Pumping and Portable Services, Inc.
661-397-4116
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Home
About knights
Company History
EPA SWPPP Guidelines
Septic Tank Tips
Septic Tank FAQs
Request Quote
Portable Toilets
Standard Portable Toilet
Standard Portable Toilet w/Sink
Flushable Portable Toilets
Family Units
Handicapped Units
Hand Wash Station
Shower Units
Executive Series Restrooms
Trailer Mounted Portable Toilets
Other Services
Temporary Fencing
Pumping Service
Cooling Station
Special Event Planning
Contact Us
Online Payment
Join The Team
Request Quote
Portable Toilets
Standard Portable Toilet
Standard Portable Toilet w/Sink
Flushable Portable Toilets
Family Units
Handicapped Units
Hand Wash Station
Shower Units
Executive Series Restrooms
Trailer Mounted Portable Toilets
Other Services
Temporary Fencing
Pumping Service
Cooling Station
Special Event Planning
Contact
Online Payment
Join The Team
Request Quote
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APPLICATION INFORMATION
Name
*
Required
First
Last
Address
*
Required
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Required
Email
*
Required
Date Available
- must be mm/dd/yyyy format
*
Required
Date Format: MM slash DD slash YYYY
Driver's License
*
Required
Desired Salary
Position Applied for
Are you a citizen of the United States?
*
Required
Yes
No
Are you authorized to work in the U.S?
*
Required
Yes
No
Have you ever worked for this company?
*
Required
Yes
No
If so, when?
EDUCATION
High School
*
Required
Address
*
Required
Did you graduate?
*
Required
Yes
No
Degree
*
Required
College
Address
Did you graduate?
Yes
No
Degree
Other
Address
Did you graduate?
Yes
No
Degree
REFERENCES
Please list three professional references.
Full Name
*
Required
Relationship
*
Required
Company
*
Required
Phone
*
Required
Address
*
Required
Full Name
*
Required
Relationship
*
Required
Company
*
Required
Phone
*
Required
Address
*
Required
Full Name
*
Required
Relationship
*
Required
Company
*
Required
Phone
*
Required
Address
*
Required
PREVIOUS EMPLOYMENT
Company
*
Required
Phone
*
Required
Address
*
Required
Supervisor
*
Required
Job Title
*
Required
Responsibilities
*
Required
From
*
Required
To
*
Required
Reason for Leaving
*
Required
Were you subjected to the FMCSRs while employed?
*
Required
The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport more than 8 passengers (including the driver), or (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.
Yes
No
May we contact your previous supervisor for a reference?
*
Required
Yes
No
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
*
Required
Yes
No
Company
*
Required
Phone
*
Required
Address
*
Required
Supervisor
*
Required
Job Title
*
Required
Responsibilities
*
Required
From
*
Required
To
*
Required
Reason for Leaving
*
Required
Were you subjected to the FMCSRs while employed?
*
Required
Yes
No
May we contact your previous supervisor for a reference?
*
Required
Yes
No
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
*
Required
Yes
No
Company
*
Required
Phone
*
Required
Address
*
Required
Supervisor
*
Required
Job Title
*
Required
Responsibilities
*
Required
From
*
Required
To
*
Required
Reason for Leaving
*
Required
Were you subjected to the FMCSRs while employed?
*
Required
Yes
No
May we contact your previous supervisor for a reference?
*
Required
Yes
No
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
*
Required
Yes
No
ACCIDENT REPORT FOR PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED).
Accident Report: How many accidents have you been in in the last 3 years?
*
Required
0
1
2
3
4
5
1- Please describe the accident including date, nature of accident, number of fatalities/injuries as well as any material spills
2- Please describe the accident including date, nature of accident, number of fatalities/injuries as well as any material spills
3- Please describe the accident including date, nature of accident, number of fatalities/injuries as well as any material spills
4- Please describe the accident including date, nature of accident, number of fatalities/injuries as well as any material spills
5- Please describe the accident including date, nature of accident, number of fatalities/injuries as well as any material spills
TRAFFIC CONVICTIONS AND FORFEITURES PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS)
Traffic Convictions: How many Traffic Convictions have you been in in the last 3 years?
*
Required
0
1
2
3
4
5
1- Please describe the traffic convictions including Location, Date, Charge Penalty
*
Required
2- Please describe the traffic convictions including Location, Date, Charge Penalty
*
Required
3- Please describe the traffic convictions including Location, Date, Charge Penalty
*
Required
4- Please describe the traffic convictions including Location, Date, Charge Penalty
*
Required
5- Please describe the traffic convictions including Location, Date, Charge Penalty
*
Required
EXPERIENCE AND QUALIFICATIONS- DRIVER
Driver license or permits held in the past 3 Years
*
Required
0
1
2
3
4
5
1 - Please include license no, state, number, class, endorsement(s) and expiration date
*
Required
2 - Please include license no, state, number, class, endorsement(s) and expiration date
*
Required
3 - Please include license no, state, number, class, endorsement(s) and expiration date
*
Required
4 - Please include license no, state, number, class, endorsement(s) and expiration date
*
Required
5 - Please include license no, state, number, class, endorsement(s) and expiration date
*
Required
A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?
*
Required
Yes
No
B. Has any license, permit or privilege ever been suspended or revoked?
*
Required
Yes
No
If the answer to either A or B is yes, give details
DRIVING EXPERIENCE CHECK YES OR NO
Class of Equipment
Straight Truck
*
Required
Yes
No
Type of Equipment
Van
Tank
Flat
Dump
Refer
Dates (start date and end date)
Approx. Number of Miles (total)
Tractor and Semi-Trailer
*
Required
Yes
No
Type of Equipment
Van
Tank
Flat
Dump
Refer
Dates (start date and end date)
Approx. Number of Miles (total)
Tractor and Two-Trailers
*
Required
Yes
No
Type of Equipment
Van
Tank
Flat
Dump
Refer
Dates (start date and end date)
Approx. Number of Miles (total)
Tractor and Three-Trailers
*
Required
Yes
No
Type of Equipment
Van
Tank
Flat
Dump
Refer
Dates (start date and end date)
Approx. Number of Miles (total)
Motor coach - School Bus +8 passengers
*
Required
Yes
No
Motor coach - School Bus +15 passengers
*
Required
Yes
No
Other
*
Required
Yes
No
List states operated in for last five years:
Show special courses or training that will help you as a driver:
Which safe driving awards do you hold and from whom?
EXPERIENCE AND QUALIFICATIONS - OTHER
Show any trucking, transportation or other experience that may help in your work for this company
List courses and training other than shown elsewhere in this application
List special equipment or technical materials you can work with (other than those already shown)
MILITARY SERVICE
Branch
*
Required
From
*
Required
To
*
Required
Rank at Discharge
Type of Discharge
If other than honorable, explain
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release
Signature
Date
- must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY