Current Openings
Online Application

 

 

 

 

 

 

 

 

 

 
Application For Employment

Simply fill out the form below and we will respond as soon as possible.
Personal Information
First Name: Last Name:
Address: City:
State: Zip Code:
Phone: Cell Phone:
Are you eligible to work in the United States?
Are you able to be away from home for extended periods of time?
Do you have any limitations that preclude you from performing any work for which you will are being considered?


If "Yes", please describe:

IBI Position
Position(s) interested in:
Referred by:
Have you been employed with us before?


If yes, when? What Position?
List friends or relatives that work for us:

Education
High School:
Diploma: GED:
College:
Degree:
Special Training/Certifications:


 
Skills
List any special skills, machines, equipment, experiences, or training that you possess that may be related to the job for which you are applying:



Work Classification
Give years of experience in each classification
Laborer: Truck Driver CDL
Carpenter: Truck Driver - Heavy Equip.
Form Setter: Equipment Operator:
Concrete Finisher: Cranes:
Welder (State Cert.): Mechanic:
Please list types of equipment:

Drivers License and Driving Information
Valid Drivers License?
*if CDL is selected, you must complete the CDL portion of this application. 		Regular CDL None
Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes No
If "Yes", provide details:
Has any license, permit, or privilege ever been suspended or revoked? Yes No
If "Yes", provide details:
Endorsements:
H - hazardous material N - liquid or gaseous material
P - transport 16+ people M - motorcycle
S - school Bus T - tow double/triple trailers
Other:

Personal References
Reference 1    
Name: Address:
Occupation: Phone:

Reference 2    
Name: Address:
Occupation: Phone:

Past Employment Information
All applicants must provide the following information on all employers during the past three (3) years. Applicants to drive a commercial motor vehicle shall also provide an additional seven (7) years information. Complete mailing address, street number, city, state, and zip code are required. There can be no gaps in employment.
Employer 1    
Name: Start Date:
Address: End Date:
Hourly Rate / Salary: Phone:
Supervisor Job Title:
Reason for leaving:  
While employed by this employer, were you subject to the Federal Motor Carrier Safety Regulations? Yes No
Was this job designated as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR part 40? Yes No


Employer 2    
Name: Start Date:
Address: End Date:
Hourly Rate / Salary: Phone:
Supervisor Job Title:
Reason for leaving:  
While employed by this employer, were you subject to the Federal Motor Carrier Safety Regulations? Yes No
Was this job designated as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR part 40? Yes No


Employer 3    
Name: Start Date:
Address: End Date:
Hourly Rate / Salary: Phone:
Supervisor Job Title:
Reason for leaving:  
While employed by this employer, were you subject to the Federal Motor Carrier Safety Regulations? Yes No
Was this job designated as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR part 40? Yes No



Traffic Convictions and Forfeitures
Only complete this section if you will be asked to drive for Industrial Builders Inc.

If you are asked to drive for Industrial Builders, Inc., you are required to list any traffic violations you have had in the past 3 years. I certify the following is a true and complete list of traffic violations (other than parking tickets) for which i have been certified or forfeited bond or collateral.

Have you had any traffic violations in the past three (3) years? Yes No
If "Yes", please describe    
Violation 1
Date: Charge:
Location: Penalty:
Type of Vehicle Operated

Violation 2
Date: Charge:
Location: Penalty:
Type of Vehicle Operated
Have you had any motor vehicle accident in the past three (3) years? Yes No
If "Yes", please describe  
Accident 1
Date:
Nature of Accident:
(head on, rear end, etc.)
Fatalities / Injuries / Property Damage:
At Fault:
Accident 2
Date:
Nature of Accident:
(head on, rear end, etc.)
Fatalities / Injuries / Property Damage:
At Fault:
Have you ever been convicted of a crime other than a minor traffic violation?
Yes No
If "Yes", please describe  
Date:
Offense:
Conviction:
* Convictions are not an absolute bar to employment, but will be considered in relationship to the job requirements.
 

CDL License
Complete this portion of the application if you have a CDL or have operated a commercial motor vehicle.
Date of Birth:
Have you ever tested positive or refused to be tested on a Pre-Employment Drug Screen for an employer that you did not go to work for? Yes No
If Yes:  
Name of employer: Date:
Previous Addresses
Please list all address you have resided during the past three (3) years.
Address 1
Date From (mo/year): To (mo/year)
Street Address: City: State:


Address 2
Date From (mo/year): To (mo/year)
Street Address: City: State:


Address 3
Date From (mo/year): To (mo/year)
Street Address: City: State:


Driving Experience
Class of Equipment: From:
Type of Equipment: To:
Approx. # of miles (total) :    
Class of Equipment: From:
Type of Equipment: To:
Approx. # of miles (total) :    
Class of Equipment: From:
Type of Equipment: To:
Approx. # of miles (total) :    
Class of Equipment: From:
Type of Equipment: To:
Approx. # of miles (total) :    
Class of Equipment: From:
Type of Equipment: To:
Approx. # of miles (total) :    
Class of Equipment: From:
Type of Equipment: To:
Approx. # of miles (total) :    
Class of Equipment: From:
Type of Equipment: To:
Approx. # of miles (total) :    
Class of Equipment: From:
Type of Equipment: To:
Approx. # of miles (total) :    

 
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A: 1307 County Road 17 N., West Fargo, ND 58078 • P: 701.282.4977 • F: 701.281.1409 • email: info@industrialbuilders.com		 ©2007 Industrial Builders, Inc.
All Rights Reserved.