C.A.T. is an International Carrier Proudly Serving the U.S., Canada and Mexico

 

 

 
  

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    Online Application

    All fields marked with * are required.

    First Name:
    *
    		 Last Name:
    *
    Social Security Number:
    *
    Address:
    *
    City:
    *
    		 E-Mail Address:
    State:
    *
    Zip:
    *
    Phone:
    *
    XXX-XXX-XXXX    		Date of Birth:
    MM/DD/CCYY

       

    Miscellaneous Information
    CDL Driver's License #: Expiration Date:
    MM/DD/CCYY    		State:
    Years of Experience: Hazardous Materials Endorsement: Yes No
    Have you ever been convicted of felony? Yes No
    If yes, explain:
    Was your license ever suspended/revoked? Yes No
    When?
    		 Where?
    Number of moving violations in the last 3 years:
    Any accidents in the last 3 years? Yes No
    When?
    MM/DD/CCYY
    Who was at fault?
    Damage Amount:
    Type of equipment operated and number of years each:
    Van
    Tanker
    Flatbed
    Other
    Reference Name: Phone Number:
    XXX-XXX-XXXX

       

    Current Employer Information
    Current Employer: Position:
    Dates of Employment...
    From:
    MM/DD/CCYY
    To:
    MM/DD/CCYY
    Pay:
    City: State:
    Phone:
    XXX-XXX-XXXX    		Contact:

       

    Past Employer (1) Information
    Past Employer: Position:
    Dates of Employment...
    From:
    MM/DD/CCYY
    To:
    MM/DD/CCYY
    Pay:
    City: State:
    Phone:
    XXX-XXX-XXXX    		Contact:
    Why did you leave?
    Past Employer (2) Information
    Past Employer: Position:
    Dates of Employment...
    From:
    MM/DD/CCYY
    To:
    MM/DD/CCYY
    Pay:
    City: State:
    Phone:
    XXX-XXX-XXXX    		Contact:
    Why did you leave?


    I certify that I personally completed this application and that all of the information is true and correct. I authorize Independent Power - C.A.T. Inc. to conduct a background investigation in accordance with state and federal law and authorize my previous employers to release any information requested by Independent Power - C.A.T. Inc. and hold them harmless of all liability from the release of said information. Also, in accordance with the provisions of 49 CFR Part 382.405 and 382.413, I hereby authorize and require my previous and/or current employers specifically listed by me on this application to release the results (including any refusal to test) of all drug and alcohol tests taken by me pursuant to the provisions of 49 CFR while in their employment to Independent Power - C.A.T. Inc.

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