Marvin Shelton

Skilled & Reliable Heavy Equipment Operator successful at completing jobs quickly and correctly. Knowledgeable in wide range of heavy equipment operation. Ready to bring construction experience and operator skills to new role.

• Date
• Name
• Address
• Home Phone
• Cell Phone
• Date of Birth
• Social Security Number
• City and State of Birth
• Email Address
• If you lived at the above address for less than 3 years, continue listing them below to cover the previous 3-year period:
• Position applying for:
• Equipment Operator
• Class A Truck Driver
• Class B Truck Driver
• Laborer
• Foreman
• Project Supervisor
• Project Manager/Estimator
• Administrative
• Other
• Salary/Hourly Wage Desired:
• Driver’s License Information - List all licenses held within the last 3 years:
• State
• Number
• Expiration Date
• Do you have a Commercial Driver’s License (CDL)? Yes No
• Special Studies and/or Skills
• Hobbies
• Education: Name & Location # of Years Completed Diploma/Degree
• High School
• College or Trade School

• List all employers within the past 10 years (most recent listed first):
• Employer
• Dates
• Address
• Supervisor
• City, State, Zip
• Telephone
• Position
• Starting Wage
• Duties
• Ending Wage
• Were you subject to the Federal Motor Carrier Safety Regulations during this period? Yes No
• Were you subject to 49 CFR part 40 controlled substance and alcohol testing during this period? Yes No
• Reason for leaving

• Have you been an active member in the United States Military? Yes No
• If yes, please list the branch, years of services and reason for discharge:
• Have you ever had a workers compensation claim? Yes No
• If yes, please explain:
• Emergency Contact
• Relationship to You
• Phone

• Full Name
• Date
• Commercial Driving Experience (If none, write NONE):
• Type of Vehicle Driven
• Dates
• Approximate Mileage Driven
• Accidents – List all accidents within the last 3 years (If none, write NONE):
• Description
• Fatalities
• Injuries
• Traffic Violations – List all violations within the last 3 years (If none, write NONE):
• Violation
• State
• Commercial Vehicle
• Have you ever had any driver’s license denied, suspended, revoked or canceled by any issuing state agency? Yes No
• If yes, list the state and please explain:
• List any/all Commercial Driver’s License Restrictions:

• Pursuant to 49 CFR part 40.25(j)
• Date
• Name
• Address
• Home Phone
• Cell Phone
• Date of Birth
• Social Security Number
• During the past two years, have you been unable to obtain a job for which you applied that involved safety-sensitive transportation work that is covered by the DOT drug and alcohol testing rules because you tested positive or refused to test on a pre-employment screening? Yes No
• If yes, have you successfully completed the return-to-duty process? Yes No
• If yes, documentation must be provided before any safety-sensitive transportation function is performed.

• Date of Hire:
• Time & Date of Pre-Employment CST:
• Time & Date of Pre-Employment CST Results Received:
• Date First Used in Safety Sensitive Position:
• Date of Termination: