Apply Online at MARTIN!

Martin’s Milk Service, Inc. is looking for good, experienced drivers to join our team!

We offer competitive pay, incentive bonuses, 401(k) retirement plan and a full benefits package!

Contact Tim Porter (fleet manager) at (608) 435-2044 with questions. Click here to see current job openings.

Martin’s Milk Service Inc. blue truck #499.

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Name

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Dear Applicant: Per FMCSR 391.21(d) Before an application is submitted, the motor carrier shall inform the applicant that the information he/she provides for the employment history may be used, and the applicant's prior employers may be contacted, for the purpose of investigating the applicant's safety performance history information. The prospective employer must also notify the driver in writing of his/her due process rights as specified in §391.23(i) regarding information received as a result of these investigations. You the applicant have the following rights: (i) The right to review information provided by previous employers; (ii) The right to have errors in the information corrected by the previous employer and for the previous employer to re-send the corrected information to the prospective employer; (iii) The right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.

Personal Information

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Name(Required)

First Last

SSN(Required)

DOB

Email(Required)

Phone(Required)

Current Address

Street Address City State ZIP Code

Have you been at this residence LESS than 3 years?(Required)

Yes

Previous Address 1

Street Address City State ZIP Code

Do you have another residence if at the current for less than 3 years?(Required)

Yes

Previous Address 2

Street Address City State ZIP Code

Emergency Contact

Name(Required)

First Last

Phone(Required)

Relationship(Required)

Emergency Contact Address(Required)

Street Address City State ZIP Code

Job Position

What type of position are you applying for?(Required)

Driving

Warehouse

Other

Employment Type Preference(Required)

Full-time

Part-time

Temporary

Desired Salary Range(Required)

Who referred you or how did you find out about us?(Required)

Have you worked here before?(Required)

Yes

Dates(Required)

Where(Required)

Reason for Leaving(Required)

Position(Required)

Rate of Pay(Required)

Have you ever worked here under another name?(Required)

Yes

Previous Name(Required)

Do you have any relatives working for this company?(Required)

Yes

List names of relatives working for this company:(Required)

Have you ever been bonded?(Required)

Yes

Bonding Company(Required)

Are you currently employed?(Required)

Yes

How long since leaving last employment?(Required)

Education: Check highest grade completed(Required)

College

Last school attended(Required)

Address(Required)

List special courses or training that will help you as a driver:

Previous Employment

Complete all data for EACH last employer COMPLETELY. The U.S. Department of Transportation requires that the driver applicants show all employment for the past three years. Effective July 1, 1987, they must also show commercial driver employment for the seven years preceding this three year period. §391.21(b) (10) (11). Account for any gaps in employment between employers.

Do you have any previous employers?(Required)

Yes

Last Employer

Last Employer(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

Position Held(Required)

Dates(Required)

Type of Equipment Driven

Were you regulated by FMCSA during this job?(Required)

Yes

Was this job a FMCSA safety sensitive function position subject to DOT regulated controlled substance and alcohol testing?(Required)

Yes

Reason for leaving(Required)

Do you have any other previous employers to list?(Required)

Yes

Second Last Employer

Second Last Employer(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

Position Held(Required)

Dates(Required)

Type of Equipment Driven

Were you regulated by FMCSA during this job?(Required)

Yes

Was this job a FMCSA safety sensitive function position subject to DOT regulated controlled substance and alcohol testing?(Required)

Yes

Reason for leaving(Required)

Do you have any other previous employers to list?(Required)

Yes

Third Last Employer

Third Last Employer(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

Position Held(Required)

Dates(Required)

Type of Equipment Driven

Were you regulated by FMCSA during this job?(Required)

Yes

Was this job a FMCSA safety sensitive function position subject to DOT regulated controlled substance and alcohol testing?(Required)

Yes

Reason for leaving(Required)

Driver Experience and Qualifications

List all licenses held in the last 3 years

License 1: State

License 1: Number

License 1: Type Endorsements

License 1: Exp. Date

License 2: State

License 2: Number

License 2: Type Endorsements

License 2: Exp. Date

License 3: State

License 3: Number

License 3: Type Endorsements

License 3: Exp. Date

Do you currently hold more than one valid license?(Required)

Yes

Have you ever been denied a license, permit or privilge to operate a motor vehicle?(Required)

Yes

Has any license, permit or privilege ever been suspended or removed?(Required)

Yes

Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regs?(Required)

Yes

If answered yes to any of the above, give details:(Required)

Experience

List your equipment experience below:

Class of Equipment 1:

Type 1:

Dates 1:

Class of Equipment 2:

Type 2:

Dates 2:

Class of Equipment 3:

Type 3:

Dates 3:

List States operated in during last 5 years:

List safe driving awards held and who presented by:

Accident review for the past 3 years:

Have you had more than 2 accidents in the last 3 years?(Required)

Yes

Date (1):

City, State (1):

# Fatalities (1):

# Injuries (1):

Nature of Accident (head on, rear-end, etc. (1):

Date (2):

City, State (2):

# Fatalities (2):

# Injuries (2):

Nature of Accident (head on, rear-end, etc. (2):

Date (3):

City, State (3):

# Fatalities (3):

# Injuries (3):

Nature of Accident (head on, rear-end, etc. (3):

Motor Vehicle Laws and Ordinances for the past 3 years other than parking violation:

Have you had more than 2 moving violations in the last 3 years?(Required)

Yes

Date (1):

Location (1):

Charge (1):

Penalty (1):

Date (2):

Location (2):

Charge (2):

Penalty (2):

Date (3):

Location (3):

Charge (3):

Penalty (3):

Other Experience

Do you have a Class A CDL?(Required)

Yes

Are You an Owner Operator?

Yes

Are you Solo or Team?(Required)

Solo

Team

Are you a company driver?(Required)

Yes

Do you have at least 1 year of verifiable tractor trailer experience?(Required)

Yes

Do you have a Federal Medical Examiners Certificate?(Required)

Yes

Have you had a DUI/OWI in the last 5 years?(Required)

Yes

How many jobs have you had in the last 5 years?(Required)

Driving Experience(Required)

Select all of your Endorsements

H - Hazardous Materials

N - Tanker Vehicles

P - Passengers

S - School Bus

T - Doubles or Triples

X - Combo Hazmat and Tanker

TWIC

Do you have any forklift experience?(Required)

Yes

how many years?(Required)

Forklift type (select all that apply)(Required)

Propane

Electric

Sit-down

Stand-up

Reach Truck

Other

Are you interested in Local, Regional or OTR?

Local

Regional

OTR

Do you have any experience with radio frequency (RF) scanners?(Required)

Yes

Do you have any experience working in a food grade facility?(Required)

Yes

Driver's Certification and Annual Review

The Federal Motor Carrier Safety Regulations require drivers to furnish a list of motor vehicle traffic law violations at least once every 12 months. The regulation further requires motor carriers to review the driving records at least once every 12 months.

I certify that the following is a true and complete list of traffic violations (other than parking violations) for which I have been convicted of or forfeited bond or collateral during the last 12 months.(Required)

I certify I have not been convicted of or forfeited bond or collateral on account of any violations to be listed during the past 12 months.

I have received violations to my driving record in the past 12 months and they include:

Conviction Date (1):

Offense (1):

Location (1):

Vehicle Type Operated (1):

Conviction Date (2):

Offense (2):

Location (2):

Vehicle Type Operated (2):

Conviction Date (3):

Offense (3):

Location (3):

Vehicle Type Operated (3):

Warehouse Qualifications

Do you have any forklift experience?(Required)

Yes

how many years?(Required)

Forklift type (select all that apply)(Required)

Propane

Electric

Sit-down

Stand-up

Reach Truck

Other

Do you have any experience with radio frequency (RF) scanners?(Required)

Yes

Do you have any experience working in a food grade facility?(Required)

Yes

Submit Application

Consent(Required)

By checking this box I agree to Martin's Milk Service, Inc. Application Terms

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I Agree to the Terms of this Application
Continue to Finish Application

Applicant: Read and sign before submitting this application.

I understand that the information in this application will be used and that prior employers will be contacted for the purposes of investigating my safety performance history information as required by §391.23(d)(e). This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

Driver's Certification and Annual Review

REPORTS FROM THE PSP Online Service

THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL ACCOUNT HOLDERS
IMPORTANT DISCLOSURE REGARDING BACKGROUND REPORTS FROM THE PSP Online Service
In connection with your application for employment with Martin’s Milk Service, Inc. (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA). When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication. Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:
I authorize Martin’s Milk Service, Inc. (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee. I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication. I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above. NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant’s written or electronic consent prior to accessing the Applicant’s PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant’s consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language.
NOTICE: The prospective employment concept referenced in this form contemplates the definition of “employee” contained at 49C.F.R. 383.5.

General Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse

I hereby provide consent to Martin’s Bulk Milk Service, Inc to conduct a limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me exists in the Clearinghouse. This consent is valid for unlimited number of limited queries and never expires for the duration of your employment.
I understand that if the limited query conducted by Martin’s Bulk Milk Service, Inc. indicates that drug or alcohol violation information about me exists in the Clearinghouse, FMCSA will not disclose that information to Martin’s Bulk Milk Service, Inc. without first obtaining additional specific consent from me. (Which requires me to create and account with the clearinghouse and grant permission for a full query to be conducted.) I further understand that if I refuse to provide consent for Martin’s Bulk Milk Service, Inc. to conduct a limited query of the Clearinghouse, Martin’s Bulk Milk Service, Inc. must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations. We will also report on the clearinghouse that you refused to provide consent.

LAST UPDATED 02/10/2024

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Apply Online at MARTIN!

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Personal Information

Emergency Contact

Job Position

Previous Employment

Last Employer

Second Last Employer

Third Last Employer

Driver Experience and Qualifications

Experience

Accident review for the past 3 years:

Motor Vehicle Laws and Ordinances for the past 3 years other than parking violation:

Other Experience

Driver's Certification and Annual Review

Warehouse Qualifications

Submit Application

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