Employment Application (Driver)

Personal Information

Previous Three Years Residency

License Information

Section 383.21 FMCSR states "No person who operates a commercial motor vehicle shall at any time have more than one driver's license". I certify that I do not have more than one motor vehicle license, the information for which is listed below.

Driving Experience

Straight Truck
Tractor and Semi-Trailer
Tractor - Two Trailers
Other

Accident Record for Past 3 Years or More

Chemical Spills
Chemical Spills
Chemical Spills

Traffic Convictions and Forfeitures for the Past 3 Years (Other Than Parking Violations)

Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Has any license, permit or privilege ever been suspended or revoked?

Employment Record

Applicants that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).

Must list the complete mailing address: street number and name, city, state and zip code.

Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by the previous employer?

Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?



Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by the previous employer?

Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?



Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by the previous employer?

Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?



I authorize you to make sure investigations and inquiries to 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.) 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.

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.

"I understand that information I provide regarding current and/or previous employers may be used, and those employer(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:





“You guys were outstanding! Great concrete, great service, great communication. We could not have asked for a better ready-mix company to work with.”
Chuck Vitale, Owner of Vee Jay Construction
“Congratulations you guys have done an incredible job of improving your company's safety programs your new MOD is really an impressive accomplishment.”
Brad Hallmark, Vizance Insurance
“In my opinion, I think concrete buildings are the best buildings in the world.”
Rick Barrett, Developer of "The Couture"
“I very much appreciated all the help your team gave me this past summer and wanted to let them know how awesome of a job they did with as much as I had going on. We poured multiple times every day. With all the projects going on we worked together and don't think I missed one deadline which is amazing.”
Chris Zorzin, Findorff Superintendent
“Thank you for all of the time you and your team took last week. We've toured a bunch of stuff this past semester, but touring Rivcrete was by far my favorite. It's companies like yours that help the CLC club succeed and make me excited to graduate college and start my career in the construction industry!”
Chandler Baures, Findorff P.M.
“I'm not aware of any other company in the region that has gone to this extent to reduce their carbon impact more than Riv/Crete Ready Mix. They are the clear-cut leaders in their industry.”
Colton Flint, Command Alkon
“I would like to thank you for hosting MSOE: ASCE, ITE, and Pavement Design course. Everyone was extremely happy with the tour, and I cannot thank you enough for the hospitality and kindness that all the tour guides displayed. It was such a pleasure to learn and meet you all and I appreciate the patience when answering all our questions. It was such a cool experience!”
Kris Banse, Past ASCE Student President
“The credit is due to the Riv-Crete team for supplying in spec material on a timely basis all night even as ice rates were modified throughout the pour to keep temps where they needed to be. WisDOT IA rep who was on site commented that he had seen less than a dozen deck pours of that size have in spec material the entire pour.”
Philip Meinholz, P.E. Structural Engineer
“Riv/Crete Ready Mix is a valued producer member of the Wisconsin Ready Mixed Concrete Association (WRMCA). Nicholas Rivecca is a respected past president of the WRMCA.”
Cherish Schween, Executive Director of WRMCA