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AKRON, OH
(800) 321-3460

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.

General Information

Addresses Of Residency For The Past 3 Years

Current Address

Previous Address 1

Previous Address 2



Required for Commercial Drivers

Please answer the below questions regarding your previous employment at Kandel:



If the above answer is yes, explain if you wish:

Employment History

List complete mailing address, street number, city, state and zip code. Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall provide 10 years' information on those employers for whom the applicant operated such vehicle.

Current (or Previous) Employer 1

Previous Employer 2

Previous Employer 3

Previous Employer 4

*Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 15 or more passengers, or any size vehicle used to transport hazardous materials in a quantity requiring placarding.

**The Federal Motor Carrier Safety Regulations (FMCSRs) 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.

Accident Record

For the past 3 years or more.

Last Accident

Head-on, rear-end, upset, etc.

Next Accident 1

Head-on, rear-end, upset, etc.

Next Accident 2

Head-on, rear-end, upset, etc.

Traffic Convictions and Forfeitures

For the past 3 years or more (other than parking violations).

Incident 1

Incident 2

Incident 3

Education

Choose highest grade completed

Experience and Qualifications - Driver

Driver's License 1

Driver's License 2

Driver's License 3



Driving Experience

Straight Truck

(van, tank, flat, etc.)

Tractor and Semi-trailer

(van, tank, flat, etc.)

Tractor and two trailers

(van, tank, flat, etc.)

Other

(van, tank, flat, etc.)




Last 4 digits of your Social Security #, required for the following license # check.

* = Required

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