Have you worked for this company before?*
Are you at least 25 years old*
Do you have a valid driver license?*
During the past 10 years, have you ever been convicted of, or have you pled guilty or no contest to, a felony offense?
*
Experience and Qualifications -Driver
ACCIDENT RECORD FOR PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED). If a section does not apply, put N/A.
TRAFFIC CONVICTIONS AND FORFETURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS)
Have you ever been denied a license, permit or privilege to operate a motor vehicle? IF THE ANSWER TO ANY QUESTION BELOW IS YES, ATTACH STATEMENT GIVING DETAILS.
Has any license, permit or privilege ever been suspended or revoked?
If hired, would you be able to provide a Social Security Number for a background check?
*
Employment History
NOTE: DOT REQUIRES THAT EMPLOYMENT FOR AT LEAST 3 YEARS AND/OR COMMERCIAL DRIVING EXPERENCE FOR THE PAST 10 YEARS BE SHOWN
Were you subject to the Federal Motor Carrier Safety Regulations during this period?
Were you subject to 49 CFR part 40 controlled substance and alcohol testing during this period?
Were you subject to the Federal Motor Carrier Safety Regulations during this period?
Were you subject to 49 CFR part 40 controlled substance and alcohol testing during this period?
Were you subject to the Federal Motor Carrier Safety Regulations during this period?
Were you subject to 49 CFR part 40 controlled substance and alcohol testing during this period?
Upload Important Documents
For driver applicants of commercial motor vehicles that require a Commercial Driver License (CDL) the applicant must disclose their controlled substance and alcohol status per the requirements of 49 CFR part 40.25(j). As a prospective driver employee, you have the right to review information provided by previous employers. You have the right to have errors in the information corrected by the previous employer(s) and for that previous employer(s) to re-send the corrected information to the prospective employer; 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. Driver employees who have previous Department of Transportation regulated employment history in the preceding three years, and wish to review previous employer provided investigative information, must submit a written request to the prospective employer, which may be done at any time, including when applying or as late as thirty (30) days after being employed or being notified of denial of employment. The prospective employer must provide this information to the applicant within five (5) business days of receiving the written request. If the prospective employer has not yet received the requested information from the previous employer(s), then the five (5) business day deadlines will begin when the prospective employer receives the requested safety performance history information. If the driver has not arranged to pick up or receive the requested records within thirty (30) days of the prospective employer making them available, the prospective motor carrier may consider the drive to have waived their request to review the records. CERTIFICATION "I certify 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.
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