Driver Employment Application Experience Required Thank you for your interest in Fanelli Brothers Trucking Company! We appreciate your time and look forward to reveiving you application. Responding to you quickly is important to us, so please read carefully, and answer all questions completely. If you have any questions, or wish to speak directly to someone, please call 1-800-723-1452 for Crystal or 1-800-635-8527 for Dave. Full Name: Other Names Used: Phone Number: Alternate Phone Number: e-Mail Address: Date of Birth: Social Security # Have you previously applied at Fanelli Brothers Trucking? Yes No How did you hear about Fanelli Brothers Trucking? Internet Newspaper Employee Referral Walk In Rehire Other Employment History All applicants wishing to drive in Interstate commerce must provide the following information on all employers during the proceding three years. You must give the same information for all employers for whom you have driven a commercial vehicle seven years prior to the initial three years (total of ten year employment record). You are required to list the complete mailing address, street number, city, state and zip code. LAST EMPLOYER Name: Phone: Address: Position Held: From: To: Reason for leaving: Did you drive a vehicle requiring a CDL? Yes No ACCOUNT FOR PERIOD BETWEEN JOBS (Include dates and reason) SECOND LAST EMPLOYER Name: Phone: Address: Position Held: From: To: Reason for leaving: Did you drive a vehicle requiring a CDL? Yes No ACCOUNT FOR PERIOD BETWEEN JOBS (Include dates and reason) THIRD LAST EMPLOYER Name: Phone: Address: Position Held: From: To: Reason for leaving: Did you drive a vehicle requiring a CDL? Yes No ACCOUNT FOR PERIOD BETWEEN JOBS (Include dates and reason) Traffic Convictions and Forfeitures History (3 years) If none, write the word "none".(Do not include parking violations). LOCATION DATE CHARGE PENALTY