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Caledonia Haulers Truck Transporting

Non-Driver Application

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If you would rather print out the application and fill it out manually, click here to download the PDF file. Once you have filled out the application, please either fax it to 507-725-9018, e-mail it to info@caledoniahaulers.com, deliver or mail it to:

Caledonia Haulers, INC
PO Box 31
420 West Lincoln Street
Caledonia, MN 55921
Thank you for your interest in Caledonia Haulers. To apply for a non-driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted.

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

Any specific job requirements and qualifications will be listed under the job description listed for Caledonia Haulers.

Required entry fields are followed by * meaning you must provide the requested information to continue. If you encounter any errors during this process and cannot continue, or if you have questions, please contact us at 507-725-9000.

To Be Read and Signed By Applicant

I authorize you to make such investigations and inquires of 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 may result in discharge. I understand that I am required to abide by all the rules and regulations of the company.

I understand that information I provide regarding current and/or previous employers can 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:
1. Review information provided by previous employers.
2. Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer.
3. 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.
Today's Date*
Month
Day
Year
Applying For*
- Part Time
- Full Time
Applying For*
- Mechanic
- Parts/Office
- Main Office
- Tank Wash
- Truck Wash

First Name*
Middle Name*
Last Name*
Social Security Number*
Birth Date*
Month
Day
Year
Home Phone*
Cell Phone
Full Address*
Street AddressCityStateZIP Code
How many years at this address?*
Past Address
Street AddressCityStateZIP Code
How many years at this address?*

Driver's License Information
State*
License Number*
Class*
Endorsements*
Expiration Date*
Month
Day
Year
Do you have the legal right to work in the United States?*
- Yes
- No
If no, explain*
Have you ever worked or applied for work at Caledonia Haulers?*
- Yes
- No
If yes, when?*
Reason for leaving?
Have you ever been convicted of any violations including moving traffic violations?*
- Yes
- No
If yes, explain*
Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the job description)?*
- Yes
- No
If yes, explain*
Date Available for Work at Caledonia Haulers*
Month
Day
Year

Employment History

A complete record of employment for the past ten years is necessary for your application to be processed. Please list your present employer first. All periods of time must be accounted for during this ten-year period, including military service, self-employment, non-driving positions and periods of unemployment. Provide complete address and phone numbers, including area codes and zip codes.

The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used 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.

Includes vehicles having a GVWR of 26,001 or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding.
Work History
From*
Month
Day
Year
To*
Month
Day
Year
Company Name*
Company Phone*
Company Address*
Street AddressCityStateZIP Code
Position*
Reason For Leaving*
Ending Pay*
From
Month
Day
Year
To
Month
Day
Year
Company Name
Company Phone
Company Address
Street AddressCityStateZIP Code
Position
Reason For Leaving
Ending Pay
From
Month
Day
Year
To
Month
Day
Year
Company Name
Company Phone
Company Address
Street AddressCityStateZIP Code
Position
Reason For Leaving
Ending Pay
From
Month
Day
Year
To
Month
Day
Year
Company Name
Company Phone
Company Address
Street AddressCityStateZIP Code
Position
Reason For Leaving
Ending Pay

Education
Please provide your education information.
Highest level completed*
Last school Attended*
Years beyond high school
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
Technical/Trade Schools attended
Date You Attended School
Month
Day
Year
Courses, seminars or other pertinent training
Date of Extra Training
Month
Day
Year
Courses, seminars or other pertinent training
Date of Extra Training
Month
Day
Year

Business References
Do not use relatives. (One Required)
Name*
FirstLast
Company*
Phone*
Name
FirstLast
Company
Phone
Personal References
Do not use relatives or former employers. (One Required)
Name*
FirstLast
How do you know them?*
Phone*
Name
FirstLast
How do you know them?
Phone

In Case of Emergency
List the people that you would like us to contact in case of an emergency.
Name*
FirstLast
Relationship*
Phone*
Name
FirstLast
Relationship
Phone

Caledonia Haulers, LLC., is an equal opportunity employer.
This certifies that I, personally, accurately and truthfully completed this application. I understand that any omission or misrepresentation is “falsification” and may result in refusal of or separation from employment. I hereby authorize Caledonia Haulers, LLC., to make a complete investigation of my background including but not limited to: contacting personal references, current and past employers, and USIS services to confirm information I provided but not limited to information required by 391.23 of the Motor Carrier Safety Regulations and investigate previous employer Alcohol & Controlled Substance Testing in accordance with Section 382.405 (F&H) and Section 382.413 (A thru G) of the Code of Federal Regulations and hold previous employers harmless of all liability from release of said information. It is agreed and understood that this application for employment in no way obligates the employer to employ the applicant.
Signature*
Today's Date*
Month
Day
Year
Authorization*
- I authorize this as my electronic signature.

Verified First - Disclosure and Authorization For Consumer Reports

Disclosure

In connection with my application for employment (including contract or volunteer services) or application for tenancy with Caledonia Haulers at 420 W. Lincoln St. Caledonia, MN 55921, I understand consumer reports will be requested by you ("Company"). These reports may include, as allowed by law, the following types of information, as applicable: names and dates of previous employers, reason for termination of employment, work experience, reasons for termination of tenancy, former landlords, education, accidents, licensure, credit, etc. I further understand that such reports may contain public record information such as, but not limited to: my driving record, judgments, bankruptcy proceedings, evictions, criminal records, etc., from federal, state, and other agencies that maintain such records.

In addition, investigative consumer reports (gathered from personal interviews, as applicable, with former employers or landlords, past or current neighbors and associates of mine, etc.) to gather information regarding my work or tenant performance, character, general reputation and personal characteristics, and mode of living (lifestyle) may be obtained.

Authorization

I hereby authorize procurement of consumer report(s) and investigative consumer report(s) by Company. If hired (or contracted), this authorization shall remain on file and shall serve as ongoing authorization for Company to procure such reports at any time during my employment, contract, or volunteer period. I authorize without reservation, any person, business or agency contacted by the consumer reporting agency to furnish the above mentioned information.

This authorization is conditioned upon the following representations of my rights:

I understand that I have the right to make a request to the consumer reporting agency: Background Screeners of America ("Agency"), 18344 Oxnard Street, Ste. 101, Tarzana, CA 91356, telephone number 866-570-4949, upon proper identification, to obtain copies of any report furnished to Company by the Agency and to request the nature and substance of all information in its files on me at the time of my request. The request includes the sources of information and the Agency, on Company's behalf, to provide a complete and accurate disclosure of the nature and scope of the investigation covered by any investigative consumer report(s). The Agency will also disclose the recipients of any such reports on me which the Agency has previously furnished within the two year period for employment requests, and one year for other purposes preceding my request (California three years). I hereby consent to Company obtaining the above information from the Agency. I understand that I can dispute, at any time, any information that is inaccurate in any type of report with the Agency. I may view the Agency's privacy policy at their website: www.wescreenusa.com

California, Minnesota and Oklahoma Residents:
I understand that if the Company is located in California, Minnesota or Oklahoma, that I have the right to request a copy of any report Company receives on me at the time the report is provided to Company.
By checking the following box, I request a copy of all such reports be sent to me.
- Send me a copy of such reports.
I have read and I understand the above information.*

Applicant Initials

California Applicants:
As a California applicant, I understand that I have the right under Section 1786.22 of the California Civil Code to contact the Agency during reasonable hours (9:00 a.m. to 5:00 p.m. (PTZ) Monday through Friday) to obtain all information in Agency's file for my review. I may obtain such information as follows: 1) In person at the Agency's offices, which address is listed above. I can have someone accompany me to the Agency's offices. Agency may require this third party to present reasonable identification. I may be required at the time of such visit to sign an authorization for the Agency to disclose to or discuss Agency's information with this third party; 2) By certified mail, if I have previously provided identification in a written request that my file be sent to me or to a third party identified by me; 3) By telephone, if I have previously provided proper identification in writing to Agency; and 4) Agency has trained personnel to explain any information in my file to me and if the file contains any information that is coded, such will be explained to me.
New York Applicants: I understand that if I am applying for employment in New York, that I have the right to receive a copy of Article 23-A of the New York Correction Law

Initial if this applies
Washington Applicants:
I understand that if the report is provided to an employer in the State of Washington, that I can contact the following office for more information regarding my rights under Washington state law in regard to these reports: State of Washington Attorney General, Consumer Protection Division, 800 5th Ave, Ste. 2000, Seattle, Washington 98104-3188, (206) 464-7744.
Please complete all of the fields below:
Fair Credit Reporting Act
- I understand that I have rights under the Fair Credit Reporting Act and I acknowledge receipt of the Summary of Rights.
Last Name*
First Name*
Middle
- I DO NOT have a middle name
Social Security Number*
Date of Birth*
E-mail Address*
Current Address*
Street AddressApt or Unit NumberCityStateZIP Code
Previous Address
Street AddressApt or Unit NumberCityStateZIP Code
Drivers License Number*
Former Name/Alias
State Issuing
Applicant Signature*
Today's Date*
Month
Day
Year
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

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Locations

Corporate

420 West Lincoln Street, P.O. Box 31
Caledonia, MN 55921

Phone: (507) 725-9000

Toll-Free: (800) 325-4728

Iowa

347 Waconia Court Southwest
Cedar Rapids, IA 52404

Phone: (319) 363-1677

Wisconsin

3717 Bell Street
Janesville, WI 53545

Phone: (608)607-4224

General Information

info@caledoniahaulers.com

Driver Information

jimg@caledoniahaulers.com

Non-Driver Application

Non-Driver Application

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