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Fuel Transport Driver Employment Application

First Name *

Last Name *

Middle Name

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Alternate Phone Number

Fax

E-mail Address

Please Re-Enter Your E-Mail

Please email me updates on the status of my application

How did you hear about our openings? *

Please explain details of referral source (optional)

List any relatives or friends employed by Lassus Bros.

Have you ever worked at Lassus? *

Yes

No

When were you employed with Lassus?

If your name has changed since you last worked with us, please list your former name below

Personal Information

Are you legally available to work in the United States? (proof of work status will be required upon employment) *

Yes

No

Are you able to perform the essentials of the job for which you are applying, either with or without reasonable accommodation? *

Yes

No

Are you on layoff or subject to recall? *

Yes

No

If hired, are you willing to submit to and pass a controlled substance test? *

Yes

No

Education

Last grade/level completed in school? *

Did you receive your high school diploma or GED with proof of certificate? *

Yes

No

Name of your high school

Last year completed of college, tech, or business school

Name of college, tech, or business school

Degree/Program of Study

Do you have at least 5 years CDL driving experience? *

Yes

No

Do you have at least 3 years of Hazmat tanking experience or training? *

Yes

No

Describe any additional special training, certifications, or education you have received

Please list two people that could recommend you for employment *

	Name	Relationship	Phone Number
1.	Name	Relationship	Phone Number
2.	Name	Relationship	Phone Number

Resume - Required

Upload Resume (required) *

Agreement

I understand that a consumer investigative report may be made including information as to my character, general reputation, personal characteristics, and mode of living, and that upon written request, made by me within a reasonable period of time, a complete disclosure of the nature and scope of the investigation will be supplied to me. I understand that all employees of Lassus Brothers Oil, Inc. are employees at will and that the employment relationship can be terminated at any time, with myself. I further understand that if an offer of employment is made, I will be required to submit documentation which will verify that I am a citizen or a national of the United States, an alien lawfully submitted for permanent residence, or an alien authorized to be employed in the United States. I further understand that no Supervisor, or Manager or representative of the company, other than the President, has the authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

Please type your full name below if you agree *

Today's Date * +

All applications are submitted directly to our corporate office. If your application meets the qualifications and the needs of the position for which you are applying, someone will be in contact with you to schedule an interview.

8 or less
9
10
11
12
Some college
Currently enrolled in college courses
College graduate