Phone: (574) 722-3888
1040 W Co Rd 250 S, Logansport, IN 46947
Want to apply to work for us? Fill out the form below:
In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, religion, sex, national origin, age, marital status, or non-job related disability.
TO BE READ AND SIGNED BY APPLICANT
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 also understand that I have the right to:
PREVIOUS ADDRESSES FOR THE PAST THREE (3) YEARS
In accordance with §391.21 & .23 of the Federal Motor Carrier Safety Regulations (FMCSR), an applicant must list all previous work experience for the three (3) years prior to the date of application shown on page one, as well as all commercial driving experience for seven (7) years prior to those three years, for a total of 10 years. If you are an owner operator, list carriers leased to.
PLEASE LIST STARTING WITH MOST RECENT EMPLOYER, USE ADDITIONAL SHEET IF NEEDED.
If you do have two (2) years of verifiable combination vehicle experience please stop here. You are no longer qualified.
CURRENT OR LAST EMPLOYER COMPANY NAME:
SECOND LAST EMPLOYER COMPANY NAME:
THIRD LAST EMPLOYER COMPANY NAME:
* The Federal Motor Carrier Safety Regulations 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 9 or more passengers, or 3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.
**Any gaps in employment and/or unemployment must be explained.
If you do not possess a valid Class “A” Driver’s License please stop Here!
LIST ANY ADDITIONAL LICENSE(S) HELD IN THE PAST 3 YEARS:
If you have been convicted of driving while intoxicated or under the influence of a controlled substance within the past (2) Years Stop here, you are no longer qualified to apply as a driver for Gangloff Industries, Inc.
PLEASE LIST ALL MOTOR VEHICLE COLLISIONS IN WHICH YOU WERE INVOLVED (BOTH COMMERCIAL AND PRIVATE VEHICLE) DURING THE PAST THREE YEARS PRIOR TO THE APPLICATION DATE. IF NONE, WRITE “NONE”
PLEASE LIST ALL TRAFFIC CONVICTIONS AND/OR FORFEITURES (BOTH COMMERCIAL AND PRIVATE VEHICLE) FOR THE PAST THREE YEARS (OTHER THAN PARKING). IF NONE, WRITE “NONE”
If you have been convicted of Reckless/careless driving, hit and run, Speeding in excess of 16 mph over the posted limit, please be aware this may disqualify you.
TYPE OF EQUIPMENT(VAN, TANK, FLAT, ETC.)
Approximate Miles Driven
TRACTOR & SEMI TRAILER
LIST COMMODITIES HAULED
IN CASE OF EMERGENCY, CONTACT
MUST BE READ AND SIGNED BY THE APPLICANT
I authorize the carrier to make such inquiries and investigations of my personal, employment, driving, 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 agree to abide by the rules and regulations of the carrier as well as the Federal Motor Carrier Safety Regulations. I also agree and understand that if I am selected to drive for the carrier that I will be on a probationary period during which time I may be discharged without recourse.
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.