1023 North Avenue
Pittsburgh, PA 15209-2294
Toll Free:

(800) 424-2737
Voice:

(412) 821-1395
Fax:

(412) 821-6201

Transport Topics Online

 

Faulty Bendix Valves Installed on Around 60,000 New Trucks

A faulty brake valve produced by Bendix Commercial Vehicle Systems has been installed on as many as 60,000 Navistar Inc., Paccar Inc. and Volvo Group heavy-duty vehicles that are now in service.

ISM Services Index Jumps in January

An index of the U.S. economy's service sector rose in January at the fastest pace in nearly a year, the Institute for Supply Management said Friday.

Railroads, Union Agree; Possible Strike Averted

The largest U.S. freight railroads reached a tentative agreement last week with a union representing track and bridge maintenance workers, eliminating the possibility of a nationwide work stoppage.

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REINSFELDER INC.
PRE-APPLICATION
Type of Application: 
Full Name: 
E-Mail Address: 
Date: Sunday 5th of February 2012 05:59:10 PM
Social Security #: 
Mailing Address:
Phone Number: 
Cell Phone Number: 
Date of Birth: 
Have you ever been convicted of a felony? 
If YES, then what year was the conviction: 
If YES, what type of conviction: 
Have you ever been convicted of a DUI or controlled substance? 
If YES, then what year was the conviction: 
If YES, what type of conviction: 
Have you ever tested positive on a drug screening exam? 
Are you capable of performing heavy manual labor
and tarping steel and machines? 
Do you have any Over The Road (OTR) experience? 
If so, How many years? 
Do you have any Flatbed experience? 
If so, How many months? 
CDL #:  State:
Endorsements: 
Expiration Date: 
Number of tickets in the last 5 years: 
Number of accidents in the last 5 years: 
Please list employers and unemployment time for at least
the past 3 years in the sections below:
Present or Most Recent Employer: 
Dates of Employment: From  To 
Address Information:


Phone Number: 
List the Type of trailer(s) used?

Rate of Pay: 
# of States: 
Second Most Recent Employer: 
Dates of Employment: From  To 
Address Information:


Phone Number: 
List the Type of trailer(s) used?

Rate of Pay: 
Why did you leave?

# of States: 
Third Most Recent Employer: 
Dates of Employment: From  To 
Address Information:


Phone Number: 
List the Type of trailer(s) used?

Rate of Pay: 
Why did you leave?

# of States: 
Fifth Most Recent Employer: 
Dates of Employment: From  To 
Address Information:


Phone Number: 
List the Type of trailer(s) used?

Rate of Pay: 
Why did you leave?

# of States: 
By submitting online form via email, 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 authorize REINSFELDER, INC. 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, healthcare providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application.  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 (a) 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
* 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
In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the company.  To release the following information to Reinsfelder, Inc. for the purposes of investigation as required by section §391.23 and allowed by section §383.35 of the Federal Motor Carrier Safety Regulations. You are released from any and all liability, which may result from furnishing such information.