Flex Frac Proppant Sand Suppliers - transport, haul, deliver frac sands

flexFrac Oilfield Driver Employment Application

Important Instructions to Applicant: All questions must be answered completely. All fields are required. If the answer to a question is "no", "none" or "same" then "no", "none" or "same" must be entered into the spaces provided. Your application will not be considered if answers are incomplete or left blank!

Position Desired
 
Owner/Operator Company Name  
Personal Information
(mm/dd/yyyy)
Addresses for 3 previous years  
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Employment History
Give a complete record of all employment for the past ten years, starting with the most recent job first. Any gaps in employment must be noted and verified in writing.


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Driving Experience
Type of Equipment From To Approx. Total Miles
List all personal and commercial accidents for the past 3 years. (more at bottom, if necessary)
Date of
Accident
Nature of Accident
(Head on, Rear end, etc.)
Number
Fatalities
Number
Injured
List all driver's licenses held for the past 3 years, including current license
State License Number Type Endorsements Expire Date
Yes        No
Yes        No
Yes        No
Yes        No
Yes        No

To Be Read And Signed By Applicant

It is agreed and understood that any misrepresentations given, shall be considered an act of dishonesty and will be grounds for immediate disqualification.

It is agreed and understood that flexFrac Oilfield, or their agents, may investigate the applicant's background, to ascertain any and all information of concern to applicant's record, whether same is of record or not and applicant releases employers and persons named herein, from all liability for any damages on account of their furnishing such information.

It is agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, applicant agrees that this investigation may include an investigating consumer report, including information regarding their character, general reputation, personal characteristics and mode of living.

By signing below, applicant agrees to furnish such additional information and complete such examinations as may be required to complete their employment file.

It is agreed and understood that this application for employment in no way obligates flexFrac Oilfield to employ the applicant.

It is agreed and understood that if hired, the applicant will be placed into a ninety day probationary period, during which time, they may be disqualified without any recourse.

By submitting below, I certify that this application was completed by me and that all entries on it and information in it, are true and complete, to the best of my knowledge.
(You will be asked to sign and date this at the office.)


IMPORTANT NOTICE
REGARDING BACKGROUND REPORTS
FROM THE PSP Online Service

1. In connection with your application for employment with flexFrac Oilfield ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

The Prospective Employer cannot obtain background reports from FMCSA unless you consent in writing.

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:

2. I authorize flexFrac Oilfield ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am consenting to the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I unde rstand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

3. I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I am challenging crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.

4. Please note: Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

I have read the above Notice Regarding Background Reports provided to me by Prospective Employer and I understand that if I submit this consent form, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.