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Application for Employment – Field PositionsSertex2023-03-08T13:12:38-05:00

Application for Employment
Field Positions

About Applying

When you apply for an open position at Sertex LLC your email application is submitted to the Human Resources department and will be kept on file for one year after receipt.

You may submit an application for each job opening in which you are interested. If you would like to contact us regarding the accessibility of this website or need assistance completing the application process, please call 860-317-1006 option 6 Human Resources.

Before You Start

The online application will take approximately 20 to 30 minutes to complete. Once you begin, you will need to complete the entire application. To complete the email form in an efficient and timely manner, you should have the following information available:

Contact information
The title of the open position for which you are applying
Previous employment history, including company name, phone number, address, supervisor name, your job title, responsibilities and period of employment
State driver’s license number
Driving experience, including vehicle types with years and miles operated
If applicable, your military service history

Prior to final submission, you may upload your resume.

"*" indicates required fields

Step 1 of 5

20%

Thank you for applying with Sertex LLC. Sertex employees operate a Commercial Motor Vehicle (CMV) and are required to complete and furnish the motor carrier that employs him/her with an application for employment that meets the requirements DOT Regulations 49 CFR 391.21. You may ask for a copy of the DOT regulations prior to completing this Application for Employment. Sertex believes that all persons are entitled to equal employment opportunities.

The Company will not discriminate or tolerate discrimination against any employee or applicant because of race, color, creed, religion, genetic information, sex, sexual orientation, national origin, age, status with regard to public assistance, marital or veteran status, disability, or any other characteristic protected by local, state or federal law. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship, including recruitment, hiring, training, promotion, transfer, discipline, layoff, recall, and termination. Disabled applicants may request any reasonable accommodation needed to enable them to complete the application process.

Feel free to reach out to HR@sertexllc.com or call 860-317-1006 option 6 with any questions or concerns.

Before you proceed further, please answer the following questions to proceed with the online job application.

1). Is your driver's license valid?*

Yes

No

Thank you for your interest in Sertex Broadband Solutions.
Unfortunately, this is a requirement of the position, and we are unable to consider your application at this time.

2). This position may be regulated by the DOT, are you able to provide valid documentation you are age 18 and older?*

Yes

No

Thank you for your interest in Sertex Broadband Solutions.
Unfortunately, this is a requirement of the position, and we are unable to consider your application at this time.

3). This position requires operating commercial vehicles, are you able to obtain/maintain a DOT Medical card?*

Click here for more information about a DOT Medical card.

Yes

No

Thank you for your interest in Sertex Broadband Solutions.
Unfortunately, this is a requirement of the position, and we are unable to consider your application at this time.

4). Are you comfortable with daily travel and prolonged overnight stays?*

Yes

No

Thank you for your interest in Sertex Broadband Solutions.
Unfortunately, this is a requirement of the position, and we are unable to consider your application at this time.

5). Do you have reliable transportation?*

Yes

No

Thank you for your interest in Sertex Broadband Solutions.
Unfortunately, this is a requirement of the position, and we are unable to consider your application at this time.

Your Personal Information

Your Name*

First MI Last

Your Email Address*

Enter Email Confirm Email

Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

Best Time To Call You*

When is the best time for us to reach you via telephone?

Are you legally eligible to work in the United States?*

Yes

No

Have you previously applied for Sertex?*

Yes

No

If yes, when?

How did you hear about Sertex?*

What position are you applying for?*

Expected Hourly Rate*

Date Available to Start*

MM slash DD slash YYYY

Previous Addresses*

DOT Regulation § 391.21 Application for employment requires the addresses at which the applicant has resided during the 3 years preceding the date on which the application is submitted.

Street Address

City

State

Zip

Date Beginning

Date End

Please click the + sign at the field section to add further addresses. You may enter up to four addresses.
If you have lived at the same address during the preceding 3 years, enter your current address.

Work Experience

DOT regulation §391.21 Application for employment requires applicants to apply with the names and addresses of the applicant's previous employers and accounting for 10 years of employment. This also includes time spent in non-employment including yet not limited to any leave of absence over two weeks, unemployment, self-employed, student or minor status, etc.

Employer's Name*

Date from*

Date to*

Employer's Address*

Phone Number*

Supervisor's Name*

May we contact your supervisor?*

Yes

No

At a later date

Describe responsibilities:*

Detailed reason for leaving:*

Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by any previous employer in 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

Do you have a second place of employment to be included?*

Yes

No

Enter Second Work Experience

Employer's Name (Entry 2)*

Date from*

Date to*

Employer's Address*

Phone Number*

Supervisor's Name*

May we contact your supervisor?*

Yes

No

At a later date

Describe responsibilities:*

Detailed reason for leaving:*

Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by any previous employer in a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR part 40? (2)*

Yes

No

Hidden

Section Break For Second Work Experience

Do you have a third place of employment to be included?*

Yes

No

Enter Third Work Experience

Employer's Name (Entry 3)*

Date from*

Date to*

Employer's Address*

Phone Number*

Supervisor's Name*

May we contact your supervisor?*

Yes

No

At a later date

Describe responsibilities:*

Detailed reason for leaving:*

Hidden

Section Break For Third Work Experience

Do you have a fourth place of employment to be included?*

Yes

No

Enter Fourth Work Experience

Employer's Name (Entry 4)*

Date from*

Date to*

Employer's Address*

Phone Number*

Supervisor's Name*

May we contact your supervisor?*

Yes

No

At a later date

Describe responsibilities:*

Detailed reason for leaving:*

Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by any previous employer in a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing requirements as required by 49 CFR part 40? (2)*

Yes

No

Hidden

End Work Experience

Driver's License Information

DOT regulation §391.21 Application for employment require applicants to list the below:

Driver's License Number*

Issued Date*

MM slash DD slash YYYY

Expiration Date*

MM slash DD slash YYYY

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

Yes

No

If you have been denied, explain below:

Has any license, permit, or privilege ever been suspended or revoked?*

Yes

No

If yes, explain below:

Driving Experience*

List Equipment of vehicle type (i.e., bus, truck, tractor-trailer, semitrailer, full trailer, pole trailer) including years and miles operated.

Equipment

GVW

Years Operated

Miles Operated

Please click the plus sign at the to add further addresses.
You may enter up to 4 pieces of equipment

Violations and Accidents*

Have you had any accidents or violations of motor vehicle laws or ordinances (other than violations involving only parking) of which the applicant was convicted or forfeited bond or collateral during the 3 years preceding the date the application is submitted?

Yes

No

Please list accidents and/or violations:

Date of Accident or Violation

State

Description

Penalty

Please click the plus sign at the to add further addresses.
Enter up to 4 violations or accidents.

Hidden

End Driver's License Section

More About You

Skills

List any applicable special skills, certifications, training, or proficiencies below:

Have you served in the military?*

Yes

No

Please share your military experience with us.

Upload Your Resume

If you choose to do so, you may upload your resume.

Accepted file types: pdf, doc, docx, Max. file size: 10 MB.

Disclaimer & Signature

Applicant's Statement & Agreement*

In the event of my employment to a position in this Company, I will comply with all rules and regulations of this Company. I understand that if I receive an offer of employment from the Company, the Company reserves the right to require me to submit to a test for the presence of drugs in my system prior to employment and at any time during my employment, to the extent permitted by law. I also understand that any offer of employment may be contingent upon the passing of a physical examination, Human Performance Evaluation. I consent to the disclosure of the results of any physical examination and related tests to the Company in accordance with applicable law. I understand that should I decline to sign this consent or decline to take any of the above tests, my application for employment may be rejected or my employment may be terminated. I understand that bonding may be a condition of hire. If it is, I will be so advised either before or after hiring and a bond application will have to be completed. I understand that if I receive an offer of employment from the Company, the Company may investigate my driving record and my criminal record and that an investigative consumer report may be prepared whereby information is obtained through personal interviews with my neighbors, friends, personal references, and others with whom I am acquainted. This inquiry includes information as to my character, general reputation, personal characteristics, and mode of living. I understand that I have the right to make a written inquiry within a reasonable period to receive additional detailed information about the nature and scope of this investigation. I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records and information pertinent to my employment with them. In addition to authorizing the release of any information regarding my employment, I hereby fully waive any right or claims I have or may have against my former employers, their agents, employees, and representatives, as well as other individuals who release information to the Company, and release them from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any such information by any person or party, whether such information is favorable or unfavorable to me.

I hereby state that all the information that I have provided on this application, or any other documents filled out in connection with my employment, and in any interview is true and correct. I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that if I am employed and any such information is later found to be false or incomplete in any respect, I may be dismissed. If hired, I agree as follows: My employment and compensation is terminable at-will, is for no definite period, and my employment and compensation may be terminated by the Company (employer) at any time and for any reason whatsoever, with or without good cause at the option of either the Company or myself. No implied, oral, or written agreements contrary to the express language of this agreement are valid unless they are in writing and signed by the President of the Company (or majority owner or owners if the Company is not a corporation). No supervisor or representative of the Company, other than the President of the Company (or majority owner or owners if Company is not a corporation), has any authority to make any agreements contrary to the foregoing. This agreement is the entire agreement between the Company and the employee regarding the rights of the Company or employee to terminate employment with or without good cause, and this agreement takes the place of all prior and contemporaneous agreements, representations, and understandings of the employee and the Company. I further understand that the Company may modify, amend, or terminate any of its policies and/or benefit plans at any time, with or without prior notice. I agree to follow and be bound by the Company’s policies, as they may be changed or modified from time to time.

I agree to the statmement and agreement.

I hereby acknowledge that I have read the above statements and understand the same. By signing below, 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.

Please type in your full name as a signature:*

Date of Application

MM slash DD slash YYYY

Contact Us
22 Center Parkway
Plainfield, CT 06374

connect@sertexbroadband.com
860-317-1006 ext. 118

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