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Larson Contracting is an Equal Opportunity Employer

Auxiliary aids and services are available upon request to individuals with disabilities.


The law prohibits discrimination in hiring due to age, race, color, creed, sex, national orgin, religion, disability/veteran status or any other protected status.

General Information
Employment Record

Applicants that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the 7 years prior to the initial 3 years (total of 10 years emplyment record).

License Information
Residency for Previous 3 Years
Driving Experience
Accident Record for the Past 3 Years
Traffic Convictions & Forfeitures for the Past 3 years (other than Parking Violations)
Education
Skills & Qualifications
*Do not answer the following question unless you have been informed about the requirements of the position for which you are applying.
References
Read And Sign
This certifies that answers given herein are true and complete to the best of my knowledge.
PRE-EMPLOYMENT SELF-IDENTIFICATION FORM

Anti-Discrimination Notice: It is an unlawful employment practice for an employer to fail or refuse to hire or discharge any individual, or otherwise to discriminate against any individual with respect to that individual’s terms and conditions of employment, because of such individual’s race, color, religion, sex, or national origin.

This employer is subject to certain nondiscrimination and affirmative action recordkeeping and reporting requirements which require the employer to invite employees to voluntarily self identify their race/ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable federal laws, executive orders, and regulations, including those which require the information to be summarized and reported to the Federal Government for civil rights enforcement purposes.

If you choose not to self identify your race/ethnicity at this time, the federal government requires this employer to determine this information by visual survey and/or other available information.

For civil rights monitoring and enforcement purposes only, all race/ethnicity information will be collected and reported in the seven categories identified below.  The definitions for each category have been established by the federal government.  If you choose to voluntarily self-identify, you may mark only one of the boxes presented below.

PRE-EMPLOYMENT SELF-IDENTIFICATION FORM

PLEASE ANSWER THE FOLLOWING