CDL Job Application

* = Required field

Mortellaro’s Nursery, LTD is an Equal Opportunity Employer

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

 

* First Name / Primer Nombre
Middle Name / Segundo Nombre
* Last Name / Apellido
Current Address / Dirección Actual
Address Line 2 / Línea de Dirección 2
City / Cuidad
State / Estado
Zip Code / Código Postal
How long have you lived here?
Previous Address (if less than 3 years at current)
Address Line 2 / Línea de Dirección 2
City / Cuidad
State / Estado
Zip Code / Código Postal
How long did you live here?
* Email Address / Dirección de Correo Electrónico
* Phone Number / Número de Teléfono
Phone Number / Número de Teléfono
* Date of Birth
* Social Security Number
* Position(s) Sought / Posición(es) Deseada
* Desired Wage / Sueldo Deseado
* Per / Por
* Have worked here before?
If yes, when?
Your name then, if different:
* Are you 21 years of age or older?
* Are you legally authorized to work in the U.S.?
Relative/Friends employed here:
* Do you anticipate any transportation problems in getting to and from work?
If yes, what?
* Have you been convicted of a criminal offense within the past seven years?
If yes, provide details.

Answering "yes" to this question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation, length of time since offense, and position applied for will be taken in to account. A background check may be initiated with your consent based on the responsibilities of the position applied for.

* Are you currently employed?
* May we contact your present employer?
What kind of work are you applying for?
What special qualifications do you have?
* Regarding work location, do you have any geographical preference?
If yes, specify the area:
Type of Work Applying For:
Hours Available, if limited
Date Available

Our normal workweek is 47 hours, Monday through Saturday, and involves rotating through job assignments as assigned.

* Will you work additional hours, if necessary, and rotate through job assignments?
Education
High School Attended
Address
Course of Study
Years Attended
Degree Earned
College Attended
Address
Course of Study
Years Attended
Degree Earned
Specialized Skills
* Check All That Apply / Ponga un Tic en Todo Lo Que Aplica
If you're bilingual, please specify the languages:
Please list any other skills:
Other Activities
List professional, trade, or business activities and offices held:
Military Service Record
Branch of Service
Discharge Date
Rank
Describe job-related training received in military:
References
* Reference #1
Name
Phone
Email
Address
* Reference #2
Name
Phone
Email
Address
* Reference #3
Name
Phone
Email
Address
Driver Licenses

List all driver licenses or permits held in the past 3 years.

State
License Number
Type
Expiration Date
Employment Experience

CMV Applicants: Please list ALL JOBS for the last 10 years; begin with your present or most recent employer.

Current or Most Recent Employer
Type of Business
Job Title
Phone
Address
Start Date
End Date
Starting Salary
Ending Salary
Work Performed and Duties
Reason for Leaving
Was your job designated as a safety sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR PART 40?
Were you subject to the Federal Motor Carrier Safety Regulations while employed?
Prior Employer
Type of Business
Job Title
Phone
Address
Start Date
End Date
Starting Salary
Ending Salary
Work Performed and Duties
Reason for Leaving
Was your job designated as a safety sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR PART 40?
Were you subject to the Federal Motor Carrier Safety Regulations while employed?
Driver History

Accident Record for the Past 3 Years

Nature of Accident
Date
Fatalities
Injuries
Hazardous Material Spill
Traffic Convictions & Forfeitures

Other Than Parking Violations for the Past 3 Years

Location
Date
Charge
Penalty
Driver Experience & Qualifications
* Have you ever been denied a license permit or privilege to operate a motor vehicle?
* Has any license, permit or privilege ever been suspended or revoked?
If the answer was "Yes" to either of the above questions, please explain:
What year did you receive your CDL?
Since receiving your CDL, how many years have you driven?
* Can you submit to a physical examination and drug test as required by the DPS?
Equipment Classes
Straight Truck
Type of Straight Truck
Approximate Miles Driven
Straight Truck Start Date
Straight Truck End Date
Tractor & Semi-Trailer
Type of Tractor & Semi-Trailer
Approximate Miles Driven
Tractor & Semi-Trailer Start Date
Tractor & Semi-Trailer End Date
Tractor – Two Trailers
Type of Tractor – Two Trailers
Approximate Miles Driven
Tractor – Two Trailers Start Date
Tractor – Two Trailers End Date
Motorcoach – School Bus (8+ Passengers)
Approximate Miles Driven
Motorcoach – School Bus (8+ Passengers) Start Date
Motorcoach – School Bus (8+ Passengers) End Date
Motorcoach – School Bus (15+ Passengers)
Approximate Miles Driven
Motorcoach – School Bus (15+ Passengers) Start Date
Motorcoach – School Bus (15+ Passengers) End Date
Other Equipment
Approximate Miles Driven
Other Equipment Start Date
Other Equipment End Date

Commercial Drivers will undergo an interview, background check, road test, alcohol and drug screen and physical exam, if necessary. Failure to pass any one of these incremental steps will result in termination of hiring.

Note to Applicants: Do Not Answer This Question Unless You Have Been Informed About the Requirements of the Job for Which You Are Applying.
With respect to the position for which you are applying, are you able to perform the essential job functions with or without reasonable accommodations?
All individuals considered for employment are evaluated without regard to race, color, religion, gender, national origin, age, marital status, or veteran status, the presence of a non-job related disability or any other legally protected status. / Todos los individuos considerados para empleo serán evaluados sin importar la raza, color, religión, sexo, país de origen, edad, estatus conyugal o veterana, la presencia de una discapacidad no relacionada al trabajo o cualquier otro estatus protegido por ley.

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 understand that any misrepresentations or omission of material facts will result in the discontinuance of my considering for employment, or if already employed, the termination of my employment.

By completing this Application, I agree that, except as otherwise prohibited by law, disputes arising from my application for employment or from the failure or refusal of Mortellaro’s Nursery, LTD to hire me, will be resolved through binding arbitration. Arbitration is governed by the FEDERAL ARBITRATION ACT, 9 V.S.C. §§-16. If for any reason these arbitration provisions are deemed by the court to not be enforceable under the federal act, they will be enforced under THE TEXAS GENERAL ARBITRATION ACT. Arbitration shall be conducted in Schertz, Texas and Texas law shall apply.

I authorize Mortellaro’s Nursery, LTD to verify all statements contained in this application and to otherwise investigate my personal and professional background, as necessary, and as limited above for my present employer. I acknowledge that Mortellaro’s requires all new applicants to submit to a pre-employment drug and alcohol screening and has a No Rehire Policy.

Lastly, in consideration for my employment, I agree to conform to the rules and regulations of Mortellaro’s Nursery, LTD. I understand that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at my option or that of Mortellaro’s Nursery, LTD.

* I have read the above statements regarding potential employment and by submitting this form I agree to those terms. / He leído las declaraciones anteriores con respecto al empleo potencial y al enviar este formulario acepto esos términos.
* Signature / Firma
* Date / Fecha