Employment - Ottawa Cooperative Association

Have you ever been convicted of a felony?

Yes

CDL Questions

Were you subject to the FMCSA’s (Federal Motor Carrier Safety Administration) Regulations while employed?

Yes

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?

Yes

Education

High School (name and location)

Diploma or Equivalency?

Yes

For Undergraduate/Graduate/Technical Education (Enter as many as applicable)

Name & Location of School (1)

Years Completed

Major Subject

Graduated (Y/N)

Graduate Date

Degree & GPA

Name & Location of School (2)

Years Completed

Major Subject

Graduated (Y/N)

Graduation Date

Degree & GPA

Name & Location of School (3)

Years Completed

Major Subject

Graduated (Y/N)

Graduation Date

Degree & GPA

Name & Location of School (4)

Years Completed

Major Subject

Graduated (Y/N)

Graduation Date

Degree & GPA

Describe any specialized training, apprenticeship, certification and/or skill?

Employment

Name & Address of Employer (1)

From:

To:

Supervisor

Position Title

Name & Address of Employer (2)

From:

To:

Supervisor

Position Title

Name & Address of Employer (3)

From:

To:

Supervisor

Position Title

Experience in this Field?

Please upload your resume here