Northeast Texas Power, LTD 3163 FM 499 Cumby TX 75433  Office 903.994.4200  Fax 903.994.2747 Contact Northeast Texas Power, LTD Northeast Texas Power, Ltd. Your Number One Power Line Company. Cumby TX. 903-994-4200 Productive, Knowledgable Reliable, Effective, and Courteous
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APPLICATION FOR EMPLOYMENT

TO PROTECT PERSONAL INFORMATION THE CONTENTS OF THIS FORM WILL BE TRANSMITTED SECURELY

PERSONAL INFORMATION

       

         

   

Do you have a CDL?    

EMPLOYMENT DESIRED

       

Are you employed now?    

If yes, may we contact your present employer?    

Have you ever worked for this company before?    

Do you have any relatives or friends working for this company?    

FORMER EMPLOYERS, last 10 years (383.35) List Most Current Employer First

       

   

Were you subject to the Federal Motor Carrier Safety Regulations during this period?    

Were you subject to 49 CFR part 40 controlled substance & alcohol testing during the period?    


       

   

Were you subject to the Federal Motor Carrier Safety Regulations during this period?    

Were you subject to 49 CFR part 40 controlled substance & alcohol testing during the period?    


       

   

Were you subject to the Federal Motor Carrier Safety Regulations during this period?    

Were you subject to 49 CFR part 40 controlled substance & alcohol testing during the period?    


       

   

Were you subject to the Federal Motor Carrier Safety Regulations during this period?    

Were you subject to 49 CFR part 40 controlled substance & alcohol testing during the period?    


       

   

Were you subject to the Federal Motor Carrier Safety Regulations during this period?    

Were you subject to 49 CFR part 40 controlled substance & alcohol testing during the period?    


       

   

Were you subject to the Federal Motor Carrier Safety Regulations during this period?    

Were you subject to 49 CFR part 40 controlled substance & alcohol testing during the period?    


       

   

Were you subject to the Federal Motor Carrier Safety Regulations during this period?    

Were you subject to 49 CFR part 40 controlled substance & alcohol testing during the period?    


       

   

Were you subject to the Federal Motor Carrier Safety Regulations during this period?    

Were you subject to 49 CFR part 40 controlled substance & alcohol testing during the period?    


       

   

Were you subject to the Federal Motor Carrier Safety Regulations during this period?    

Were you subject to 49 CFR part 40 controlled substance & alcohol testing during the period?    


       

   

Were you subject to the Federal Motor Carrier Safety Regulations during this period?    

Were you subject to 49 CFR part 40 controlled substance & alcohol testing during the period?    


EDUCATION

Name of School
Last Year Completed
Graduate?
       
   
       
   
 
       
   

   

   

AUTHORIZATION

I authorize investigation on all statements in this application. I understand that misrepresentation of information requested is cause for dismissal. Further, I understand, and agree, that my employment is for no definite period, and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice. I further more certify that all dates, times, and names are true to the best of my knowledge.    Mark one: