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APPLICATION FOR COMPANY DRIVING POSITIONS

Buffalo Fuel Corp.

4870 Packard Rd.
Niagara Falls, NY 14304
716.278.2000
f.716.278.2020
www.buffalofuel.com

Contact:
Driver recruiting @ 716.278.2000 ext 100
allysa@buffalofuel.com

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, national origin, age, marital status, or non-job related disability.

  • APPLICATION FOR COMPANY DRIVING POSITIONS

    In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, national origin, age, marital status, or non-job related disability.
  • Street, City, State, Zip, How Long...
  • EMPLOYMENT HISTORY

    All driver applicants to drive intrastate or interstate commerce must provide the following information on all employers during the past (10) years. List complete mailing address, street number, city, state and zip code and all phone numbers. (Incomplete applications will not be considered). NOTE: List employers in reverse order starting with the most recent. Add another sheet as necessary
  • Company, Reason for leaving:, Dates of Employment, Address, Wage / Salary, City, State, Zip, Position Held, Month / Year, Telephone, States you drove in, Supervisor, Number of Motor Vehicle Accidents, Month / Year Types of Trailer(s) Pulled, Full or Part-time
  • Company, Reason for leaving:, Dates of Employment, Address, Wage / Salary, City, State, Zip, Position Held, Month / Year, Telephone, States you drove in, Supervisor, Number of Motor Vehicle Accidents, Month / Year Types of Trailer(s) Pulled, Full or Part-time
  • Company, Reason for leaving:, Dates of Employment, Address, Wage / Salary, City, State, Zip, Position Held, Month / Year, Telephone, States you drove in, Supervisor, Number of Motor Vehicle Accidents, Month / Year Types of Trailer(s) Pulled, Full or Part-time
  • Company, Reason for leaving:, Dates of Employment, Address, Wage / Salary, City, State, Zip, Position Held, Month / Year, Telephone, States you drove in, Supervisor, Number of Motor Vehicle Accidents, Month / Year Types of Trailer(s) Pulled, Full or Part-time
  • Company, Reason for leaving:, Dates of Employment, Address, Wage / Salary, City, State, Zip, Position Held, Month / Year, Telephone, States you drove in, Supervisor, Number of Motor Vehicle Accidents, Month / Year Types of Trailer(s) Pulled, Full or Part-time
  • Name & Phone Number
  • Company Name, Date Applied, Phone Number
  • Dates, Nature of Accident, Fatalities, Injuries
  • Dates, Location (State), Violation, Penalty
  • State, License No., Class, Endorsements, Expiration Date
  • EQUIPMENT EXPERIENCE

  • TO BE READ AND SIGNED BY APPLICANT

    In connection with my application for employment (including contract for services) with you, I understand that consumer reports that may contain public record information may be requested from DAC Services, Tulsa Oklahoma. These reports may include the following types of information: names and dates of previous employers, reason for termination of employment, work experience, accidents, ect. I further understand that workers compensation claims, credit, bankruptcy proceedings, criminal records, ect., from federal, state and other agencies which maintain such records; as well as information from DAC concerning previous driving record requests made by others from such state agencies, and state provided driving records. I AUTHORIZE WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY DAC TO FURNISH THE ABOVE MENTIONED INFORMATION. I have the right to make a request to DAC, upon proper identification, to request the nature and substance of all information in its files on me at the time of my request, including the sources of information; and the recipients of any reports on me, which DAC has previously furnished within the two year period preceding my request. I hereby consent to your obtaining the above information from DAC, and I agree that such information, which DAC has or obtains, and my employment history with you if I am hired will be supplied by DAC to other companies, which subscribe to DAC Services. I hereby authorize procurement of consumer report(s). If hired (or contracted), this authorization shall remain on file and shall service as ongoing authorization for you to procure consumer reports at any time during my employment (or contract) period.