Chamberlain Online Application
First and Last Name
What is your current address?
Home and Cell Phone Numbers
What is your date of birth?
What is your Social Security Number?
Do you have a valid Driver's License, If so please give your Driver's License Number.
What is your desired position and Expected pay?
Are you available for full-time work?
Will you work overtime if asked?
Have you ever applied for or been employed with us? If yes, Please tell us when and who was your supervisor.
Are you legally eligible for employment in the United States?
Other special training or skills (language, machine operation)
When will you be available to begin work?
Chamberlain Contractors, Inc. is a Drug Free workplace. I understand that I will be required to submit a urine test prior to being hired. The cost of the test will be paid by Chamberlain unless it comes up positive. If you understand this, initial below.
Chamberlain Contractors, Inc. requires all new truck drivers to take a DOT approved physical exam. The new employee will be required to pay for 50% of the cost of the physical in advance. A copy of the exam results will be given to you. If you understand this, initial below.
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