HDS Application

							HDS Application Fax to: 520-798-3247 or mail to: HDS 6251 S Wilmot Tucson, AZ 85706
Yes No

CAN YOU BEGIN WORKING IMMEDIATELY? If no, state when:__________________________

FIRST NAME:___________________________ MI:____ LAST NAME:____________________________________ ADDRESS:____________________________________________________________________________________ CITY:____________________________________________________STATE:_________________ZIP:__________ EMAIL:___________________________________________________ PHONE:___________________________________BEST TIME TO CALL:_________________________________
(Please include area code)

FAX:______________________________________

EMPLOYMENT NEEDS:

Full-Time

Part-Time

MINIMUM SALARY: $________________ per month or $_______________ per hour. ARE YOU: Professional Driver Student/Recent Graduate

DRIVING SKILLS SUMMARY:
(Check the areas in which you have experience)

Van 48 FT Flat Bed Tanker

Van 53 FT End Dump Straight Truck

Reefer Belly Dump Doubles

Other: ______________________________________

EXPERIENCE:
(Please check your current experience)

Recent Graduate 7 Mo to 12 Mo 4 Yrs to 5 Yrs

1 Mo to 3 Mo 1 Yr to 2 Yrs 5 Yrs to 6 Yrs

4 Mo to 6 Mo 3 Yrs to 4 Yrs 7+ Yrs

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ANSWER YES OR NO: DUI’s in last 5 years? ____________ Reckless Driving Offenses in last 5 years? ____________ Current License Suspension: _____________ More than 3 moving violations in last 2 years? ____________ Accidents? ____________ If yes, describe accidents:_____________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________

CDL NUMBER: ______________________________ ENDORSEMENTS: (Check all that apply) Haz-Mat Doubles & Tripples Tanker Passenger

STATE:__________ EXPIRATION DATE:___________________

MAY WE CONTACT YOUR PRESENT AND PREVIOUS EMPLOYERS? Yes No – Please have someone call me before you contact my employers

MOST RECENT EMPLOYER: _____________________________________________________________________ FROM (MM/DD/YY):____________________________ TO (MM/DD/YY):___________________________________ ADDRESS:____________________________________________________________________________________ CITY:____________________________________________STATE:____________ ZIP:_______________________ SUPERVISOR:_____________________________________ PHONE:_____________________________________ DUTIES:______________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ REASON FOR LEAVING: _____________________________________________________________________________________________ _____________________________________________________________________________________________

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PREVIOUS EMPLOYER: _____________________________________________________________________ FROM (MM/DD/YY):____________________________ TO (MM/DD/YY):___________________________________ ADDRESS:____________________________________________________________________________________ CITY:____________________________________________STATE:____________ ZIP:_______________________ SUPERVISOR:_____________________________________ PHONE:_____________________________________ DUTIES:______________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ REASON FOR LEAVING: _____________________________________________________________________________________________ _____________________________________________________________________________________________

Thank You! HDS is an Arizona based company with regions in El Paso TX, Las Vegas NV, Gallup NM, Tucson AZ, Phoenix AZ and Flagstaff AZ.