Candidate Registration

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We’re here for you

You are one step closer to becoming a part of the RH Barringer family. Please fill out the below information in order to register as a candidate. After that you will be able to apply for jobs on our Job Board.

CANDIDATE REGISTRATION

User Account

Username *

Password *

Password (repeat) *

Current Employees

Please fill out this section only if you are a current RHB Employee

Are you a current RHB employee? *

Which branch are you currently employed? *

Personal Information

First Name *

Middle Name *

Last Name *

Birthday (mm/dd/yyyy) *

Phone Number *

Email Address *

Are you 21 or older? *

Address

Street Address *

City *

State *

Zip-Code *

Skills & Other Qualifications

List any other skills, qualifications, licenses, training or awards.

Education Instructions

Instructions

Please list all of the following types of schooling that you have received: High School, College, Trade School, Other.

High School Education – List school name, year of graduation or reason for not completing. *

Level of College Experience *

College Education – List college, years attended, degree achieved

Additional Schooling

Experience Instructions

Employment Instructions

List work experience for the past seven (7) years. Start with your present or most recent position. Include military service and/or volunteer positions.

May we contact your current employer? *

Job Experience 1 – List current business name, years worked, your work responsibilities

Job Experience 2 – List current business name, years worked, your work responsibilities

Job Experience 3 – List current business name, years worked, your work responsibilities

Additional Job Opportunities

References

Reference Instructions

List the name, title, address and telephone number of three references who are not related to you and are not previous employers. Any reference box that doesn’t contain all the necessary information listed in the instructions will be considered invalid and will not be effective towards your resume.

Reference 1

List the name, title, address and telephone number

Reference 2

List the name, title, address and telephone number

Reference 3

List the name, title, address and telephone number

Equal Employment & FMCSRs

Equal Employement

Post offer medical examination and drug testing will be required. RH Barringer Dist. Co. Inc. is an equal opportunity employer.

FMCSRs

The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designated or used to transport 9 or more passengers, OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.

Were you subject to the FMCSR's while employed at any job? *

If yes, were the jobs designated as a Safety-Sensitive Function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?

If you replied yes to either of the above questions, please list the jobs here. Only include jobs that are listed in your experience box.

By filling out your name below for “Signature Agreement”, you certify that the information contained in this application is true and complete. You understand that any false information may be grounds for not hiring you or for immediate termination of employment at any point in the future if you am hired. You authorize the verification of any or all information listed in this resume.

Signature Agreement *

Type your full legal name

Background Check

By filling out your name below for “Background Check Agreement”, you understand that RH Barringer Dist. Co. Inc. (“the Company”) will conduct a background investigation on you regarding your prospective employment. You hereby authorize RH Barringer Dist. Co. Inc. to research your driving record and/or criminal history as well as to verify any and all other information that you have provided on my Employment Application with the Company. You release and hold the Company and their respective officers, directors and employees harmless from any and all liability with respect to the investigation, verification and/or use of any information relevant to ypur application for employment.

Background Check Agreement *

Type your full legal name

Background Check Rights Provided

By filling out your name below for “Background Check Rights Agreement”, you understand that even though the Company is not doing a background check on your credit history, that a background check regarding prospective employment is still a consumer report which is covered under the Fair Credit Reporting Act. You further understand that upon request, RH Barringer Dist. Co. Inc. will provide you with a “Summary of Rights Under the Fair Credit Reporting Act”. If any employment decision is made based on information received through a consumer report that adversely affects you, you understand that you have the right to request a free copy of the report and to dispute the report within three (3) business days to conclusively demonstrate the inaccuracy of the information.

Background Check Rights Agreement *

Type your full legal name

Certification and Consent

By filling out your name below for “Certification and Consent Agreement”, you certify that the information contained in the “Background Check Consent Form” is true, correct and complete to the best of your knowledge. You understand that RH Barringer Dist. Co. Inc. requires criminal history and/or driving record background checks for the purpose of evaluating you for employment, continuing employment, promotion or transfer. You also understand that any misrepresentation, falsification or omission of facts herein may be grounds for disqualification or termination. You further authorize that a photocopy of this authorization be considered as valid as the original.

Certification and Consent Agreement *

Type your full legal name

Driver Experience & Qualifications

Completion Requirements

You are required to complete this section only if you are applying for a position that will require operating a company vehicle. This includes Sales Reps, Delivery Drivers, Relief Drivers, Merchandisers, Shuttle Drivers, etc. It does not include general warehouse or administrative positions.

Types of Licenses

Here is a reference of the different types of licenses: Class A (non-commercial); Class B (non-commercial); Class C (non-commercial) **common every day license**; CDL (commercial)

Full Name On Drivers License

Required if you have one

Drivers License Number

Required if you have one.

Current license expiration date

Required if you have one

Drivers License State

Required if you have one

Current License #2. Please list the following information: State, license number, type and expiration date.

Current License #3. Please list the following information: State, license number, type and expiration date.

Driving Experience

Please list your current driving license experience if applicable.

Do you have forklift experience? *

If yes, please list your forklift experience here

Straight Truck: List type of equipment, dates (from/to) and total miles.

Semi-Trailer/Tractor: List type of equipment, dates (from/to) and total miles.

Tandom Trailer/Tractor: List type of equipment, dates (from/to) and total miles.

Other driving qualifications: List any other driving skills, qualifications, training or awards.

Accidents & Violations

Please list all accidents and violations during the past 3 years starting with the most recent.

Accidents: List the date, description of the accident, injuries and fatalities.

Violations: List the date, description of the accident, charge and penalty.

List all states operated in for the last 5 years.

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Have you ever had your license, permit or privilege suspended or revoked?

If you answered yes to either question, please give a statement listing details.

Candidate Registration

feel at home

We’re here for you

CANDIDATE REGISTRATION

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