1820 Hand Avenue, Whistler, AL 36612 • 251-476-8184 • EMPLOYEE LOGIN

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CONTACT INFO
1820 Hand Avenue
Whistler, AL 36612

PHONE: 251-476-8184

EMPLOYMENT APPLICATION

Please fill out the application below.

MOBILE, AL OFFICE: You may also apply in person at: 1820 Hand Ave., Whistler, AL 36612 between the hours of 7:00 am and 4:00 pm; or 631 Industrial Parkway, Waynesboro, MS 39367.

Applicants will be able to apply in person at our new GROVE HILL OFFICE: 500 Max Gillis Road, Grove Hill, AL.

Applications are kept on file for 6 months.

Mobile Forest Products & Biomass, Inc., is a drug and alcohol free employer. In compliance with Federal and State equal employment laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Employment Application

Position Applied for: *

Office -
Tire Shop -
Driver -
Truck/Equipment Mechanic -
Woods Operator -
Assistant Fleet Dispatcher
Truck Washer

How many years of experience do you have driving?

Contact Information

Email *

SSN *

Date of Birth *

How long have you lived at this address?

How many other addresses have you had in the past 3 years?

Employment Information

Do you have the legal right to work in the United States?

Are you now employed?

How long since your last employment?

Who referred you?

Rate of Pay Expected:

Have you ever been convicted of a crime? *

What crime?

Misdemeanor
Felony

Please explain:

Is there any reason you might be unable to perform the functions of the job for which you have applied?

If yes, can you explain?

Employment History

Previous Employer 1

Employed from/until?

Salary/Wage:

Reason for leaving?

Was your job subject to D.O.T. regulated drug and alcohol testing requirements of 49 CFR Part 40?

Were you subject to any FMCSRs while employed?

Previous Employer 2

Employed from/until?

Salary/Wage:

Reason for leaving?

Was your job subject to D.O.T. regulated drug and alcohol testing requirements of 49 CFR Part 40?

Were you subject to any FMCSRs while employed?

Previous Employer 3

Salary/Wage:

Reason for leaving?

Employed from/until?

Was your job subject to D.O.T. regulated drug and alcohol testing requirements of 49 CFR Part 40?

Were you subject to any FMCSRs while employed?

Previous Employer 4

Salary/Wage:

Reason for leaving?

Employed from/until?

Was your job subject to D.O.T. regulated drug and alcohol testing requirements of 49 CFR Part 40?

Were you subject to any FMCSRs while employed?

Previous Employer 5

Salary/Wage:

Reason for leaving?

Employed from/until?

Was your job subject to D.O.T. regulated drug and alcohol testing requirements of 49 CFR Part 40?

Were you subject to any FMCSRs while employed?

Accident(s) and Traffic Violation(s) History

Have you been in an accident in the last 3 years? *

Accident 1:

Date of Accident:

Nature of Accident (head on, rear end, upset, etc.):

Were there any injuries, fatalities, or hazardous materials spilled?

Accident 2:

Date of Accident:

Nature of Accident (head on, rear end, upset, etc.):

Were there any injuries, fatalities, or hazardous materials spilled?

Accident 3:

Date of Accident:

Nature of Accident (head on, rear end, upset, etc.):

Were there any injuries, fatalities, or hazardous materials spilled?

Have you ever had any traffic convictions or forfeitures in the past 3 years? (other than parking violations)? *

Violation 1:

Location of Violation?

Date of Violation?

Charge and Penalty?

Violation 2:

Location of Violation?

Date of Violation?

Charge and Penalty?

Violation 3:

Location of Violation?

Date of Violation?

Charge and Penalty?

Experience and Qualifications (Driver)

List all licenses held in the last 3 years:

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

If yes, explain:

Has any license permit or privelege ever been suspended or revoked? *

If yes, explain:

Driving Experience

Please select all types of equipment you have experience driving/operating:

Straight Truck
Tractor / Semi-Trailer
Tractor / Two Trailer(s)
Other

What type of straight struck?

Operated from/until?

What type of tractor / semi-trailer?

Operated from/until?

What type of tractor / two trailer(s)?

Operated from/until?

What other type of equipment?

Operated from/until?

List all states operated in for last 5 years:

Experience and Qualifications (Other)

List any trucking, transportation, or other experience that may help you in your work for this company:

List course and training other than shown elsewhere in this application:

List special equipment or technical materials you can work with (other than those already shown):

Education

Highest education completed:

Last school attended?

Application Agreement

Yes

I authorize Mobile Forest Products & Biomass, Inc., to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) *

Yes

I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. *

Yes

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Mobile Forest Products & Biomass, Inc. *

Yes

I understand that information I provide regarding current and/or previous employers may be used and those employers(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d and e). I understand that I have the right to: • Review information provided by previous employers; • Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employers; and • Have a rebuttal statement attached to the alleged erroneous information. If the previous employers(s) and I cannot agree, on the accuracy of the information. *

Yes

Request for Driving Record: I hereby authorize the release of my motor vehicle driving record to Mobile Forest Products & Biomass, Inc., for purposes of investigation as required by Sections 391.23 and 391.25 of the Federal Motor Carrier Safety Regulations. I release all parties from any and all liabilities which may result from furnishing such information. *

Yes

I hereby acknowledge that I have read and agree to the above statements. *

Signature *

Date: *

ABOUT US
• People & Bios
• Our History
• About Biomass

DIVISIONS & SERVICES
• Transportation
• Harvesting
• Grinding & Recycling
• Maintenance
• Tire Store

EMPLOYMENT & CAREERS
• Apply For A Job
• Job Postings
• Driver Requirements

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