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This employment application is consistent with the requirements of 49 CFR 391.21
DRIVER EMPLOYMENT APPLICATION
Jobe Materials, L.P., 1150 Southview Dr., El Paso, TX 79928
An Equal Opportunity Employer
COMPLETE IN FULL OR IT WILL NOT BE CONSIDERED.
APPLICANT INFORMATION
FIRST NAME MIDDLE NAME LAST NAME
PHONE EMAIL
DATE OF BIRTH SOCIAL SECURITY #
DATE OF APPLICATION 07/13/2026 POSITION APPLIED FOR DATE AVAILABLE FOR WORK
Do you have legal right to work in the United States?  YES  NO
PREVIOUS THREE YEARS RESIDENCY
STREET CITY STATE ZIP CODE # OF YEARS AT ADDRESS
CURRENT
MAILING
PREVIOUS
PREVIOUS
PREVIOUS
LICENSE INFORMATION
No person who operates a commercial motor vehicle shall at any time have more than one driver's license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license, the information for which is listed below. Include all licenses held for the past 3 years; attach additional sheets if needed.
STATE LICENSE # TYPE/CLASS ENDORSEMENTS EXPIRATION DATE
PREVIOUSLY HELD LICENSES
DRIVING EXPERIENCE
CLASS OF EQUIPMENT TYPE OF EQUIPMENT (VAN, TANK, FLAT, ETC.) DATE FROM DATE TO APPROX # OF MILES (TOTAL)
STRAIGHT TRUCK
TRACTOR & SEMI-TRAILER
TRACTOR & 2 TRAILERS
TRACTOR & TANKER
OTHER
ACCIDENT RECORD FOR THE PAST 3 YEARS
DATES (List most recent first) NATURE OF ACCIDENT (Head-on, rear-end, upset, etc.) # FATALITIES # INJURIES CHEMICAL SPILLS
 YES  NO
 YES  NO
 YES  NO
TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS)
DATE CONVICTED (Month/Year) VIOLATION STATE OF VIOLATION PENALTY (Forfeited bond, collateral and/or points)
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?  YES  NO
If yes, explain
Has any license, permit, or privilege ever been suspended or revoked?  YES  NO
If yes, explain
EMPLOYMENT HISTORY

The Federal Motor Carrier Safety Regulations (49 CFR 391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years (for a total of ten (10) years). Any gaps in employment in excess of one (1) month must be explained.

Start with the last or current position, including any military experience, and work backwards. You are required to list the complete mailing address, including street number, city, state, zip, and complete all other information.

CURRENT (MOST RECENT) EMPLOYER
NAME PHONE
ADDRESS
POSITION HELD FROM MO/YR TO MO/YR
REASON FOR LEAVING SALARY
EXPLAIN ANY GAPS IN EMPLOYMENT (include month/year & reason)
While employed here, were you subject to the Federal Motor Carrier Safety Regulations?  YES  NO
Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?  YES  NO
SECOND (MOST RECENT) EMPLOYER
NAME PHONE
ADDRESS
POSITION HELD FROM MO/YR TO MO/YR
REASON FOR LEAVING SALARY
EXPLAIN ANY GAPS IN EMPLOYMENT (include month/year & reason)
While employed here, were you subject to the Federal Motor Carrier Safety Regulations?  YES  NO
Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?  YES  NO
THIRD (MOST RECENT) EMPLOYER
NAME PHONE
ADDRESS
POSITION HELD FROM MO/YR TO MO/YR
REASON FOR LEAVING SALARY
EXPLAIN ANY GAPS IN EMPLOYMENT (include month/year & reason)
While employed here, were you subject to the Federal Motor Carrier Safety Regulations?  YES  NO
Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?  YES  NO
EDUCATION
SCHOOL NAME & LOCATION COURSE OF STUDY YEARS COMPLETED GRADUATED DETAILS
High School  YES  NO
College  YES  NO
Other  YES  NO
OTHER QUALIFICATIONS
Please list any other qualifications that you have and which you believe should be considered.
TO BE READ AND SIGNED BY APPLICANT

I authorize you to make investigations (including contacting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. 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 also understand that I am required to abide by all rules and regulations of the Company.

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

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. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations.

Applicant Signature Date 07/13/2026
By typing my full name above, I certify that the information contained herein is true and correct.
“I, the applicant whose signature is affixed hereto, and Jobe Materials, L.P., (The “Company”), mutually agree and contract that any and all claims or disputes arising out of or in any way relating to this application for employment, or the Company’s decision to hire or not hire me, including but not limited to claims for violations of any state or federal statutory, constitutional or common law, shall exclusively and finally resolved by binding arbitration administered according to the employment dispute procedures of the American Arbitration Association pursuant to the provisions of the Federal Arbitration Act.”
Signature: By typing my full name above, I certify that the information contained herein is true and correct.
07/13/2026
Date
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“Yo, el solicitante cuya firma es puesta aqui, y las Jobe Materials, L.P., (La “Compañia”), concuerdo mutuamente y contrato que cualquier y todo reclamo o disputa que surgan fuera de o en alguna manera que relaciona a esta aplicación para el empleo, o la decisión de la Compañía para emplear o no emplearme, inclusive pero no limitado a reclamos para violaciones de cualquier reglamento del estado o federal, constitucional o ley comun (no escrita), irá exclusivamente y finalmente atado a arbitraje administradó según los procedimientos de la disputa de empleo de la Asociación Americana del Arbitraje según las provisiones del Acto Federal del Arbitraje.”
Firma: Al escribir mi nombre completo arriba, certifico que la información contenida en este documento es verdadera y correcta.
07/13/2026
Fecha