Employment

Employment

help.gifSouthside Fuel achieves success and growth year after year by hiring great people and helping them succeed. We are always on the lookout for enthusiastic, motivated workers who can contribute to our success for years to come as drivers, service technicians, customer service representatives and more.

If you are interested in joining a team of hard-working professionals in a strong, stable industry, please call (804) 231-5798 or e-mail your resumé and cover letter to info(at)southsidefuel.com (driver applicants may complete the contact form below instead). If your qualifications match the needs for any of our open positions, we'll give you a call.

 


* = Required Field

Your Information:

*Date of Application:
* Name:
(First, MI, Last)
Mr.   Ms.   Mrs.


*Phone:
() -
*Address:
(City, State, ZIP)


*Date of Birth:

 
List all addresses where you have lived over the previous three years. Include length of time at each address.


List the issuing State, number and expiration date of each unexpired commercial motor vehicle operator's license or permit that has been issued to you.


List each type of commercial motor vehicle you have operated and for how long.


List each motor vehicle accident in which you were involved during the past three years preceding the date of this application. Indicate the date, type of vehicle and circumstances of each accident and whether any personal injuries or fatalities were involved.


List all violations of motor vehicle laws or ordinances (other than parking violations) of which you were convicted, forfeited bond or collateral during the three years preceding the date of this application.


List each denial, revocation or suspension of any license, permit, or privilege to operate a motor vehicle that has been issued to you. Include a detailed explanation of the facts and circumstances for each denial, revocation or suspension.


List the names and addresses of all employers during the preceding three years.


List the names and addresses of each job at which you were employed during the last ten years preceding the date of this application. Include your job description, date of employment, reason for leaving and whether you were subject to U.S. Department of Transportation's alcohol and controlled substances testing requirements and the Federal Motor Carrier Safety Regulations for each job listed.


 

Terms and Conditions:

YOUR RIGHTS REGARDING SAFETY PERFORMANCE HISTORY INFORMATION: The information you provided on this application may be used, and the applicant's prior employers may be contacted, for the purpose of investigating the applicant's safety performance history information. Pursuant to Federal Motor Carrier Safety Regulations 49 CFR Sec. 391.23 (i)(1) you have the following rights with regard to the safety performance history information provided by your previous employers:

THE RIGHT TO REVIEW SAFETY PERFORMANCE RECORDS: You have the right to review the records provided by your previous employers. You must make your request to review in writing and submit it to your prospective employer no later than thirty (30) days after employment begins or notification of employment is made. You will be provided with the records within five (5) business days of receipt of your written request. If the prospective employer has not received the records at the time of your request, then the five-day period to provide access will begin on the day the records are received from the previous employer. If you fail to arrange to pick up or receive the requested records within thirty (30) days of when they are first made available to you, then your right to review is considered waived.

THE RIGHT TO HAVE ERRONEOUS INFORMATION CORRECTED: If you believe there is an error in the records, you have the right to have your previous employer correct the error. Send your request for correction to the previous employer that provided the records in question. The previous employer must either correct and forward the record to the prospective employer or notify you within fifteen (15) days of receiving your request that they do not agree the record is in error. If the previous employer corrects and forwards the record as requested, that employer must also retain the corrected information as part of your safety performance history record and provide it to subsequent prospective employers when requests for this information are received.

THE RIGHT TO REBUT DISPUTED INFORMATION: If the previous employer does not agree that information in the records provided is in error, you may rebut the disputed information in writing and send it to the previous employer with instructions to include the rebuttal in your safety performance history file. Within five (5) business days of receiving your rebuttal, the previous employer must; forward a copy of the rebuttal to the prospective employer; append the rebuttal to the your safety performance information and include it as part of the response for any subsequent investigating prospective employers for the duration of the three-year data retention requirement period. You may submit a rebuttal initially without a request for correction, or subsequent to a request for correction.

THE RIGHT TO REPORT FAILURES TO CORRECT ERRONEOUS INFORMATION: You may report failures of a previous employer to correct information or include your rebuttal as part of the safety performance information, to the Federal Motor Carrier Safety Administration by following procedures specified at 49 CFR Section 385.12.
I have read, understand, and accept the terms and conditions.
I certify that this application was completed by me and that the information provided is a correct, complete and true representation of the facts as known to me.
*Applicant's Signature:
*Date:

(NOTE: THE DATA ELEMENTS ON THIS EMPLOYMENT APPLICATION ARE NEW REQUIREMENTS UNDER THE FMCSR 49 CFR 391.21(b) and (d). THESE DATA ELEMENTS MUST BE COMBINED WITH YOUR EXISTING EMPLOYMENT APPLICATION)

Please correctly type in the following phrase to verify:

 

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PO Box 24441 - Richmond VA 23224 || (804) 231-5798 || info(at)southsidefuel.com
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