pepsi-Cola Bottling Co. of Luverne bearing this release or copy thereof, to obtain a consumer report for employment purposes. I agree that this consumer report may include any of the following: Criminal Records, Motor Vehicle Records, Credentials Verification, Employment Verification, Past Employment Verification, Civil Cases, Military Service or Education Verification, Personal Identity Verification, or Reference Checks. I authorize all persons and organizations that may have information relevant to this research to disclose such information to Pepsi-Cola Bottling Co. of Luverne or its authorized agents. I hereby release Pepsi-Cola Bottling Co. of Luverne, its authorized database vendors/agents and all persons and organizations providing information from all claims and liabilities of any nature in connection with this research.
* Do you agree and give authorization for Pepsi Luverne to collect information in accordance with the above statement?
Yes
No
Custom - Application for Employment
PERSONAL INFORMATION

List your addresses of residency for the past 3 years.

CURRENT ADDRESS

PREVIOUS ADDRESS 1

PREVIOUS ADDRESS 2

PREVIOUS ADDRESS 3

Yes   No
Yes   No
Yes   No
Yes   No
Yes   No
Yes   No
EMPLOYMENT HISTORY

ALL DRIVER APPLICANTS MUST PROVIDE THE FOLLOWING INFORMATION ON ALL EMPLOYERS DURING THE PRECEDING 3 YEARS. LIST COMPLETE MAILING ADDRESS, STREET NUMBER, CITY, STATE AND ZIP CODE.

EMPLOYER 1

1The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.

EMPLOYER 2

EMPLOYER 3

EMPLOYER 4

EMPLOYER 5

EMPLOYER 6

ACCIDENT RECORD FOR PAST 3 YEARS OR MORE

LAST ACCIDENT

NEXT PREVIOUS

NEXT PREVIOUS

EXPERIENCE AND QUALIFICATIONS - DRIVER

Driver licenses or permits held in the past 3 years

LICENSE 1

LICENSE 2

LICENSE 3

LICENSE 4

Yes   No
Yes   No
DRIVING EXPERIENCE
YES   NO
  
  
  
  
YES   NO
  
  
  
  
YES   NO
  
  
  
  
YES   NO
  
  
  
  
YES   NO
YES   NO
EDUCATION

SELECT HIGHEST GRADE COMPLETED

1   2   3   4   5   6   7   8
1   2   3   4
1   2   3   4

LAST SCHOOL ATTENDED

EXPERIENCE AND QUALIFICATIONS - OTHER
TO BE READ AND SIGNED BY THE APPLICANT

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.)

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 understand, also, that I am required to abide by all rules and regulations of the Company.

I understand that information I provide regarding current and/or previous 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(d) and (e). I understand that I have the right to:

  • Review information provided by previous employers;
  • Have errors in the information corrected by previous employers and for those previous employers to re-send 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.

I certify that the information given by me in this application is true in all respects. I agree, if I am employed and information is found to be false in any way, I am subject to dismissal without notice. I am aware that my background is to be investigated and, upon presentation of this release or copy thereof, I hereby authorize any person or organization to furnish Sunnyside Communities information concerning me, my work performance, driving record, school record, my credit status and criminal record.

If I am offered employment, I understand and agree that I must submit to a Drug Screen, physical examination and criminal background check.

I understand that this application will be kept on active file for 90 days from the date of completion, after which time I would have to reapply.

Medical and Drug Screen Consent
I hereby consent and give my permission to the appropriate medical personnel as directed by Pepsi-Cola Bottling Company of Luverne, to conduct a physical examination and also do appropriate drug screening for alcohol and /or drugs. I do freely give said consent and understand the results of the physical exam and/or drug screening can and will be used by Pepsi-Cola Bottling Company of Luverne to determine my suitability for continued employment. I further authorize any medical personnel conducting said physical examination and drug screening to release and disclose to Pepsi-Cola Bottling Company of Luverne, any and all diagnoses, test results, findings, or other information in connection with the medical treatment rendered by them or at their request. I do hereby release and hold harmless any and all medical personnel and/or any employees of their facility from any and all liability based upon the providing of said information to my employer. I do further release and hold harmless Pepsi-Cola Bottling Company of Luverne from any and all consequences and/or results of said examination and screening.
* Do you agree and give consent in accordance with the above statement?
Yes
No
Medical and Drug Consent
* I hereby consent and give my permission to the appropriate medical personnel as directed by Pepsi-Cola Bottling Company of Luverne, to conduct a physical examination and also do appropriate drug screening for alcohol and /or drugs. I do freely give said consent and understand the results of the physical exam and/or drug screening can and will be used by Pepsi-Cola Bottling Company of Luverne to determine my suitability for continued employment. I further authorize any medical personnel conducting said physical examination and drug screening to release and disclose to Pepsi-Cola Bottling Company of Luverne, any and all diagnoses, test results, findings, or other information in connection with the medical treatment rendered by them or at their request. I do hereby release and hold harmless any and all medical personnel and/or any employees of their facility from any and all liability based upon the providing of said information to my employer. I do further release and hold harmless Pepsi-Cola Bottling Company of Luverne from any and all consequences and/or results of said examination and screening.

Do you agree and give consent in accordance with the above statement?
Yes
No
General Questions
* Do you have a Commercial Driver's License (CDL)?
Yes, Class A
Yes, Class B
No
* Do you have a valid driver's license?
Yes
No
If Yes, license number and State.
* Have you ever been convicted of a felony?
Yes
No
If Yes, please explain (a conviction does not automatically disqualify employment).
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

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