Employment History

Step 2 - Employment History

List below all your employers for the preceding three years regardless of what you were doing. All time must be accounted for with no gaps. You must also provide a list of all employers beyond the three years for whieh you drove a commercial vehicle. This list must cover the time from three to ten years back or an additional seven years to the last three years. (Note: List employers in reverse order starting with the most recent).

* Indicates required field

Name *

First

Last

Employer 1 Name *

POSITION HELD *

Start Date / end date *

REASON FOR LEAVING *

EMPLOYER Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

WERE YOU SUBJECT TO U.S. DEPARTMENT OT'TRANSPORTATION'S ALCOHIOL AND CONTROLLED SUBSTANCES TESTING REQUIREMENTS AT THIS JOB? *

YES NO

Employer 2 Name *

POSITION HELD *

Start Date / end date *

REASON FOR LEAVING *

EMPLOYER Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

WERE YOU SUBJECT TO U.S. DEPARTMENT OT'TRANSPORTATION'S ALCOHIOL AND CONTROLLED SUBSTANCES TESTING REQUIREMENTS AT THIS JOB? *

YES NO

Employer 3 Name *

POSITION HELD *

Start Date / end date *

REASON FOR LEAVING *

EMPLOYER Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

WERE YOU SUBJECT TO U.S. DEPARTMENT OT'TRANSPORTATION'S ALCOHIOL AND CONTROLLED SUBSTANCES TESTING REQUIREMENTS AT THIS JOB? *

YES NO

IF YOUR would like to add more please use the text box below and summerize them. *

SUBMIT TO GO TO STEP 3

Mailing Address:
Prewitt and Son Trucking Company
P.O. Box 68,
Shepherdsville, Kentucky 40165

Toll Free Phone:
1-888-839-3214

Local Phone:
502-955-1666

FAX:
502-543-8849

​Step 2 - Employment History

Step 2 - Employment History