Hilker Trucking Employment Application

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First MiddleLast

Address

City StateZip

Phone

Email

Highest Grade of Education

Are you willing to relocate to South Western Kansas?Yes No

DRIVING INFORMATION

Drivers Lic#State Issued

SS# DOB

Years of Truck Driving experience Years livestock hauling experience

Have you ever been bonded?Yes No If yes, why?

Have you ever been convicted of a felony? Yes No

PAST EMPLOYMENT

Current Employer state Rate of pay How Long?

Previous Employer state Rate of pay How Long?

Reason for leaving

What rate of pay would you expect, if you were hired?

Have you worked for us in the pastYes No If yes, when?

Any additional comments you'd like to add: