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Apply for Position

To apply for a position, please fill out the form below.

  • General Information

  • MM slash DD slash YYYY
  • Driver's License Information

  • StateDriver's License #TypeExpiration Date 
  • Accident Record

    List your accident record for the past 3 years.
  • DatesNature of AccidentFatalitiesInjuries 
  • Driving Experience

  • Equipment ClassEquipment TypeDates DrivenApprox # of Miles 
  • Traffic Convictions & Forfeitures

    For the past 3 years, do not include parking violations.
  • LocationDateChargePenalty 
  • Employment History

    List employment for the last 10 years.
  • Last Employer

  • Second Employer

  • Third Employer

  • Fourth Employer

  • Fifth Employer

  • Employment

  • Educational Data

  • Relatives In Our Employment

  • NameRelationship 
  • Military

  • Special Skills

  • References

    Give 3 references who are not relatives or former employers.
  • NameOccupationYrs KnownPhoneAddress 
  • Application Addendum

    Federal Motor Carrier Safety Regulations §40.25 (j) The employer must ask the employee whether he or she has tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which the employee applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years.
  • Rights

    Pursuant to 49CFR, § 391.23 (j), you have the following rights regarding investigative information: 1. The right to review information provided by previous employers. 2. The right to have errors in the information corrected by the previous employer and for that previous employer to re-send the corrected information to the prospective employer. 3. The right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.
  • Applicant's Certification and Agreement

    This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize you to make such investigations and inquire of my personal, employment, financial or medical history and other related manners 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.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connections with my application. 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 the Company.
  • This field is for validation purposes and should be left unchanged.
SR&R Environmental

Street Address
4920 Highway 421 North
Wilmington, NC 28401

Mailing Address
P.O. Box 221
Wilmington, NC 28402
NCGC Lic.#80686

Phone
910.763.6274

Fax
910.763.6132

© 2023 SR&R Environmental, Inc.