Skip to main content

(207) 783-6223

Home
About
Who We Are

Meet the Team
Services
Bridge Construction

Building Construction

Road / Site Construction

Utility Construction

Water & Waste Water Treatment Facilities
Our Work
Careers
Contact

Driver Application

×

Error message

Deprecated function: Return type of DatabaseStatementBase::execute($args = [], $options = []) should either be compatible with PDOStatement::execute(?array $params = null): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2244 of /home4/tbuck302/public_html/includes/database/database.inc).
Deprecated function: Return type of DatabaseStatementEmpty::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home4/tbuck302/public_html/includes/database/database.inc).
Deprecated function: Return type of DatabaseStatementEmpty::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home4/tbuck302/public_html/includes/database/database.inc).
Deprecated function: Return type of DatabaseStatementEmpty::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home4/tbuck302/public_html/includes/database/database.inc).
Deprecated function: Return type of DatabaseStatementEmpty::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home4/tbuck302/public_html/includes/database/database.inc).
Deprecated function: Return type of DatabaseStatementEmpty::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2346 of /home4/tbuck302/public_html/includes/database/database.inc).

Submitted by Web Developer on Fri, 02/22/2019 - 11:15

PERSONAL INFORMATION

First Name *

M.I. *

Last Name *

Phone Number *

Date of Birth *

Email Address *

Mailing Address *

Town/City *

State *

Zip Code *

Physical Address (if different than mailing address)

Town/City

State

Zip Code

RESIDENCE FOR THE PAST 3 YEARS

Address #1

How long?

Town/City

State

Zip Code

Address #2

How long?

Town/City

State

Zip Code

Address #3

How long?

Town/City

State

Zip Code

EXPERIENCE & QUALIFICATIONS

Applicant list the states and license numbers of all licenses held for the past 3 years.

State *

License # *

Exp Date *

Class (Ex: A, B, C) *

Endorsements *

State

License #

Exp Date

Class (Ex: A, B, C)

Endorsements

State

License #

Exp Date

Class (Ex: A, B, C)

Endorsements

DRIVING EXPERIENCE

Straight Truck

Type of Equipment (Van, Flat, Tank, etc)

From (date)

To (date)

Approx # of Miles (total)

Tractor Semi Trailer

Type of Equipment (Van, Flat, Tank, etc)

From (date)

To (date)

Approx # of Miles (total)

Tractor with Doubles

Type of Equipment (Van, Flat, Tank, etc)

From (date)

To (date)

Approx # of Miles (total)

Tractor with Triples

Type of Equipment (Van, Flat, Tank, etc)

From (date)

To (date)

Approx # of Miles (total)

Tractor with Tank

Type of Equipment (Van, Flat, Tank, etc)

From (date)

To (date)

Approx # of Miles (total)

Other

Type of Equipment (Van, Flat, Tank, etc)

From (date)

To (date)

Approx # of Miles (total)

EMPLOYMENT HISTORY

Employer #1

Name of Business/Organization *

Phone # *

Address *

Town/City *

State *

Position held *

CDL? *

Yes

No

From *

To *

Reason for Leaving *

Employer #2

Name of Business/Organization

Phone #

Address

Town/City

State

Position held

CDL?

Yes

No

From

To

Reason for Leaving

Employer #3

Name of Business/Organization

Phone #

Address

Town/City

State

Position held

CDL?

Yes

No

From

To

Reason for Leaving

Employer #4

Name of Business/Organization

Phone #

Address

Town/City

State

Position held

CDL?

Yes

No

From

To

Reason for Leaving

Employer #5

Name of Business/Organization

Phone #

Address

Town/City

State

Position held

CDL?

Yes

No

From

To

Reason for Leaving

Employer #6

Name of Business/Organization

Phone #

Address

Town/City

State

Position held

CDL?

Yes

No

From

To

Reason for Leaving

ACCIDENTS/CRASHES FOR THE PAST 3 YEARS OR MORE

Date

Nature of Accident (Backing, Head-on, Rollover, etc)

Fatalities

Injuries

Date

Nature of Accident (Backing, Head-on, Rollover, etc)

Fatalities

Injuries

Date

Nature of Accident (Backing, Head-on, Rollover, etc)

Fatalities

Injuries

MOVING TRAFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS

Date of Conviction

Offense

Location

Type of Vehicle Operated

Date of Conviction

Offense

Location

Type of Vehicle Operated

Date of Conviction

Offense

Location

Type of Vehicle Operated

Have you ever been denied a license, permit, or privilege to operate a motor vehicle? *

Yes

No

Has any license, permit, or privilege ever been revoked? *

Yes

No

If yes, please provide details

Do you consent to such testing? *

Yes

No

DRIVER PRE-EMPLOYMENT VERIFICATION OF TESTING RESULTS

In the past 2 years have you:

Tested positive for any controlled substances pre-employment test for any other company? *

Yes

No

Refused to be tested for any controlled substances pre-employment test for any other company? *

Yes

No

Tested above .04 on any alcohol pre-employment test for any other company? *

Yes

No

If you answered yes to any of the above questions, please document which Substance Abuse Professional (SAP) you consulted:

Name of SAP

Phone #

Address

Town/City

State

Zip Code

MOTOR VEHICLE RECORD DISCLOSURE AND RELEASE

In connection with my ongoing employment or my application for employment, should I have or secure a position with T. Buck Construction Inc., I understand that a motor vehicle record, which contains public record information, may be requested. I further understand that such report(s) will contain personal information and public record information concerning my driving record from federal, state, and other agencies that maintain such records, as well as independent services that provide driving record information.

I authorize, without reservation, any party or agency contacted to furnish the above mentioned information to lnfantine Insurance Inc. or its agent.

I hereby authorize procurement of my motor vehicle report. If hired, this authorization shall remain on file and shall serve as ongoing authorization for you to procure such reports at any time during my employment. T. Buck Construction Inc.'s commercial auto insurer and agent will also use this information in conjunction with loss control and safety review efforts.

Full Legal Name (include middle initial) *

Date of Birth *

Driver's License Number *

State of Issuance *

Submission of this application certifies that it was completed by you, and that all entries on it and information in it are true to the best of your knowledge.

Type Your Full Name *

Date of Submission *

QUICK LINKS

Bridge Construction

Water & Waste Water Treatment Facilities

Road / Site Construction

Utility Construction

Building Construction

Join our team!

Whether you are just getting started or have a background that makes you uniquely qualified, we’d like to hear from you.

View Available Positions »

Contact Us

MAIN OFFICE:

302B Auburn Road
Turner, Maine 04282

207-783-6223

207-783-3970

Copyright © 2023 T Buck Construction. All rights reserved.