CDL B Concrete Mixer Truck Driver Application

Please complete the form below

*Equal Opportunity Program*

*Auxiliary aids and services are available upon request to individuals with disabilities*

Name

First Name

Last Name

Subject

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

How many hours can you work weekly

Driver's License Number

Have you had a valid Michigan Driver's License for 3 years with no suspensions

Have you ever been convicted of a Felony? If so, for what and what was the date of conviction?

I acknowledge that Detroit Training Center will verify my driving record with State of Michigan to determine my eligibility for a CDL (You can call to determine your own eligibility at (517) 636-7474)

I acknowledge and approve of this

I acknowledge that I will undergo a background check to ensure no DUIs within the past 5 years (other infractions reviewed on a case-by-case basis)

I acknowledge and approve of this

I understand that this training program is designed to ensure my ability to work as a concrete mixer truck driver, which includes various hazards as well as all the positive and negatives involved in working in the construction Industry

I acknowledge and approve of this

Do you currently have a CDL A or B License?

I understand that as a driving position this will require passing a DOT Physical and associated drug screen

I acknowledge and approve of this

Most recent or current employer?

Most recent or current Job Title

Previous Employer

Previous Job Title

Professional Reference # 1

Include Name, Phone Number, and Email Address

Professional Reference #2

Include Name, Phone Number, and Email Address

Please fill this out and email your resume to Noel@DetroitTraining.com to be considered for this position